Quick Answer
TENS / Electrotherapy and Cortisone take different approaches to joint pain relief. TENS / Electrotherapy works by electrical nerve stimulation, while Cortisone works by anti-inflammatory steroid. TENS / Electrotherapy typically lasts during/shortly after use, compared to 6-12 weeks for Cortisone.
How They Compare
| Factor | TENS / Electrotherapy | Cortisone |
|---|---|---|
| Mechanism | Electrical nerve stimulation | Anti-inflammatory steroid |
| Duration | During/shortly after use | 6-12 weeks |
| Invasiveness | Non-invasive | Needle injection |
| Side Effects | Minimal | Cartilage risk with repeat use |
| Insurance | Covered as DME | Universally covered |
Who Is Each Best For?
Consider TENS / Electrotherapy if:
- You want during/shortly after use of relief
- Electrical nerve stimulation
- Your doctor recommends this approach
Consider Cortisone if:
- You prefer 6-12 weeks of relief
- Anti-inflammatory steroid
- Insurance coverage is important to you
Cost and Insurance
TENS / Electrotherapy typically costs Covered as DME, while Cortisone costs Universally covered. Check with your insurance provider for specific coverage details.
Frequently Asked Questions
Is TENS / Electrotherapy better than Cortisone?
Neither is universally “better.” TENS / Electrotherapy and Cortisone work differently and suit different patients. Your doctor can help determine which fits your situation based on your OA severity, medical history, and treatment goals.
Can I try both?
In many cases, yes. Some patients try one approach first and switch if results are insufficient. Discuss a treatment sequence with your provider.
Which has fewer side effects?
Both are generally well-tolerated. TENS / Electrotherapy has specific considerations related to its mechanism, while Cortisone has its own risk profile. Ask your doctor about side effects relevant to your health history.
Does Medicare cover both?
Coverage varies. Check our Medicare coverage guides for detailed information on what’s covered.
How do I decide?
Start with a conversation with your doctor about your specific condition, pain level, and goals. Consider factors like convenience, cost, duration of relief, and your comfort level with each approach.
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