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In 2010, the Therapeutic and Technology Assessment Subcommittee of the American Academy of Neurology (AAN) published a report finding transcutaneous electrical nerve stimulation (TENS) ineffective for chronic low back pain.
TENS units are usually small, portable battery operated devices which apply an electrical current to the skin for the intent of pain relief. Stimulation parameters such as pulse width, pulse frequency, wave pattern, frequency and intensity are varied in both clinical usage and the research literature. These parameters are often determined for individual patients by a trial and error method which requires several sessions of skilled therapy.
CMS will review available evidence on the use of TENS for the treatment of chronic low back pain. We are particularly interested in receiving evidence speaking to the health outcomes attributable to the use of TENS in home settings.
As we are considering coverage under Section 1862(a)(1)(A) and Section 1862(a)(1)(E) of the Social Security Act, we also encourage the submission of comments that would pertain to clinical studies falling under the Coverage with Evidence Development (CED) paradigm.
September 13, 2011
CMS opens this NCA in order to review the evidence on the use of TENS for the treatment of chronic low back pain. The initial 30 day public comment period begins with this posting date and ends after 30 calendar days. CMS considers all public comments. We are particularly interested in receiving evidence speaking to the health outcomes attributable to the use of TENS in home settings.
Instructions on submitting comments can be found at http://www.cms.hhs.gov/Medicare/Coverage/InfoExchange/publiccomments.html#TopOfPage
March 13, 2012
June 8, 2012