How to use a TENS machine to relieve back pain (2024)

You might have been recommended a TENS (transcutaneous electrical nerve stimulation) mechine as part of your treatment for back pain. This helpful medical device won’t ‘cure’ your symptoms but it can provide short-term pain relief and it’s a useful alternative or addition to pain medication.

What is a TENS machine and how does it work?

A TENS machine is a small battery-powered unit which adheres to your skin via sticky pads called electrodes. The electrodes trasmit small electrical impulses, creating a tingling or pins and needles sensation in your skin which distracts the nerves in the area to reduce pain signals and help relax muscle spasm. The effects can last for up to 4 hours afterwards.

How to use a TENS machine properly

Each individual TENS unit comes with an instruction manual which will explain the different settings and most include pictures to show you where to stick the the electrodes. Every brand of machine is slightly different so please do read your instruction manual.

You can choose to use either 2 or 4 electrode pads depending on how large the area of pain is that you are treating.

If your lower back pain is on one side, try using two electrodes. Place one pad at the top point of the pain and one pad below (about 1 inch apart). Try to place the pads on the muscle as opposed to directly onto your back bones:

How to use a TENS machine to relieve back pain (1)

If you have pain in the middle of your back or either side of your spine, try using 4 electrodes. Place placing one electrode either side of your spine at the top point of your pain about 1 inch out from the spine. Place the other two either side of your spine at the base of your pain, again 1 inch out from the spine:

How to use a TENS machine to relieve back pain (2)

The unit itself can be hooked onto a belt loop or the top of your trousers, so you can carry on with your normal activities whilst using it.

How to use a TENS machine to relieve back pain (2024)

FAQs

How to use a TENS machine to relieve back pain? ›

Turn on the TENS unit and set it to the desired frequency and intensity. Usually, experts use a frequency between 50 hertz (Hz) to 150 Hz to treat pain. You can increase the intensity to the point when you feel a strong but comfortable sensation. Turning the intensity down is a good idea if you feel pain or discomfort.

What settings should I use on my TENS machine? ›

Setting the Pulse Rate (Frequency)

Frequency is measured in Hertz (Hz). Pain relief can occur at various frequencies. 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.

Where to place TENS unit pads for lower back pain? ›

Place the TENS pads on either side of the area where you are experiencing pain. For lower back pain, locate where you are feeling discomfort and place a pad on each side of the spine.

Should muscles twitch when using TENS? ›

It's okay if your muscles twitch when you're using your TENS machine, but they don't have to. What's most important is that the sensation is comfortable - whether you're feeling buzzing, tingling, twitching or all three. If the twitching is uncomfortable, reduce the intensity of your settings until it feels better.

Do you have to use all 4 pads on tens unit? ›

For pain on one side, you can place both electrodes next to each on the same side of your spine. If your unit has four pads, you can put one set just above and below the painful area. Share on Pinterest Example placement of TENS machine pads to treat lower back pain.

Is TENS good for lower back pain? ›

There is some evidence to suggest that TENS units can be effective for treating back pain. One study found that TENS therapy was able to significantly reduce pain in people with chronic lower back pain. However, it's important to note that not all studies have found TENS units to be effective.

Does a TENS unit help inflammation? ›

Research has shown that a TENS unit can also reduce chronic hyperalgesia induced by muscle inflammation. The units can help reduce swelling and increase circulation, which may also enhance tissue healing and inflammation control.

How do I get the best results from a TENS unit? ›

Start treatment and change the intensity to be strong but comfortable. o This may cause your muscles to contract. After a few minutes, it may seem the stimulation is less. This is normal as your body gets used to the TENS. You should turn up the intensity of the TENS unit to keep it feeling strong, but comfortable.

Does TENS work for sciatica? ›

A TENS machine is a device that delivers electric current through the skin to the nerves. These devices can deliver a very specific electrical current that can block the nerves that send pain signals to the brain. This can be a very effective way of relieving sciatic nerve pain without the use of medication [3].

What is the best setting for TENS machine? ›

Selecting the right intensity setting for your needs is essential to using your TENS unit correctly. If you are unsure which setting to try first, it is generally best to start with a low setting and work your way up.

What is the rule of TENS used for? ›

It is primarily used for pain control in people across a range of acute and chronic pain conditions. TENS units typically use adhesive electrodes applied to the skin surface to apply pulsed electrical stimulation that can be modified in terms of frequency (stimulation rate), intensity and duration (Johnson 2011).

What are the disadvantages of TENS therapy? ›

Side effects from TENS range from uncomfortable buzzing, to skin irritations, to spasms and possible injury. TENS is not recommended for people who are pregnant or have epilepsy, heart problems, or wear a pacemaker or other metal implants.

Where is it unsafe to use a TENS unit? ›

TENS is generally seen as safe. But it has risks just like any treatment. If the electrical current is too high or the electrodes are put on the wrong part of the body, this can burn or irritate the skin. Areas to avoid include the brain, heart, eyes, genitals, and throat.

Can you put a TENS unit on your neck? ›

TENS is a popular treatment for chronic neck pain. It is based on the use of a device that delivers an electric current to the skin, to promote pain relief.

Where do you put TENS pads for weight loss? ›

Place two electrodes on the affected side between your belly button and nipple on your tummy side. Then, place one electrode right at the bottom or just under your shoulder blade and the other at the level of the bottom of your ribs on your back.

Where do you put TENS pads for female pleasure? ›

During the sessions, the researchers placed electrodes either around the women's genital areas or on their ankles. After these sessions, 8 out of the 9 participants reported more intense arousal, better vagin*l lubrication, or being able to achieve org*sm again.

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