
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive method of pain relief that uses a mild electrical current to treat pain. It works by sending electrical pulses through the skin to stimulate the body's natural pain-killing chemicals, such as endorphins, and block the transmission of pain signals. TENS can be used to treat a wide range of acute and chronic conditions, including osteoarthritis, fibromyalgia, and tendinitis. The procedure involves placing sticky pads onto clean skin near the painful areas of the body and turning on the TENS machine, which is about the size of a small cellphone. The intensity of the electrical current can be adjusted to a comfortable level, and it should not be painful. It is important to follow the instructions provided by a healthcare professional and to be cautious of any skin irritation or allergies.
| Characteristics | Values |
|---|---|
| Purpose | Non-invasive method of pain relief |
| Mechanism | Sends mild electrical pulses through the skin to stimulate the body's natural pain killers |
| Effect | Releases endorphins and other substances to stop pain signals in the brain |
| Use | Works best during activities such as walking, chores, or exercise |
| Time | Should be used for at least 30 minutes |
| Positioning | Patches should not touch each other or any metal objects |
| Skin | Clean, dry skin is required for firm contact |
| Sensation | Should be strong but comfortable, not painful |
| Intensity | Should be increased as the body gets used to the sensation |
| Safety | Do not use on irritated, broken, infected, or numb skin |
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What You'll Learn

Prepare your skin and the TENS patches
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive method of pain relief that uses a mild electrical current. It is important to prepare your skin and the TENS patches correctly to ensure the treatment is safe and effective.
First, make sure the skin around the painful area is clean and dry. Remove any oil, lotion, or residue from the skin. It is important to clean the skin to ensure the patches adhere correctly and do not cause discomfort. If you are prone to skin irritation or if the patches tend to slip, consider using special skin preparation pads before applying the TENS patches.
Next, take the patches out of their plastic storage bag. Save the bag for future use to keep the patches clean and protected. Ensure that the TENS unit is turned off before handling the patches. Follow the instructions provided with your TENS unit to insert batteries or charge the unit.
Once the unit is prepared, take the lead wires and insert them into the connector on each patch. Ensure a secure connection by pushing the wires all the way into the connector. Check that there are no exposed metal pins. Place the patches onto your clean, dry skin, leaving a gap between them. The patches should not touch each other or any metal objects, such as jewellery or belt buckles.
Now, you are ready to turn on the TENS unit and begin your treatment. Remember to adjust the intensity to a level that feels strong but comfortable.
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Place the patches on your body
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive method of pain relief. It involves placing sticky pads onto clean skin near the painful parts of your body. The pads should be placed at least 1 inch (2 cm) apart, and it is important to ensure that they do not touch each other or any metal objects, such as belt buckles or metal jewelry.
Before placing the patches, make sure that the skin around the painful area is clean and dry. This is important because it ensures that the patches adhere firmly to the skin. If the patches are not secure, changes in stimulation may occur, which could cause discomfort.
Once the skin is prepared, take the patches out of their plastic storage bag and connect the lead wires to the connector on each patch. Place the patches onto the clean, dry skin near the source of pain. If you are unsure where to place the patches, a healthcare professional such as a GP, physiotherapist, or midwife can advise you. They can also provide guidance on alternative placement if your skin is sensitive to the sticky pads.
It is important to note that TENS units should not be used on irritated, broken, infected, or numb areas of skin. Additionally, people who are allergic to nickel or adhesives may experience skin irritation with TENS. If you experience any skin irritation, such as itchiness, redness, or soreness, remove the patches and turn off the machine.
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Turn on the TENS machine
Transcutaneous Electrical Nerve Stimulation (TENS) is a safe and non-invasive method of pain relief. It works by delivering small electrical impulses through electrodes with adhesive pads attached to the skin. The electrical impulses stimulate the nerves, reducing their ability to transmit pain signals to the brain.
Before turning on the TENS machine, there are a few important steps to follow. Firstly, ensure that the skin around the painful area is clean and dry. This is important because it ensures that the patches adhere securely to your skin. If the patches are not secure, changes in stimulation may occur, which could cause discomfort.
Secondly, you should insert the batteries into the TENS unit or charge the unit according to the instructions provided. Once the unit is prepared, you can take the patches out of their plastic storage bag and connect them to the unit. Make sure to follow the instructions carefully to avoid exposing any bare metal pins.
Now, you are ready to turn on the TENS machine. After turning it on, you will need to adjust the settings to achieve the desired level of stimulation. Slowly turn the dial until you feel a tingling sensation. It is important to note that this should not be painful.
You can adjust the intensity of the electrical stimulation to a level that is strong but still comfortable. It is normal for the stimulation to feel less intense after a few minutes as your body adjusts. You can then increase the intensity to maintain a strong but comfortable sensation.
Remember to always read the manufacturer's instructions before using a TENS machine and consult a healthcare professional if you have any questions or concerns.
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Adjust the settings
Adjusting the settings of your TENS (transcutaneous electrical nerve stimulation) unit is a crucial step in ensuring a comfortable and effective therapy session. Here are the detailed instructions for adjusting the settings:
Intensity and Frequency
Firstly, understand the functions of the dials or buttons on your TENS unit. One will control the intensity of the electrical impulses, and the other will control the frequency or speed of the pulses.
Turn on the TENS unit and slowly increase the intensity by turning the respective dial. The goal is to reach a level where you feel a strong but comfortable tingling sensation. This may cause your muscles to contract, which is normal. Ensure that the sensation is not painful or unpleasant.
If you are using the unit for the first time, start with a lower intensity and gradually increase it over time as you get accustomed to the feeling. You may need to turn up the intensity as your body gets used to the stimulation, maintaining a strong but comfortable level.
The frequency button should be set to a comfortable mode, as per your preference or the instructions provided by your healthcare professional. Adjusting the frequency will change the speed of the electrical impulses, allowing you to find the most suitable pace for your therapy.
Treatment Duration
It is recommended to use the TENS unit for at least 30 minutes while you are active, as it is most effective during physical activities such as walking, exercising, or doing chores. You can increase the duration as needed, but it is advisable to start with short periods of 30 to 60 minutes initially.
Electrode Placement
The placement of the electrodes, or patches, is crucial for optimal results. Ensure that the electrodes are placed on clean, dry skin near the painful areas of your body, following the instructions provided by your healthcare professional or physiotherapist.
The electrodes should be positioned at least 1 inch (2 cm) apart, and it is important to avoid any contact between the patches and ensure they do not touch any metal objects, such as belt buckles or metal jewelry.
If you experience skin irritation, soreness, or redness under the electrodes, try moving them slightly each time you use the TENS unit. If the issue persists, consult your physiotherapist for further advice.
By carefully adjusting the intensity, frequency, and placement of the electrodes, you can optimise the settings of your TENS unit to effectively manage your pain.
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Remove the patches
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive method of pain relief that uses a mild electrical current. The TENS machine passes a weak electrical current to your nerves to help ease pain. The machine comes with sticky pads that are placed onto clean skin, near the painful parts of your body.
- Before removing the patches, ensure that the TENS unit is turned off.
- Carefully take out the lead wires from the patches. It is important to gently pull out the wires as yanking on them could damage the electrodes.
- You can either leave the patches on your skin or remove them. If you decide to remove the patches, gently peel them off your skin. Be careful not to damage the adhesive while peeling off the patches.
- Place the patches back onto the plastic liner. The plastic liner is important for storing the patches when not in use.
- Put the liner and patches into the plastic storage bag. Store the bag in a cool, dry place until you use the patches again.
- The patches can be reused multiple times until the adhesive wears out. However, if you notice any skin irritation or redness, stop using the patches and consult a healthcare professional.
It is important to follow the instructions provided with your TENS unit for specific details on removing the patches. Additionally, consult a healthcare professional if you have any concerns or questions about the process.
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Frequently asked questions
Transcutaneous electrical nerve stimulation (TENS) is a non-invasive method of pain relief that uses a mild electrical current to treat pain. It works best when used during activities such as walking, doing chores, or exercising.
First, ensure the skin around the painful area is clean and dry. Plug the electrical wires into the machine and place the sticky pads onto the skin, leaving a gap between them. Turn the machine on and slowly turn the dial until you feel a tingling sensation.
Do not use a TENS machine on irritated, broken, infected, or numb areas of skin. If your skin becomes itchy, irritated, or red, turn off the machine and remove the pads. There is also a chance of electrical shock, so do not use the machine near water.











































