What is TENS Therapy?

A complete guide to transcutaneous electrical nerve stimulation for pain relief

Understanding TENS Technology

TENS (Transcutaneous Electrical Nerve Stimulation) is a drug-free pain management therapy that uses low-voltage electrical currents to interrupt pain signals before they reach the brain. Developed in the 1960s and refined over decades of clinical research, TENS therapy is now FDA-cleared for over-the-counter home use. Millions of people worldwide use TENS devices to manage chronic pain, acute injuries, and post-operative discomfort without relying on medications.

The Science Behind TENS

Gate Control Theory
Electrical impulses stimulate large-diameter A-beta nerve fibers, which "close the gate" to pain signals traveling through smaller C-fibers. This neurological mechanism blocks pain perception at the spinal cord level before signals reach the brain.
Endorphin Release
Low-frequency stimulation (1-5 Hz) triggers the release of endorphins — your body's natural opioid-like painkillers. This provides longer-lasting relief that continues after the TENS session ends, similar to the "runner's high" from exercise.

Benefits of TENS Therapy

Drug-free pain relief — Avoid side effects and dependency risks associated with pain medications

Non-invasive treatment — No needles, surgery, or recovery time required

Portable convenience — Use at home, work, or while traveling for on-demand relief

Cost-effective — One-time device purchase vs. ongoing prescription costs

FDA-cleared — Proven safe for over-the-counter consumer use

Conditions Treated with TENS

TENS therapy is commonly used for:

Musculoskeletal pain: Lower back pain, neck pain, shoulder tension, knee pain, muscle spasms

Chronic conditions: Arthritis, fibromyalgia, neuropathy, sciatica, degenerative disc disease

Acute injuries: Sports injuries, post-surgical pain, tendinitis, bursitis

Other applications: Menstrual cramps, labor pain, cancer-related pain (with medical supervision)

How to Use a TENS Unit

  1. Prepare the skin — Clean and dry the treatment area. Remove any lotions, oils, or sweat that could affect electrode adhesion.
  2. Position electrode pads — Place pads on or around the painful area, at least 1 inch apart. Follow pad placement guides for your specific condition.
  3. Start low, go slow — Begin at the lowest intensity setting. Gradually increase until you feel a strong but comfortable tingling sensation.
  4. Session duration — Use for 15-30 minutes per session. Most people benefit from 2-4 sessions daily for chronic conditions.
  5. Adjust as needed — Experiment with different programs, frequencies, and pad placements to find what works best for your pain.
Important Safety Information

Do not use TENS if you have: A pacemaker or implanted defibrillator, epilepsy or seizure disorders, heart arrhythmias, or are pregnant (without explicit medical approval).

Avoid placing electrodes on: The front or sides of the neck (risk of blood pressure changes), over the heart, on the head or face, on open wounds, infected skin, or areas with reduced sensation.