30 days after surgery, or for certain types of chronic, intractable pain manual tk303g portugues pdf adequately responsive to other methods of treatment including, as appropriate, physical therapy and pharmacotherapy. When TENS is used for acute post-operative or chronic intractable pain, Aetna considers use of the device medically necessary initially for a trial period of at least 1 month but not to exceed 2 months.

The trial period must be monitored by the physician to determine the effectiveness of the TENS unit in modulating the pain. The member requires electrical stimulation beneath a cast to treat disuse atrophy, where the nerve supply to the muscle is intact. Aetna considers stellate ganglion blockade using TENS experimental and investigational because its clinical value has not been established. Aetna considers PENS experimental and investigational for the treatment of chronic neck pain, and all other indications because its effectiveness for these indications has not been established. Peripheral nerve stimulation is considered experimental and investigational for post-herpetic neuralgia and all other indications because its effectiveness for these indications has not been established. To treat chronic pain due to ischemia.

Aetna considers intramuscular stimulation experimental and investigational for the management of members with soft-tissue or neuropathic pain and all other indications because its effectiveness has not been established. Other terms used to refer to electroceutical therapy devices include “non-invasive neuron blockade” devices, “electroceutical neuron blockade” devices, and “bioelectric treatment systems. Aetna considers the Electro-Acuscope Myopulse Therapy System experimental and investigational for the treatment of pain and tissue damage and all other indications because its effectiveness has not been demonstrated in the peer-reviewed scientific literature. Aetna considers electrical stimulation of the sacral nerve roots or lumbosacral plexus experimental and investigational for the treatment of chronic pelvic or abdominal pain or other indications because the effectiveness of these interventions has not been established. Morton’s neuroma and all other indications experimental and investigational because its clinical value has not been established. Synaptic electrical stimulator with or without peripheral nerve blocks experimental and investigational for peripheral neuropathy and all other indications. Aetna considers Cefaly transcutaneous electrical stimulator headband experimental and investigational for migraine headache prevention and treatment and all other indications.

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