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Electrotherapy in Pain Management

Electrotherapy in Pain Management

Electrotherapy or electric medicine, which uses electricity for treating pain, repairing tissues, improving circulation, strengthening the muscles, or promoting bone growth that leads to improvement in overall physical functioning, includes a variety of treatments.


Non-invasive Techniques

This is a form of neuromodulation that comprises of non-invasive or minimally invasive techniques such as electroacupuncture (EA), percutaneous electrical nerve stimulation (PENS), transcutaneous electrical nerve stimulation (TENS), as well as the more invasive alternative (SCS) and peripheral nerve stimulation (PNS).

Electrotherapy is typically used in conjunction with other treatments.  A non-invasive form, electrotherapy such as TENS might be used along with physical therapy. The current stimulates the sensory nerves and helps prevent the pain signals reaching the brain. The device also helps increase the body’s production of its own endorphins and enkephalins.

A stronger deeper penetrating process called Inferential Current Therapy (IFC) puts a higher frequency current along the nerve strands, stimulating the tissues around the part of the body that is injured to promote in healing. IFC is reported to cause less discomfort than other electrical stimulation methods because at higher frequencies the current can pass deeper into the tissues with less resistance. IFC is used to treat circulatory disorders, improve range of movement, reduce range of motion, and reduce edema and muscle spasms.

In case of TENS therapy being not successful, PENS can be considered. In PENS, implanted needle electrodes deliver current closer to the nerves or muscle beneath the skin. The treatment is recommended for diabetic peripheral neuropathy.

There is another electrotherapy treatment called Pulsated electromagnetic field therapy (PEMF) which may be useful after spinal fusion surgery. It promotes bone growth, enhances the strength of fusion, and also eases pain. There is evidence via research that PEMF benefits failed back surgery syndrome and knee pain due to osteoarthritis. 

Invasive Techniques

Spinal cord stimulation (SCS) is a good alternative for individuals whose neck and back pain is not relieved by surgery or other treatments. Delivering a mild electrical stimulation to the nerves along the spinal column. SCS currently accounts for 90% of all neuromodulation treatments. SCS is one of the most effective tools for treatment of neuropathic pain. By delivering tiny amounts of electrical energy directly onto the spine, the stimulator interrupts inappropriate pain information being transmitted to the brain.

Peripheral nerve field is a similar type of technique where the devices controlling the electrical pulses are placed under the skin in the area near to the involved nerve.  The SCS technique has been used for decades and recommended for conditions such as failed back surgery, cervical and lumbar radiculitis, peripheral neuropathy and complex regional pain syndrome—which are all increasing in number. Before a permanent device is implanted there is a trial procedure that allows the patient to determine whether SCS devise will be effective.

The SCS was first approved in 1989. Since that time the devices have been developed to make it smaller, effective and also more comfortable. Systems using high frequency pulses rather than traditionally used low frequencies may be more effective in reducing pain. Applying SCS to the dorsal root ganglion has been effective for groin, foot pain and complex regional pain syndrome. Over the years technological advance and developments in SCS have optimized the product for better use and for more medical conditions.

The Future in Electrotherapy

Recent advancement in electrotherapy includes stimulation for the vagus nerve to prevent seizures and treat severe depression. Neurostimulation can treat chronic pain, the technology may provide other therapies as well. For example, neural signaling in part controls inflammation, suggesting that neurostimulation may help in treating inflammatory disorders like Crohn’s disease and rheumatoid arthritis.

Currently, clinical research is in progress to map the nervous system’s role in disease, as well as in studying the role of electrotherapy and stimulation in treating rheumatoid arthritis, chronic medical conditions including Type 2 diabetes, autoimmune and endocrine disorders


  1. Mehta N. “Spinal cord stimulation for chronic neck and back pain. ” Spine – Health Sept. 2016.
  2. Li J, Song Y “Transcutaneous electrical nerve stimulation for postoperative pain control after total knee arthroplasty.” Medicine (Baltimore) 2017:96(3):e8036.

Dr. Allamm Morales, M.D.

Dr. Allamm Morales has over 15 years experience in personal injury and a wide range of neurological disorders. He has privilege, and provides patient care in local Baptist hospitals.

He was Chief Resident at the Neurology Residency Program of the University of South Florida, and worked at the Florida Hospital of New Smyrna, and St. Luke Hospital in Ponce, Puerto Rico. He also served many years with the Florida Neurology Institute, Inc.

Dr. Morales is a Diplomate of the American Board of Vascular Neurology, and a Diplomate of the American Board of Psychiatry and Neurology.

Dr. Morales studied in Nova Southeastern University, Davie, FL, had residency at the Caibarien General Hospital, Cuba, and obtained the MD degree at the Superior Institute of Medical Science in Cuba.

Fiaz Jaleel, M.D.
Physical Medicine & Rehab, Pain Management

“Life is short and precious. As a Physiatrist and Pain Physician my goal for my patients is to reduce their pain and suffering, enhance form, improve function and ultimately promote the best quality of life for that individual.”

Dr. Fiaz Jaleel graduated from the University of The West Indies in 1987. He completed a two year internship at Port of Spain General Hospital in Trinidad and Tobago. He completed his internship in Internal Medicine at St. Francis Hospital in Evanston, IL and went on to do a residency in Physical Medicine and Rehabilitation at Barnes Jewish Hospital in St. Louis , MO. In 2007, Dr. Jaleel joined the team at Absolute Injury and Pain Physicians as Medical Director. He is currently Board Certified in Physical Medicine and Rehabilitation as well as Pain Medicine via the American Board of Pain Medicine.

In Trinidad and Tobago, Dr. Jaleel held positions as an Intern, House officer, and District Medical Officer. He has also practiced in Illinois, Missouri, South Dakota and Central and North Florida.

While practicing in Trinidad , Dr. Jaleel also worked in Internal Medicine, General Surgery, Pediatrics, Neonatology, Obstetrics and Gynecology, Ear, Nose and Throat Surgery, Ophthalmology, Radiology, Neurosurgery, Plastic Surgery, Orthopedics, Emergency Medicine and Community Medicine.

Dr. Jaleel has encountered many diseases, disorders and clinical situations related to multiple aspects of trauma including penetrating and non-penetrating injuries, motor vehicular accidents and concomitant injuries including intra-abdominal injuries, closed head injuries, fractures and burns.

When not treating his patients, Dr. Jaleel enjoys travelling, reading and spending time with friends and family.

Dr. Jaleel has the following affiliations:
Diplomate, American Board of Physical Medicine and Rehabilitation
Diplomate, American Board of Pain Medicine
Fellow, American Academy of Physical Medicine and Rehabilitation
Member, American Academy of Pain Medicine
Member, Florida Society of Physical Medicine and Rehabilitation
Member, Florida Academy of Pain Medicine
Member, Florida Medical Association

Deric L. D’Agostino, D.C.
Chiropractic Physician

“The health of a body is in direct proportion to the health of its nervous system. The nervous system controls every cell, tissue and organ in your body, tap into that and “miracles” will most certainly happen!”

Dr. Deric D’Agostino attended the Logan College of Chiropractic and has been helping patients at Absolute Injury and Pain Physicians for the past nine years. Around here we call him “Dr. D.”

Dr. D’Agostino specializes in Koren Specific Technique and in the treatment of injuries resulting from motor vehicle accidents. He is a master of his craft and firmly believes that chiropractic treatment can not only help the body but also the mind. His sense of humor and the personal attention that he provides really puts patients at ease.

Dr. D’Agostino genuinely listens to the patient while working very hard to erase their pain-inducing symptoms. He is always seeking out continuing education and new methodology to add to his care repertoire.

When he is not helping patients find relief, Dr. D’Agostino enjoys training for sprint triathlons, gardening, as well as being an awesome father and husband. You will most likely find him at our Arlington location dawning a huge smile while drinking his homemade juice.