Monday, August 15, 2022

Where To Put Electrodes For Knee Pain

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What Is A Tens Unit

It’s a device that sends electrical pulses to your body through sticky pads.

Although it sounds like magic, it’s not.

A transcutaneous electrical nerve stimulation unit is the most common form of electrotherapy for managing various types of acute and chronic pain. TENS units are small, battery-powered devices that administer mild shocks through sticky tens unit pads that connect to the skin. These electrodes connect to the TENS unit through lead wires. However, wireless TENS units have become popular.


Tens Unit Electrodes Placement

One of the significant benefits of TENS therapy is the ability to target particular parts of your body that are in pain. TENS unit pad placement is critical when getting the best possible pain relief. When targeting a specific area, place the pads on each side of the painful area. This placement causes the electrical current to pass through the target area. If using four electrodes, place one electrode on each side of the area in a square or diamond shape depending on the size/placement of the injury.

Each area and pain type is different in regards to TENS unit placement.

It’s essential to clean an dry your skin with soap and water before applying electrodes and make sure your electrodes are placed flat on the surface.

What Is Tens Unit

TENS, or transcutaneous electrical nerve stimulation, uses a low voltage current to ease the pain. A TENS unit is a small, battery-operated, portable device that sends electrical signals to the sight of the pain and helps to manage that pain.

TENS delivers mild electrical impulses to electrode pads that are placed directly on your skin that travel to the nerves. Once TENS stimulates the nerve endings, it blocks the pain signal from traveling to the brain. This creates a pleasantly relieving, tingling sensation within the place of pain. Then the electrical signals of the TENS may also produce endorphins.

TENS unit used for managing pain such as knee pain, neck pain, shoulder pain, back pain, post-surgery recovery, and different chronic or acute pain.

Knee Electrode Pad Placement

Follow the pictographic for proper knee electrode pad placement. For best results, keep to the size of electrode pads shown in the pictographic: small. Unless you have other specific medical instruction, follow the placement directions in the photos. ExcelHealth, Inc. assumes no responsibility for electrode pad positioning in any other manner.

For best results when treating knee soreness or injury, do not place electrode pads directly on the knee joint but rather place one pad just above the knee and one pad just below, finding the placement that best surrounds your most concentrated area of pain.

For a wider range of therapy, you may use all four electrode pads around the knee, two above and two below. Attach pads below and above the region of pain. Place one pad above the joint and adhere the other electrode pad below the knee joint. Option 2, using 4 pads, may be done similarly with the first and second pad beside the first 2.

The information provided on this site is intended for your general knowledge only and is not a substitute for professional medical advice or treatment for specific medical conditions. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition. The information on this website is not intended to diagnose, treat, cure or prevent any disease. Never disregard medical advice or delay in seeking it because of something you have read on the iReliev site.

Tens Unit Electrode Placement Guide

Use This TENS Unit Placement for Knee Pain  Optimize ...

Painrelieving modalities are the most commonly used in physical therapy. When apatient experiences pain they have difficulty participating in theirrehabilitation regimen. One of the main goals in pain management in physicaltherapy is to have a modality that is non-invasive and efficient.  are an effective painmanagement device that can be used in a multitude of patient populations.

How Do I Place My Tens Machines Electrode Pads For Lower Back Pain

When you want to place the electrode pads on either your back on your lower back, its preferred to have someone help you find the preferred placement, at least the first couple of times.

Also, if you end up finding a great placement make them mark it with a marking pen so that you or the next person attaching them would know where it worked for you the last time.

You can use both two or four pads for treating lower back pain, but I always suggest four, since it will triangulate the area of pain much better.

You can benefit from using a TENS machine in which you can control the intensity of the different channels, and in that way alternate the pressure by combining the channels as shown in the images.

How Do I Place My Tens Machines Electrode Pads For Frozen Shoulder

To handle pain related to the shoulder, place the electrode pads, in this case preferably with four pads, at the perimeter of the area of pain. You can extend the placement as much as down to your upper arm, your upper chest and your upper back.

Because of the lower amount of sensitive areas around the shoulders, feel free to experiment with the placement and the intensity to a degree that it is not painful or if it feels like your hurting too much.

Why Is Muscle Stimulator Electrode Placement Important

The location of the pads is EVERYTHING when it comes to proper recovery. When misplaced, the pads can’t transport the electric current to the intended joint/muscle. Follow the guidelines below to insure that you place the electrode pads in the most efficient way for your needs. 

Things to keep in mind

  • Always use two pads or four pads at the same time to surround the area. Do not just one pad as this will not work. 

  • The pads should never touch and should be kept at least an inch apart. 

  • Electrode pad set should be located on the same limb or not too far away from each other.
  • The flow of electrical stimulation can be manipulated by changing the distance and the location of the electrode pads. 

  • Locate exactly where the pain is by gently pressing and feeling for the area that causes the most discomfort. This will guide the ideal electrode placement. 

How To Placeelectrodes When Using A Tens Unit

While a goodrule of thumb is to place electrodes near the injured or painful area, we findits useful to have diagrams to show proper placement. Having illustrateddiagrams for electrode placement is also useful for patients who purchase homeunits and want to use their TENS unit on their own.

The belowillustrations are provided by Current Solutions. They show recommended electrodeplacement for the common areas of the body where pain is treated with TENStherapy. The electrode placement diagrams shown here display electrodes fora 2-Channel Venti TENS unit, which uses 4 total electrodes 2electrodes per channel.

When apatient is using a unit at home, its important for them to follow therecommendations of this TENS Unit Electrode Placement Guide, but also followthe directions of their healthcare practitioner.

Example TENs Electrode Placements

Some otherprotocols that should be adhered to when using a TENS unit are:

Whentreating in physical therapy, modalities are utilized to help decrease pain andincrease function. With the diverse treatment applications of a TENS unit, itsa perfect addition to many rehabilitation regimens. And with its ability to beused by the patient at home, TENS units are a great non-invasive painmanagement alternative to oral medication.

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Turning It On And Adjusting The Strength

Turn on the TENS machine when the pads are attached in the correct places. You’ll feel a slight tingling sensation pass through your skin.

The machine has a dial that allows you to control the strength of the electrical impulses.

Start on a low setting and gradually increase it until the sensation feels strong but comfortable. If the tingling sensation starts to feel painful or uncomfortable, reduce it slightly.

Switch the TENS machine off after you’ve finished using it and remove the electrodes from your skin.

Tens Unit Electrode Pads: What You Need To Know About Tens Pads

This article contains affiliate links. If you make a purchase after clicking on a link I may earn a small commission at no extra cost to you.

TENS unit electrode pads

The TENS pads connect to your best TENS unit for home use by way of wires that receive the low level voltage from the massager control box and send them to the electrode pads. You can control the level and intensity of the massage by using the functions on each individual TENS unit.

Because the electric pulses need to be delivered to the areas you are trying to treat, the TENS machine pads will see a lot more direct action than any other part of the massager.

We take a close look at the 10 best TENS units for home use here

How To Use Tens

This is a general guide on how to use a TENS machine. Always follow the manufacturer’s specific instructions.

TENS machines are small and lightweight, so you can use them while working or on the move. You can put it in your pocket, clip it to your belt or hold it in your hand.

You can use TENS throughout the day for as long as you like, although it should not be used while you’re driving, operating machinery, or in the bath or shower. 

How Does Tens Unit Work

TENS/EMS for Knee Pain. Electrode Placing Made Easy ...

A TENS Unit works to ease pain in two ways. It refers to the first theory of TENS that inhibits pain signals as the gate control theory. The non-painful signals from TENS close the gate and stop the pain signals from reaching the brain.

The other evidence for the potency of electrotherapy as a pain reliever, that the TENS treatment released endorphins, the bodys natural opiate-like painkiller. TENS helps acute and chronic pain. It is shown that TENS alleviate pain and reduces the requirement for pain medications.

My Pick For: Best Tens Unit For Knee Pain

This is the exact TENS unit that I use.  It is perfect for treating knee pain. The iReliev is a great little device and has a lot of going for it. It is under $90, has a several programs to choose from and is small enough to fit in your pocket.

You do not need to spend hundreds of dollars to get a quality TENS unit and iReliev gives you a ton of value for the price being paid.

Get yours today on the iReliev website by clicking.

If you are needing extra electrodes for your TENS unit look no further.  Save $$$ and buy in bulk.  20 pads for under $20.

Helpful hint: To get the most out of your electrode pads- Wash the area where the pad will be placed. This will remove any natural oils in your skin.  Over time the oil in your skin can make the electrode pads less sticky. This will extend the life of the electrode pads saving you $$ in the long run.

Check out my comprehensive TENS unit placement guide:

Minimize the use of pain relievers and or other prescribed medication to alleviate pain. Increased range of motion and function

Precautions to take when using a TENS machine Do not put the electrode pads on skin that is damaged, broken or irritated. Never place the electrode pads on the front or side of the neck Never place close to your eyes Never use close to your mouth

Important Faq Related To Ift

Interferential therapy helps improving blood flow by stimulating the pumping action of the muscle. Improved blood circulation helps to heal the swelling and inflammation and thereby reducing the pain. Pain also reduces after application of IFT machine by a mechanism called as pain gait theory.

Though I have tried my best to cover all aspect of IFT, but still I thought to end this article with common FAQs which I often encounter.

Where To Put Tens Machine Pads For Knee Pain

Valkyrie smashes Nevaeh with a knee before sending her out with her Road.

Gallows grabs him mid-air and sends him into Wentz. The Good Brothers put the match away with the Magic Killer on.

Pain In Hamstring And Knee DeSean Jackson cant catch a break. Jackson had a hamstring injury in Week Three that kept him out until Thursday night. He. Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. Medical conditions including

Arthritis or other joint pain; Back and neck pain; Fibromyalgia; Muscle pain; Neuropathic pain.

Turn the TENS unit off before you put on, move, or take off the electrode patches.

There are 2 sets of electrodes that must be placed on the body.

One answer was to put down bets on emerging platforms and distribution.

probably billions of dollars, he says. Or maybe low tens of billions. With the right innovation, thats actually.

Ankle; Arm; Back; Cervical; Neck; Elbow; Finger; Wrist; Foot; Hip; Knee; Rib Cage.

How Do I Place my TENs Machine’s Electrode Pads for Lower Back Pain.

What Causes Knee And Elbow Joint PainThe force that running places on your spine, hips, knees and ankles can cause stress on your articular joint surfaces. If you are experiencing knee pain from running, these tips from. To be clear, the pain I am experiencing is a chronic pain, hurts worse when bent, and is extremely sensitive to touch. I can

24 Jun 2019.

4 Oct 2020.

When Not To Use A Tens Unit

We always recommend consulting your doctor or physical therapist to see if TENS therapy is right for you. Because you are sending electrical impulses to your body, certain conditions would warrant not using a TENS unit. They include:

  • Pregnant Women: Pregnant women should avoid using a TENS unit in the abdominal and pelvic areas.
  • Epilepsy: Placing TENS unit pads on the head or neck can cause seizures.
  • Anyone with heart problems.
  • Anyone with a pacemaker or any electrical or metal implant.

We always recommend you consult your doctor or physical therapist before using TENS therapy as a precaution.



Blinding Of Active And Placebo Tens

The present study is the first to validate and test the new transient placebo TENS unit in a group of people with pain. We were able to adequately blind the participants receiving placebo TENS, with 57% correctly identifying the placebo; this value was not significantly different from chance . If blinding had been ineffective, we would have expected the percentage correctly identifying the placebo to be closer to 100%, like the value obtained for the active TENS unit. The new placebo TENS unit can completely blind the experimenter applying TENS, and we previously showed the complete inability of the examiner to correctly identify active TENS or placebo TENS.,, Adequate blinding is important because earlier TENS studies used separate instructions for active TENS and placebo TENS, and doing so can influence the expectations of patients and have a profound effect on treatment outcomes. For example, seminal work by Levine and Gordon revealed significant analgesia with a placebo drug given in a completely blinded manner; the placebo produced analgesia equivalent to that of low-dose morphine. On the other hand, negative or neutral instructions resulted in less reduction in pain after spinal manipulation than positive instructions. By giving the same instructions, we were able to show that active TENS in people with OA produced pain reduction similar to that produced by placebo TENS, suggesting that TENS has a strong placebo effect on OA pain.

Tips For Tens Machine Pad Placement For Knee Pain

If you want to get the best relief from knee pain, dont forget to follow these tips while using the TENS machine for knees

  • Find the source of pain. If possible, outline the concise and tender area.
  • Use two pads on either side of the knee cap. If you have intense pain, use four pads. 
  • You can keep pads in any of the three directions- vertical, horizontal, and angulated.
  • Pads must be at a 1-inch distance. 
  • Dont apply a pad directly on a joint like knee, elbow, or ankle. 



Can You Place Tens Unit Electrode Pads Over Joints

The electrode pads for the best tens unit for home use should not be placed directly over joints including knee, elbow or ankle. If the pain is widespread it is generally a good rule of thumb to place one pad vertically at the uppermost part of the area of pain. The next pad can be placed vertically at the lower, or bottom part of the pain.

What Causes Knee Pain

18 best muscle stimulator placement images on Pinterest ...

Your knee joint is made of bone, cartilage, ligaments, and fluid. Muscles and tendons help the knee joint move. When any of these structures is damaged, you have knee problems. These are some of the more common causes of knee pain:

  • Osteoarthritis. The cartilage in the knee gradually wears away.
  • Rheumatoid arthritis. The knee may become swollen and cartilage may be destroyed.
  • Ligament injuries. Anterior cruciate ligament injuries usually result from a sudden twisting motion. Injuries to the posterior cruciate ligament are usually caused by a direct impact, like impact from a car accident or sports activities.
  • Tendon injuries. These can range from inflammation to a tear, most likely from overuse in sports or from a fall.
  • Cartilage injuries and disorders. Injury, overuse, muscle weakness, or misalignment of the knee can soften the cartilage of the kneecap, or a blow to the knee may tear off a piece of cartilage.
  • Broken kneecap. The small, round bone that sits over the front of your knee joint breaks, usually as the result of a fall or a direct blow to the knee.

Setting The Pulse Width

These are the ON periods of the current. Generally speaking, pain relief will occur with low to mid time periods. Muscle stimulation requires a longer pulse width to successfully reproduce a muscle contraction.You can alter the time that each pulse lingers before resetting. The time period is extremely small. Its measured in microseconds uS . While you may not notice the difference, your nerves can.The following setting is recommended:175 to 200uSYou can strengthen the power of your machine by increasing the pulse width.

How Doestranscutaneous Electrical Nerve Stimulation Work

When using a TENS unit, two pads are placed over or near the injured area of the body. Theunit emits an electrical signalwhen activated. This electrical pulsestimulates the release of the bodys own natural opioid pain-relievingchemicals.

Part ofeffectively using a TENS unit for relieving muscle pain involves understandingwhere to place the electrodes. Generally speaking, TENS electrodes should beplaced around the perimeter of the area to be treated in order to be effective.This allows the current to travel through the nerve fibers within the affectedmuscles. However, it should be noted that if the area is inaccessible for somereason, for example migraine pain that is felt in the head and face, TENS canstill be used effectively. In this case, the electrodes would be placed on acorresponding area, say the shoulders, and the signals to block or scramblepain sensations are still sent to the brain thus decreasing the migraine pain.

Will It Work For Me

Knee pain is complicated.  In some people it is primarily caused by irritation of pain fibers around the knee, such as by inflammation.  In others, it may be due to hypersensitivity resulting from changes in the way pain is processed in the spinal cord and brain, called central sensitization.  Moreover, people react differently to similar pain because of their genetic, physiological and psychological make-up.  So, while it is true that TENS can be effective in knee pain, it is not possible to predict who will benefit and how much.  This is really no different than any other pain treatment.  The good news is that TENS is completely safe and so you can explore whether it helps you manage your pain and improve your quality of life.

Use Of Tens Guidelines

TENS is an abbreviation of Transcutaneous Electrical Nerve Stimulation.Transcutaneous means across the skin. In simple terms, a TENS unit stimulates your nerves via an electrical current through your skin.The TENS unit is powered by a 9 volt battery which produces pain relieving electrical pulses. Either two or four self-adhesive electrodes are applied to the skin and attached to the TENS unit with lead wires.Modified electrical pulses are then passed from the TENS unit, via the lead wires and electrodes, to the nerves which lie underneath the skin surface.  It works on the superficial and spinal nerves traversing to the brain.TENS is a non invasive tool to assist with pain relief.  Regular application of the TENs machine can result in reduced pain for up to 4 hours following use.  TENs is considered a pain relief tool and not considered curative. The degree of pain relief declines with prolonged use; vaiation of electrode placement may combat this.

Best Tens Unit For Shin Splints

This is the exact TENS unit that I use. It is perfect for alleviating many common types of pain. The iReliev is a great little device and has a lot going for it. It is well under $80 and has several programs to choose from and is small enough to fit in your pocket.

You do not need to spend hundreds of dollars to get a quality TENS unit and iReliev gives you a ton of value for the price being paid. Best part is they are based in Dallas, Texas and have phenomenal customer service FREE shipping and delivery in less than 5 days.

Get yours today on the iReliev website by clicking. 

Why should you trust me?I have extensively used TENS units for neck, shoulder, back and knee issues and became familiar with TENS therapy through countless visits to my chiropractor and physical therapists office. I have spent many hours researching and reading how TENS therapy can alleviate pain.

I consider myself knowledgeable in the use of TENS units and have used them regularly to help manage pain over the years. Many of my recommendations are from firsthand experience/use and hopefully my information can be a benefit to you.

Want to know where else a TENS unit can be placed?  Check out my TENS placement guide for how to use one for-

Can I Use A Tens Unit For Knee Pain Daily

You can use it regularly if the pain is high. But if you see no improvement, then try to take a break. A break of three to five days is helpful most of the time. If your knee pain is manageable, see that you can live without the unit or not, and you can use it for the next relieving session. Some users prefer using TENS machines when pain is worse, while others use them regularly. 



Why Should I See A Pain Management Specialist

Pain management is an important part of any treatment plan, both for lessening discomfort and aiding in recovery. Pain management specialists understand the full range of pain relief options and how to use these options in combination. Treatments done as part of a comprehensive, multimodal plan may help even if each treatment does not seem to make a difference when used in isolation.

Pain management specialists work with patients to help diagnose pain and treat it safely and effectively with as few side effects as possible. These treatments do not have to involve medication. In fact, pain management is generally more successful when a comprehensive approach is used, with or without medications.

The History Of Tens Therapy

TENS High Conductive Knee Electrode (2 Pack)

TENS therapy is nothing new; it’s been used for quite some time now. We’ve broken down a brief period to help you understand not only how old TENS therapy is, but how it has evolved.

  • 2500 BC: Hieroglyphs show electric eels being used as a form of treatment. Scribonious Largus, a Roman physician, noted that standing on an electrical fish offered a way of pain management. He would offer this form of electrotherapy to treat headaches, migraines, and even gout.
  • 19th Century: Electrotherapy began being used commonly as a form of pain relief, with machines invented that administered static electricity. These early forms of TENS therapy units would die off with the emergence of narcotic pain killers.
  • 1964: Ronald Melzack and Patrick Wall release “Gate Theory,” explaining how pain can be managed through electrical shocks. This finding was a significant breakthrough that would help bring TENS therapy into modern medicine.
  • 1974: American Neurosurgeon Clyde Norman Shealy patents the first current TENS unit.
  • 1987: Ray Kriesler invents the first TENS unit specifically for giving birth. The small handheld device allowed for mothers to manage pain themselves while giving birth without an epidural for a natural birth.
  • Today: Many modern TENS units are offered to combat pain offering an effective alternative to addictive pain medicines.


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