Does anyone here benefit from TENS?

svetlakovyurii

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I'm interested if any regulars or visitors use TENS machines for back pain, and what kind of results they might get. I regularly lend out TENS units for patients to use between acupuncture sessions, and most people seem to benefit. They do however, need to be set to certain frequencies to get the best results; many people use the factory settings which are not always the optimum ones.

We use electro acupuncture to achieve the same end, and research indicates that 2Hz or 2 cycles per second gives the best long term results, and used regularly can de-sensitize an over sensitive dorsal horn in the spinal cord. 100Hz is also useful for more acute pain, and tends to have a more immediate effect, but not as long lasting, so often a combination of the two can be useful.

The best results seem to come from regular use- something in the order of 0.5 to 1 hour, once or twice daily for a couple of weeks.

I've even used TENS to treat the pain from irritable bladder syndrome, by placing the pads over the sacrum- this is where the nerves that regulate the bladder exit the spine. Stimulating the afferents at this level can act as a pain block for the bladder nerves, which may be helpful in some cases.
 
I'm interested if any regulars or visitors use TENS machines for back pain, and what kind of results they might get. I regularly lend out TENS units for patients to use between acupuncture sessions, and most people seem to benefit. They do however, need to be set to certain frequencies to get the best results; many people use the factory settings which are not always the optimum ones.


Hiya David.

I can only speak as a patient and can't give any advice on the technical settings.

My Osteopath uses TENS on me to reduce the effects of inflamation and spsams during very bad periods. I find that a 'low to medium' setting is best for this job.

the higher setting, like a strong massage, 'can only' be used when I am feeling very well. This is not often!! LOL

If I am very ill, the use of TENS must be at very low level and used judisiously.

SPINELF
 
Hi David,

I bought my own TENS unit on suggestion of my physio at that time and used it extensively for around 6 months since my injury, it helped me keep and stay walking as the pain was interefered with it seemed, and the predictable pain from the TENs was accepted and preferred and almost somet imes over shadowed my own. Then I found instead of helping, it aggravated, it was almost too painful too bear as if the frequency or whatever was exacerbating the sciatic pain? Your post has made me wonder if the settings are wrong?

I loved the warming buzz it was soothing and then like massage. Any tips?
 
Hi Cassie

TENS shouldn't be painful- the "volume" should be set below the pain threshold, and increased a little as the body gets used to the signal. Make sure you're using a "Bi-phasic" unit, as monophasic signals can make the pain worse for some people.

Off-the-shelf units often don't allow settings for individual wavelengths. 100Hz in a "burst" pattern is usually best for acute pain, and I'd follow up with 30mins of 2Hz, as these 2 wavelengths are known to trigger the release of pain relieving chemicals. Machines with too many cycle patterns often don't stay for long enough on the ones that do the actual work. I use these ones- TENS Machine Pain Relief and TENS Accessories These allow individual wavelength setup, which used regularly for an hour at a time can give better long term benefit.

Sometime TENS can be a bit trial and error, but these 2 patterns should be a good place to start. The pads need changing fairly regularly, as once the gel wears, they can create "hot-spots" that get painful

PS There are other suppliers as well as the one mentioned in the link

PPS For sciatica, I'd place the pads over the PSIS, either side of the sacral area
 
Wow thanks,

.. now, showing my complete ignorance how do I know if its mono or bi? is that one cable in or 2, I have the choice of two bits in and 2 or 4 pads? Sorry to be such a complete ditz but if you can get my TENS back being nice to me I will be very thankful

I read the instructions ( female here lol) and it seemed fine but some do clash and hurt, in fact some can trigger the sciatica too. My physio showed me where to place the pads but at the moment the pain is all on the righ side, so can I place both there a little apart or does it still have to be either side?

Sorry but I had written off my machine, now you have given me hope
 
Hi Cassie

You should be able to check the handbook to see the phasing- most modern units are Bi-phasic, but some change when you switch programme.

You can use 2 or 4 pads for sciatica I'd place one pain across the sacral area, and one pair on the back or side of the thigh, depending where you feel the pain. You can cross the spine at the lower levels, and stimulating the nerves from both sides of the body at the sacral level can increase the effects. We often do this with acupuncture, treating the affected side with needles on the unaffected side. The sciatic nerve exits the spine at around L5-S1, so you could place the pads on one side of the body either side of this area. It pays to experiment.

Sciatica can also occur from a tight piriformis muscle. If it goes away when you stand pigeon toed (like this / \) it could be tightness in the hip rotator group, which may respond to stretching exercises.
 
You are a minefield of knowledge. The book, hmmm. will have to go and hunt around.

The sciatica is presumeably due to L3/ L4/L5/S1 impingement seen on mri. The pf seems ok but I do have bi-lateral trochanteric bursitis worse on right, which may be due to no disc height at right of L4/L5 from an old compression injury causing a marked diagonal drop from L2 toS1 if you know anything for that?

Thank-you so much.
 
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    ๐Ÿ’†โ€โ™€๐Ÿ’–Terrific Thursday ๐Ÿ’– Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakville โœจ Your passport to paradise with 10 enchanting girls fr China, HK โ€” ๐Ÿ†•Tiffany, Joey, Julie, Aaliyah, Cici, Coco, Yui, Meghan, Julia & New 34D Jasmineโ€”โ€” ready to pamper you๐ŸŽ๐Ÿ Ring us ๐Ÿ“ž647-695-6354 or text us ๐Ÿ“ฑ647-578-8169โœจ 160 East Beaver Cr., Unit 12, RichmondHill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awaits
  37. Lulu1980:
    Phoenix Blossom Spa ๐ŸŒน๐ŸŒน๐ŸŒน Table shower .body scrub ๐Ÿ˜˜Three girls every day ๐Ÿ”ฅ๐Ÿ”ฅ๐Ÿ”ฅ 5124 Dundas West Street, Etobicoke โ˜Ž๏ธ 416-817-3366 ๐Ÿ‘ Newโ—๏ธNew girl Angela ,so young Petite and pretty๐Ÿ˜‹ open service ๐Ÿ˜œ๐Ÿ˜œ Sweet girl Luna deep massage ๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜๐Ÿ˜˜ Hot and sexy body very provocative service ๐Ÿ˜๐Ÿ˜๐Ÿ˜๐Ÿ˜โค๏ธ You are welcome to make an appointment at any time or walk in directly through the back door. We have ample parking spaces available
  38. Nu spring spa888:
    ๐Ÿ’–๐Ÿ’–๐Ÿ’–sexy hot busty Singapore ๐ŸŒน Indian ๐ŸŒน๐ŸŒนkorean girls๐ŸŒน๐ŸŒนworking ๐Ÿ’—๐Ÿ’—at markham โ˜Ž๏ธ416-669-8508โค๏ธโค๏ธโค๏ธ
  39. AliceSpa:
    THURSDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”.4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 girls here today at ALICE SPA. Open 10am to 9pm: JESSICA is from Hong Kong, super busty D Cup, 5'2", 109 Lbs, curvy, soft white cream skin, pretty face, can bbbj cim dfk 69 cof sf2, available all services, excellent treatment. KITTY is a new Korean girl, super busty, small body, new to the business.
  40. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ป๐Ÿ‡ณ JULIE (2PM), ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ป๐Ÿ‡ณ๐Ÿ‡จ๐Ÿ‡ด MEGAN (9PM), ๐Ÿ‡ญ๐Ÿ‡บ VANESSA, ๐Ÿ‡ฎ๐Ÿ‡ณ SONIA (8PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  41. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ญ๐Ÿ‡ฐ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ฒ๐Ÿ‡พ AMY, ๐Ÿ‡ป๐Ÿ‡ณ MY LINH (2AM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  42. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ต๐Ÿ‡ญ MADY (12PM), ๐Ÿ‡ป๐Ÿ‡ณ๐Ÿ‡จ๐Ÿ‡ด MEGAN (2PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  43. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  44. wonderspa:
    wonderspa: :wonderspa: โ˜Ž๏ธ416-5000-800,L6a4H8๏ผŒopen10 to10,Ensuit shower available ๐ŸŒน๐Ÿ”ฅbeautiful young Jessica sexy body,deep tissue to relax massage back walk,hot stone๐Ÿ…sexy face sunny is very good looking,slim body ,nice body slide sweet sensual touch ๐ŸŒนbeautiful long hair younge new lily Q,friendly,amazing massage,happy the end,really popular,must tryโค๏ธ
  45. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  46. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธTina๐ŸŒธCindy๐ŸŒธIsabella๐ŸŒธNadia๐ŸŒธAnna Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  47. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธKelly๐ŸŒธKim๐ŸŒธValentinaCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  48. ForeverWarden:
    Thursday at ๐Ÿซฆโค๏ธ๐Ÿ”ด๐ŸŸฅโ™พ๏ธ๐“•๐“ž๐“ก๐“”๐“ฅ๐“”๐“ก ๐“ข๐“Ÿ๐“โ™พ๏ธ๐ŸŸฅ๐Ÿ”ดโค๏ธ๐Ÿซฆ๐Ÿซฆ2190 Warden Ave, Unit 201, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿด๐Ÿฌ๐Ÿฌ-๐Ÿณ๐Ÿด๐Ÿด๐Ÿณ: Cindy, Sophia & Tracy. Cindy is a slim beauty, 5โ€™4โ€, natural C Cups. Her massage is nice, her services will drive you wild & her finish is a dream come true. Sophia is a sweet & pretty Chinese lady with natural B Cups and an awe-inspiring smooth rounded ass. Sophia can provide top notch services
  49. HolidaySpa:
    Thursday at ๐ŸŒด๐Ÿ˜Ž๐ŸŒ…๐“—๐“ธ๐“ต๐“ฒ๐“ญ๐“ช๐”‚ ๐“ข๐“น๐“ช๐ŸŒ…๐Ÿ˜Ž๐ŸŒด3517 Kennedy Rd, Unit 4, Scarborough โ˜Ž๏ธ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฎ๐Ÿฐ๐Ÿณ-๐Ÿญ๐Ÿญ๐Ÿต๐Ÿตโ˜Ž๏ธ: ANGELA, LUCY & CINDY. Angela is versatile and responsive. LUCY is a beautiful and slim Asian lady with a happy disposition and great services. CINDY is a slim & incredibly sexy lady with a smile that will melt your heart, & an ass that will fire up your spirit.
  50. SugarLoveSpa:
    Thursday at โค๏ธ๐Ÿ’™ ๐Ÿ’œโŽ๐—ฆ๐—จ๐—š๐—”๐—ฅ ๐—Ÿ๐—ข๐—ฉ๐—˜ ๐—ฆ๐—ฃ๐—”โŽ ๐Ÿ’–๐Ÿ’—๐Ÿ’˜: LUNA, MIA, SARA, TIFFANY & VIVI. 1270 Finch Ave W (at Keele St), Unit 18. North York, ON โ˜Ž ๐Ÿฐ๐Ÿฏ๐Ÿณ-๐Ÿฏ๐Ÿฒ๐Ÿฑ-๐Ÿฎ๐Ÿฒ๐Ÿด๐Ÿด โ˜Ž LUNA is a slim, VERY PETITE and capable Vietnamese beauty, nice natural 34C Cups. Luna can do everything. MIA is a young & slim ๐™Ž๐™‹๐™„๐™‰๐™‰๐™€๐™, very PRETTY & PETITE Vietnamese beauty with perfect natural A Cups, 5โ€™1โ€ & 90 Lbs, very versatile.
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