FAQ

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TENS (Transcutaneous Electrical Nerve Stimulation) machines work by stimulating your nerves via an electrical current through your skin. They deliver small electrical pulses to your underlying nerve fibres through electrode pads that you place around the area of pain or pressure point. These nerve fibres are what transmit pain signals to and from your brain, and with TENS treatment you can correct or block these signals so that your brain receives fewer signals from your source of pain, in turn – you feel less pain.

There are two ways TENS machines Australia work to relieve and manage pain:

Sensory Level Stimulation: This is where the sensory information on your nerves is interfered with to block or control the transmission of pain. By using the TENS machine’s electrical pulses to prevent pain signals from reaching your brain, feel less pain overall.

Motor Level Stimulation: This method causes the release of endogenous opiate-like substances in your body – a pain-killing chemical that will naturally relieve your pain and make you feel better overall.

TENS treatments help to manage pain by giving control over it, by blocking the pain signals to your brain a TENS machine can help you feel less anxious and by provide a welcome distraction from your pain.

While the effectiveness of TENS machines is dependent on specific cases, the therapy has been used in a wide variety of cases to control acute and chronic pain with many people finding it very effective.

TENS therapy varies from patient to patient. Therapy with a TENS Machine depends on each patient’s body and how easily the nerve fibres which (carry pain signals) can be identified, as well as how accessible they are for placing the electrode pads.

TENS can help manage a wide range of injuries and pains, including:
– Back and neck injuries
– Pulled muscles
– Nausea and vomiting
– Migraine headaches
– Scar Tissue pain
– Neuropathy
– Arthritis
– Cancer Pain
– Labour and Delivery
– Post-operative recovery and many more.

Chronic pain sufferers are a large percentage of patients who try TENS treatment. Chronic pain is a very complicated ailment, with many patients trying a large number of drugs and treatments, and even interventive surgery, usually to no success.

Clinical studies over the years from the Australian Pain Management Association have shown TENS treatment to be notably effective in reducing pain among patients with chronic pain. Some studies have shown that from 20%-40% of chronic pain sufferers have reported a reduction in pain. Given the complicated nature of chronic pain this is considered to be an excellent success rate in the medical community considering the very limited amount of treatments that have proven effective for chronic pain sufferers.

Always follow the specific manufacturer’s instructions that come with your machine. General instructions for use are as follows:

• Make sure the machine is switched off. Test it by holding the electrode pads between your fingers and then turning the machine on – you should feel the pads tingling

• Clean the area where you want to apply the pads. Make sure the skin is dry and that there are no cuts, grazes or skin irritations

• Place the pads on either side of the pain area, ensuring they are not put within 2-3cm of each other. If you intend to move around, fix the pads to your skin with tape

• Set the pulse rate to the required setting or select the recommended program for your pain

• Switch on the machine and slowly turn it up until you feel a tingling sensation. It needs to be quite strong but not uncomfortable. After a few minutes the sensation will start to drop marginally – when this happens, turn the machine up slightly and then leave it at that point for the rest of the session.

• Don’t turn it up too high, as this can over-stimulate the area and make the pain worse. There shouldn’t be any muscle contractions while you are using it.

• At the end of the session, turn off the machine and disconnect the electrodes.

Additional instructions:

• The machine can be used frequently throughout the day. Between uses the electrode pads need to be cleaned and reapplied.

• When you have finished using the machine for the day, carefully remove the pads from your skin and clean the area with mild soap and water. Do not pull the wires to remove the pads.

Although there are no side-effects with using TENS machines, people with the following conditions should not use this treatment:

• When the cause of your pain is not known or diagnosed

• Pregnant women (unless in labour, or medically advised)

• If you have a pacemaker

• If you have epilepsy or certain types of heart disease

• If you are unsure, you should consult with a medical professional before you start using this treatment.

TENS machines and their electrode pads should never be used in the following areas:

• On your eyes or brain, as it can affect your intraocular pressure (the fluid pressure inside your eye).

• On the front of your neck. It could cause acute hypertension (a severe increase in blood pressure) or even a laryngospasm (a spasm of the vocal chords).

• Through the chest, by placing an electrode pad on the front and back of your chest wall, or directly over the spinal column. It can be placed either side of your spinal column.

• Across a pacemaker or other indwelling stimulator, including its leads. It risks interference with the device and potential failure.

• On open wounds or areas with broken skin, although around wounds is fine.

• Over a malignant tumour, as studies have shown the potential of electricity to promote cell growth.

• On a pregnant uterus.

• On areas of infection, due to the unknown level of risk. You could potentially cross contaminate with the electrodes themselves, or spread the infection through muscle contractions.

• It should be used with caution on areas of numb or decreased skin sensation. The nerve damage is likely to lessen the effectiveness of the machine, and the inability to feel the electrical currents could cause skin irritation.

Not Feeling an Improvement?

Don’t give up straight away if you think your TENS machine is not doing anything for you. You need to use the unit for at least an hour the first time, try slightly different pad placements, and give your body time to build up a response to the stimulation. In some cases, you might need to have several sessions with your TENS machine before you notice any improvement.

If you’re using the unit for an extended period of time, remove the electrode pads every 3 hours and clean them before reapplying them. This will ensure close contact with your skin, and a direct transmission of electrical pulses. Sometimes it helps to keep mobile and move around while you’re using your TENS machine.

Be aware that TENS treatment may not work for everybody, but keeping an open mind and a positive attitude will greatly increase the chances of it working for you.