
A TENS battery-powered device delivers alternating current via electrodes that are placed on the skin around the painful area. Most devices allow you to set the pulse frequency and intensity. The stimulation activates a complex neural network in your body, providing an analgesic (pain relieving) effect and relieving your pain.
Full Answer
What is the pulse rate of a TENS device?
Pulse Rate: The pulse rate is the rate in which pulses are sent from the TENS device. Pulse rates are registered in hertz or pulses per second. The pulse rate chosen depends significantly on the electrode placement.
Does stimulation intensity affect the effectiveness of a TENS machine?
It seems that stimulation intensity is a critical factor for the effectiveness of TENS.
What are the benefits of a TENS unit?
TENS units may help treat the following symptoms: 1 period pain 2 labor pain 3 postoperative pain 4 joint pain 5 neck and back pain
How does tens affect the peripheral nerve system?
Abstract. Basic science studies using animal models of inflammation show changes in the peripheral nervous system, as well as in the spinal cord and descending inhibitory pathways, in response to TENS. Translational studies show mechanisms to prevent analgesic tolerance to repeated application of TENS.

What is the pulse rate on a TENS unit?
TENS machines are thought to work in two ways: On a high pulse rate of 90-130 Hz (the normal method of use), the electrical impulses generated by the TENS machine interfere with and block pain messages sent to the brain.
Can TENS unit affect heart rate?
The Acu-TENS group also had a faster return of HR to pre-exercise level compared to placebo (9.98 ± 4.54 min, p = 0.047). Heart rate variability analysis inferred reduced sympathetic modulation during exercise after Acu-TENS. There was no between-group difference in post-exercise oxygen consumption.
Where should you not put TENS?
Never place the pads over:the front or sides of your neck.your temples.your mouth or eyes.your chest and upper back at the same time.irritated, infected or broken skin.varicose veins.numb areas.
What is low rate TENS used for?
The Low Frequency T.E.N.S. allow a period for muscle recovery between pulses with stimulation by surface electrodes in segmentally related myotomes being most efficacious. The Myo-monitor is a low frequency acupuncture-like T.E.N.S.
Can you use TENS machine with high blood pressure?
TENS produced no significant effect on BP, regardless of intensity. Discussion: These results affirm that high levels of intensity are of fundamental importance in effective TENS dosage. This also applies for low frequency, segmental stimulation. Resting BP seems not to be dependent on intensity.
Can TENS lower blood pressure?
Another possible approach is by transcutaneous electrical nerve stimulation (TENS), a non-invasive method that modulates activity by inhibiting primary afferent pathways using low-frequency transcutaneous electrical stimulation. Some studies have shown that TENS reduces blood pressure in patients with hypertension.
Can a TENS unit repair nerve damage?
Studies show that TENS can help relieve pain from diabetic nerve damage, most commonly in the hands and feet. Spinal cord injury pain. At least three studies on TENS and spinal cord injury pain have shown improvements in this kind of pain, which is hard to treat.
Can TENS reduce inflammation?
Thankfully the TENS unit can help with Inflammation as well. Numerous studies have discovered that the electric impulses can reduce inflammation located deep within the muscle fibers.
Can a TENS unit be harmful?
TENS is generally regarded as safe. But it has risks just like any other medical procedure. For example, if the electrical current is too high or the electrodes are placed on the wrong part of the body, it can burn or irritate the skin. The "danger zones" include the brain, heart, eyes, genitals, and throat.
What are the best settings for a TENS unit?
Acute pain is usually most effective between 80 and 120 Hz. Chronic pain can also benefit from lower settings 2 to 10Hz that stimulates an endorphin release. A setting between 35 and 50Hz is commonly used to stimulate muscles for strengthening or even relaxation.
What does low rate TENS feel like?
TENS stimulation frequency is labeled “low” if it is below 10 Hz and “high” if it is above 50 Hz. High frequency stimulation has a buzzing sensation. Low frequency stimulation feels like a strong tapping.
Can TENS machine make nerve pain worse?
Can TENS unit placement make the pain worse? Overstimulation can make pain worse. In using TENS therapy, tiny electrical shocks from the TENS machine can block some pain perceived by the brain. For those who are new to using TENS therapy, take things slowly at first.
What is TENS treatment?
Transcutaneous electrical nerve stimulation (TENS) is a nonpharmacologic treatment for pain relief. TENS has been used to treat a variety of painful conditions. This review updates the basic and clinical science regarding the use of TENS that has been published in the past 3 years (ie, 2005−2008). Basic science studies using animal models ...
How does Tens produce analgesia?
It is generally thought that TENS produces analgesia by activation of cutaneous afferent fibers at the site of application . However, by differentially blocking primary afferents with local anesthetics, Radhakrishnan and Sluka [8•] showed the importance of deep tissue afferents in the analgesia produced by TENS.
What is sensory intensity?
Sensory intensity is when the patient feels a strong but comfortable sensation without motor contraction. High intensity usually involves a motor contraction but is not painful. In general, higher-frequency stimulation is delivered at sensory intensity, and low-frequency stimulation is delivered at motor intensity.
Why is Tens controversial?
However, the effectiveness of TENS on individual pain conditions, such as low back pain, is still controversial, likely because of poor study designs and small sample size. Thus, continued research of TENS mechanisms and stimulation parameters in adequately characterized patient populations is critical.
Which receptors are activated by Tens?
Centrally, sites in the spinal cord and brainstem that utilize opioid, serotonin, and muscarinic receptors are activated by TENS. Peripherally, at the site of TENS application, opioid and α-2 noradrenergic receptors are involved in TENS-induced analgesia [1•].
Does Tens help with pain?
Although a number of clinical studies show the effectiveness of TENS for pain, there is still much controversy over which conditions to treat with TENS and the adequate parameters to use. Prior reports show that TENS reduces pain through both peripheral and central mechanisms.
How does a Tens machine work?
The TENS machine works by attaching electrodes to your skin. These electrodes are self-adhesive and will gently stick to the area of your skin you choose. You will usually place them on the area where you are experiencing pain unless otherwise advised by a healthcare professional.
How to use a tens machine?
TENS Machine General Guide for Use 1 Most TENS machines are designed to be small and portable. You can use them while moving around too. Look for models with belt buckles or some way to attach it to your clothing. Just be careful not to put stress on the wires from the electrodes. 2 Always make sure the machine is switched off when placing the electrodes on your skin. 3 You can test the machine in between your fingers before placing it on the skin if you want to be sure it’s working. 4 Always clean the skin before and after using the electrodes. Follow the guidelines above and use healthy skin. If you feel any kind of reaction to the electrodes stop immediately and seek medical advice. 5 If the electrodes feel like they are moving use a little medical tape to keep them securely in place. 6 Use the guide above to set an appropriate pulse rate and other TENS unit settings that will be suitable to your needs. 7 When you have finished always turn off the unit before removing the electrodes and then carefully peel them off. 8 Store the unit in its box or another carrying case where it will be safe, dry and till not get damaged.
How many modes are there in a Tens unit?
Different Modes. There are typically three different modes in the settings of a TENS unit. Normal – this setting gives a constant stimulation. It’s most commonly used to help relieve acute pain and is usually the first mode you would try with the unit.
How does a pulse work?
They are cyclical and help to reduce pain by shocking the nerves and is used to treat acute pain as well as lessen the strength of chronic pain. You will also have control over the rate of the pulse and the strength of the frequency. The pulse is the amount of electrical pulses being sent per second.
What does it feel like to turn on a pain machine?
When you turn the machine on it sends electrical impulses to the area. You will feel a little tingling sensation. These sensations are signals going through the spine and to the brain. Patients feel a reduction in pain through the brain releasing hormones like endorphins, natural painkillers, and feel-good hormones.
Can you use a Tens machine while moving?
Most TENS machines are designed to be small and portable. You can use them while moving around too. Look for models with belt buckles or some way to attach it to your clothing. Just be careful not to put stress on the wires from the electrodes.
Do Tens machines help with pain?
It’s important to remember that TENS machines only offer short-term pain relief. They are not curing the conditions or repairing damaged muscles, tendons etc. It’s a tool for pain relief. Doctors and physiotherapists do recommend the use of a TENS machine sometimes depending on the patient.
How does a tens unit work?
A TENS unit activates large fibers to overpower small fibers by creating a tingling or massaging sensation to close pain gates. The tingling/massaging sensation doesn't allow pain fibers to transmit painful feelings to the brain. In short, the pain gets temporarily blocked.
Why do people use Tens units?
Because of a TENS unit's versatility and customizability, they're the perfect solution for multiple types of pain in different areas of the body. They offer targeted pain relief since you're able to place the electrodes on and around the area in pain. Below are the many ailments that TENS units help relieve.
How long does Tens therapy last?
One study found that TENS therapy is effective in treating abdominal pain for at least six months with no placebo effect. TENS Units for Digestion: As weird as it sounds, a study found that TENS therapy helps with digestion by increasing the salivary flow, a critical component that helps digest food.
Why do we use Tens Units for knots?
Because TENS therapy blocks pain receptors, swelling is reduced, and muscle knots are decreased. Some findings have shown electric muscle stimulation to be even better at relieving muscle knot pain than electrical muscle stimulation.
What is the pain gate?
Essentially, the theory states that there are "nerve gates" at the end of your spine that control s if pain signals are allowed to pass to the brain to be decoded. There are two types of nerve fibers, small (pain fibers) and large (fibers for skin senses such as touch and pressure). These fibers are what carry information from the area of pain to the spine.
Where to place Tens Units for Sciatica?
We recommend placing electrodes right below your neck, on the upper back. The electrical impulses will travel to the neck for neck pain relief. TENS Units for Sciatica: Because Sciatica is a nerve-related pain condition, TENS units work excellently in reducing sciatica pain.
How much does a Tens unit cost?
TENS units offer an affordable solution that won't break the bank. TENS units price range from $20 to $200 depending on features and strength.
Why do tens units work?
TENS units for nerve pain. Because TENS units block nerves from sending pain signals to the brain, TENS therapy is an excellent option for nerve pain relief. This includes pain caused by nerve damage and pain associated with sciatica and complex regional pain syndrome (CRPS) when accompanied by other treatment forms.
How much does a Tens unit cost?
Cost-effective: TENS units are one of the most affordable treatment methods available, with just a one-time purchase of $20 to $200 depending on its features and about $10 to $15 every few months to replace your electrodes.
What is tens therapy?
TENS therapy is very commonly used to help treat muscle pain. It is recommended by the NHS and has been found to effectively help treat sore muscles, muscle spasms, muscle knots, and muscle atrophy. TENS therapy also has a calming effect on the central nervous system, helping reduce pain related to fibromyalgia.
What is the difference between prescription and over the counter tens?
The main differences between over-the-counter and prescription devices are their intensity levels and treatment modes. Typically, prescription TENS units offer higher intensity settings and more treatment modes, such as customizable frequencies and wave types. This allows them to target and relieve pain more precisely.
How long do resealable electrodes last?
Most electrodes are reusable and can last up to 5 to 6 months. That said, there are some things users can do to help electrodes maintain their stickiness and last as long as possible:
What is the difference between a TENs and an EMS unit?
While TENS units stimulate the nerves, EMS units stimulate the muscles and cause them to contract. Stimulating the muscles helps strengthen and tone as well as relax and rehabilitate them. If a person is looking to build muscle as part of a training program, an EMS unit is a good choice.
Where to place tens electrodes for neck pain?
It is recommended to place the electrodes right below the neck on the upper back. With this placement, electrical impulses can travel to the neck without irritating the neck’s sensitive area.
What is TENS therapy?
Transcutaneous electrical nerve stimulation (TENS) therapy involves the use of low-voltage electric currents to treat pain. A small device delivers the current at or near nerves. TENS therapy blocks or changes your perception of pain. Appointments & Access.
Where are tens placed?
A TENS unit consists of a battery-powered device that delivers electrical impulses through electrodes placed on the surface of your skin. The electrodes are placed at or near nerves where the pain is located or at trigger points. Cleveland Clinic is a non-profit academic medical center.
How does transcutaneous electrical nerve stimulation work?
One theory is that the electric current stimulates nerve cells that block the transmission of pain signals, modifying your perception of pain. The other theory is that nerve stimulation raises the level of endorphins, which are the body’s natural pain-killing ...
What does "tens" mean?
Near or over eyes or mouth, front or side of neck, or on the head. Near reproductive organs or genitals. To areas of the body that lack or have reduced sensation. In persons who have trouble communicating or who have mental impairment and cannot provide feedback to ensure the safe use of TENS.
Can tens therapy cause infections?
TENS therapy may result in the spread of infections. To areas of tissue that have been recently treated with radiation. To damaged skin (Except for open wounds where the intent is to use electrical stimulation to heal tissue. In these cases, therapy should be guided by a skilled therapist.)
Does nerve stimulation increase endorphins?
The other theory is that nerve stimulation raises the level of endorphins, which are the body’s natural pain-killing chemical. The endorphins then block the perception of pain.
Can you use tens for cancer?
Do not use TENS if you have undiagnosed pain and a history of cancer in the last 5 years. Epilepsy. Do not apply electrodes to your head, neck or shoulders. The impulses could cause seizures.
How does a TENS unit work?
TENS units work by delivering small electrical impulses through electrodes that have adhesive pads to attach them to a person’s skin. These electrical impulses flood the nervous system, reducing its ability to transmit pain ...
Why are tens units so convenient?
TENS units are also convenient because they are small, portable, and relatively discrete.
What is a Tens unit?
A TENS unit has controls that allow people to administer an appropriate level of pain relief. People can achieve this by altering the following aspects of the electrical current: Intensity: A dial allows the user to adjust the intensity of the electrical stimulation.
Can a Tens unit cause a tingling sensation?
If the adhesive pads cause redness or irritation, hypoallergenic pads are available. It is safe for most people to use a TENS unit, and they will not usually experience any side effects. However, the electrical impulses that a TENS unit produces may cause a buzzing, tingling, or prickling sensation, which some people may find uncomfortable. ...
Can electrodes be placed on the neck?
Anyone who experiences skin redness and irritation can switch to using hypoallergenic ones instead. It is vital never to place the electrodes on either the front of the neck or the eyes. Putting electrodes on the neck can lower blood pressure and cause spasms.
Is Tens a good pain reliever?
Due to a lack of high-quality research and clinical trials, researchers have not yet determined whether TENS is a reliable treatment for pain relief. One study. Trusted Source. found that TENS treatment provided temporary pain relief for people with fibromyalgia while the machine was in use.
Can a Tens unit be used daily?
Tolerance. Research shows. Trusted Source. that people who use a TENS unit on a daily basis at the same frequency and intensity can develop a tolerance to the treatment. A person who develops tolerance will no longer feel the same level of pain relief that they did when they first used the unit.
What happens if you turn your Tens unit too high?
When a TENS unit is turned too high, muscle twitching can occur. If this happens, turn the machine down immediately until twitching ceases. Make sure your TENS unit is turned all the way down and starts from zero each time you put it on. Only increase the intensity to fit what feels right for you.
What are the side effects of Tens?
Here are 10 TENS Unit side effects to be aware of: 1. Burn Marks. Most of the 10 side effects from TENS will come from either leaving on the electrode pads for too long or from setting the intensity level too high. However, most over-the-counter TENS units come with pre-set modes which help prevent users from making this mistake.
Why should you not put a tens unit pad on a wound?
If TENS unit pads are placed on or too close to open wounds or damaged skin, the wound can become further irritated. The wound may also take longer to heal. Because of this, avoid placing electrode pads on or near damaged skin. 5.
Why does my Tens unit feel wet?
If your skin is wet when applying your TENS unit, or if the pads are not applied correctly, you may feel unpleasant shocks. Be sure to dry your skin thoroughly and to read your unit’s manual to ensure proper adhesion. As you can see, these TENS Unit side effects are mostly due to operator error or are minimal at worst.
Is Tens unit safe?
And it’s no wonder. TENS therapy is a drug-free, affordable way to manage and treat pain when needed. All FDA cleared over-the-counter devices are checked for safety and usability. One of the reasons why TENS is so popular and reliable as a treatment option is that it comes with very few risks. Especially in comparison to pills, which have innumerable potential side effects, TENS is very safe. Still, users should take precautions. Here are 10 TENS Unit side effects to be aware of:
Can pregnant women use Tens?
Women who are pregnant should not use TENS near the uterus without first consulting their doctor. 6. Muscle Pain. Very few people find TENS therapy to be unpleasant. However, if you are one of the few who feel muscle pain while using TENS, chances are that you have the intensity set too high. Try a lower setting.
Can you drive a car while using Tens?
However, there is a small chance that while TENS is being applied, it will affect the way you feel and move your muscles. Because of this, do not drive a car or operate heavy machinery while using TENS.
Where To Place TENS Pads For Erectile Dysfunction
First, make sure the TENS device is turned off. Next you will want to place the TENS electrode pads at the base of the penis and shaft of the penis. Most TENS units have one wire that splits off into two with an electrode pad attached to it.
How To Correctly Use A TENS Unit for ED
You are going to want to go slow and be deliberate when connecting TENS electrode pads to your penis. TENS units are easy to use and these steps will ensure a pain free treatment for ED.
Is A TENS Unit for Erectile Dysfunction Safe?
Yes, a TENS unit is safe for the treatment of ED. There are studies that show the effectiveness of TENS therapy. Click here to read the study from the National Institute of Health. Here is the cliff notes version:
What is Erectile Dysfunction (ED)?
Erectile dysfunction (ED) is the inability to get and maintain an erection that’s firm enough for sex. Men who have ED have decreased blood flow to the penis, which is caused by many things from high blood pressure, side effects from prescription drugs and high blood pressure.
