Transcutaneous Electrical Nerve Stimulation (TENS)

Transcutaneous Electrical Nerve Stimulation (TENS) is a non-invasive medical treatment that uses electrical impulses to relieve pain. It involves the use of a small device that sends low-voltage electrical currents to the body via electrodes placed on the skin.

How TENS Works

TENS works by interrupting or blocking pain signals sent to the brain. When the electrodes are placed on the skin, they deliver electrical impulses that stimulate the nerves and interfere with the transmission of pain signals to the brain. This can help to reduce the sensation of pain.

Types of TENS

There are several types of TENS, including:

  • Conventional TENS: This is the most common type of TENS and involves the use of a high-frequency pulse to stimulate the nerves.
  • Acupuncture-like TENS (AL-TENS): This type of TENS uses a lower frequency pulse to stimulate the nerves and is often used for chronic pain.
  • Burst TENS: This type of TENS involves the use of bursts of high-frequency pulses to stimulate the nerves.
  • Modulated TENS: This type of TENS involves the use of a varying frequency and intensity of electrical impulses to stimulate the nerves.

Uses of TENS

TENS is commonly used to treat a variety of conditions, including:

  • Chronic pain: TENS can be used to relieve chronic pain caused by conditions such as arthritis, fibromyalgia, and neuropathy.
  • Acute pain: TENS can be used to relieve acute pain caused by injuries, surgery, or other medical procedures.
  • Back pain: TENS can be used to relieve back pain caused by conditions such as herniated discs, spinal stenosis, and sciatica.
  • Neuropathic pain: TENS can be used to relieve neuropathic pain caused by conditions such as diabetes, shingles, and multiple sclerosis.

Benefits of TENS

The benefits of TENS include:

  • Pain relief: TENS can provide effective pain relief without the use of medication.
  • Non-invasive: TENS is a non-invasive treatment that does not require surgery or injections.
  • Low risk of side effects: TENS has a low risk of side effects, making it a safe treatment option for many people.
  • Portability: TENS units are often small and portable, making them easy to use at home or on the go.

Risks and Side Effects of TENS

While TENS is generally considered safe, there are some potential risks and side effects to be aware of, including:

  • Skin irritation: The electrodes used in TENS can cause skin irritation or allergic reactions in some people.
  • Muscle twitching: TENS can cause muscle twitching or spasms in some people.
  • Numbness or tingling: TENS can cause numbness or tingling sensations in some people.
  • Interference with pacemakers: TENS can interfere with the functioning of pacemakers and other implanted medical devices.

Contraindications for TENS

TENS is not suitable for everyone, and there are some contraindications to be aware of, including:

  • Pregnancy: TENS should not be used during pregnancy, especially during the first trimester.
  • Epilepsy: TENS can trigger seizures in people with epilepsy.
  • Pacemakers and implanted medical devices: TENS can interfere with the functioning of pacemakers and other implanted medical devices.
  • Cancer: TENS should not be used to treat pain caused by cancer, as it may mask symptoms and delay diagnosis.

Article last updated on: 6th June 2025.
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