Classically, TENS has been used for the purpose of pain alleviation. Low-frequency TENS has also been found effective to increase microcirculation and facilitate the absorption of calcific deposits in the shoulder tendons.123,124 The most effective treatment points are believed to be associated with stimulation of the acupuncture points.125 Figure 41-9 displays a possible electrode placement using acupuncture sites. The points used in this arrangement include Jianjing (GB 21), Binao (LI 14), Juga (LI 16), and Jianya (LI 15).126 Any physical modality is only an adjunct in a physical therapy clinic and should be used with prudence.

A moving – or resonating – magnetic field can create currents without heating and thus directly alter cellular signaling. It has been firmly established that tissues including blood, muscle, ligaments, bone and cartilage respond to biophysical input, including electrical and electromagnetic fields. New studies show that with the proper field intensity and frequency, treatment with PEMF appears to be disease-modifying. The stimulation of TGFβ may be a mechanism by which PEMF favorably affects cartilage homeostasis. Through calcium-calmodulin-dependent pathways, PEMF may also increase nitric oxide activity.
Within the domain of shoulder pain, rotator cuff conditions can be caused by an inter-relationship between soft tissue laxity (i.e. ligament) resulting in glenohumeral laxity, impingement (e.g. due to bursitis or osteophytes) resulting in tendon compression and cuff lesions (Allingham & McConnell 2003). Therefore, treatment is likely to be more effective when all possible factors that can cause laxity, impingement or lesion of the cuff are considered. These include:

Pulsed electromagnetic field therapy replicates the Earth’s natural magnetic field, which we were once strongly connected to. Over time this magnetic field has gotten weaker (an estimated 10% weaker since the 19th century) and due to industrialization and modernization, we are further separated from the Earth’s natural magnetic field. The therapy actually originated from NASA’s research involving the benefits of pulsed electromagnetic fields on astronauts for fatigue, depression, bone loss and other symptoms following even short trips to outer space. Scientists discovered that the cause was due to astronauts being without this beneficial natural field emanating from our Earth.

PEMFs stimulate every level of the body. You apply mats, pads, rings or paddles externally, and the electromagnetic pulses of energy penetrate the body at the cellular level. Your body then uses that energy to heal itself through its natural healing mechanisms. Depending on the extent of the issue, PEMFs can address a slight imbalance quickly, like a pulled muscle, or it can work to bring about a more substantial change over time, like restoring a sluggish organ system.
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