What are the health benefits, uses and side effects of the TENS Units? (UK)

Transcutaneous electrical nerve stimulation (TENS) is one of the best therapies for pain relief in injuries. This method has been exploited to the maximum by elite athletes for years, but for some time now it has also been made available to fans of high-impact sports.

This is largely thanks to TENS machines, which are affordable and provide the same quality of stimulation as professional equipment. Today you will learn in detail about the main uses, benefits and side effects of these machines.

What are transcutaneous electrostimulation machines and how do they work?

They are machines that are used to deliver low-frequency current through the skin to stimulate nerves and inhibit the transmission of nerve impulses responsible for communicating pain to the brain. The key to their operation lies in the intensity of the electrical impulses they emit, which are sufficient to generate changes in the body's natural nerve communication, but without damaging its functioning and causing side effects.

Moreover, they are not only based on their ability to block the nerve signal transmission system that communicates pain to the brain, but also to stimulate the generation of endorphins and improve blood flow. The fact that they can affect the pain transmission system does not mean that they alter it completely, you will still feel some pain, but it is these last two characteristics that enhance the analgesic effect sought by these therapies.

However, it is important to know that TENS machines are not curative, but analgesic. That is to say, they are not a way of curing pain, but of relieving it when it appears. Although they are used in recovery processes, their function is not to accelerate it, but to help make the process more pleasant. In the field of electrostimulation, methods such as electrical muscle stimulation or interferential current are used to heal and speed up recovery from injuries.

What are the health benefits of using TENS machines?

TENS electrostimulation machines have three main benefits which in turn mean that they can be used to treat a wide range of ailments.

These benefits are as follows:

• It blocks pain transmitters: the slight frequency of this current generates changes in the nerve signals responsible for pain transmission. While this does not mean a total numbing of the pain, it does help to generate a comforting sense of relief.
• Increased endorphins: The frequency of transcutaneous stimulation therapy also stimulates the generation of endorphins in the brain. The reasons for this are not well understood, it is thought that it may be due to the fact that when the muscles are lightly stimulated they relax and the brain automatically begins to produce more endorphins, but the reality is that several studies confirm an increase in endorphins after TENS sessions.
• Improved blood circulation: the low frequency current causes the muscles to contract and relax constantly, which has a pumping effect that dilates the blood vessels and increases blood circulation in a natural way.

What is TENS units used for and what are its uses in physiotherapy?

TENS machine is one of the most widely used therapies today in patients undergoing rehabilitation from injuries. Its main use is to make the recovery process easier for professional and amateur sportsmen and women with muscular and joint injuries.

Among its main uses we can highlight the following:

Pain relief for osteoarthritis

Patients suffering from osteoarthritis or rheumatoid arthritis suffer intense pain as a result of the rubbing of bones that have lost their cartilaginous lining. This also causes joint stiffness and joint instability. Several studies have shown that these symptoms can be relieved by the application of TENS unit.

Because this therapy blocks the pain inhibitors, an analgesic effect is achieved which relieves the pain in the affected joint. This also applies to other types of joint cartilage wear such as osteoarthritis. In addition, the recurrence of pain is reduced as the blood circulation is improved and more endorphins are produced for a constant feeling of relief.

Relief from low back pain

Low back pain caused by strained muscles or ligaments in the lower back can become very painful and recurrent if the source of the pain is not properly treated. For pain relief, TENS therapy is recommended by specialists all over the world, especially during recovery processes that include massages which can be quite painful.

What you should do is to use the TENS machine at a frequency of between 1 and 4 Hz, and keep it active for at least 40 minutes and you will gradually feel a sense of relief that will extend throughout the day. This can also be applied to low back pain due to sciatica or herniated discs.

Relieve chronic muscle pain

Fibromyalgia or myofascial pain syndrome are chronic conditions that cause severe pain that is caused by the accumulation of tension in the deeper tissues of the muscles. This pain can be treated with the help of TENS unit by using these machines constantly every day as their analgesic effect is very effective in these cases where the condition originates in soft tissues.

In addition, by improving blood circulation, greater oxygenation is also achieved in these tissues, which will make the pain less recurrent. Ideally in these cases, TENS therapy with myofascial release should be accompanied by Foam Roller or other deep massage therapy products.

Releasing muscle tension

Although the frequencies involved are so low that they can hardly be felt, TENS therapy is still electrostimulation, which means that in addition to the nerves it also has a slight effect on the muscles and ligaments. Specifically, the transcutaneous current causes the muscles to contract, which causes them to relax after a session of about 20 to 30 minutes.

This in turn generates a release of accumulated tension in them, which relaxes them and makes it much easier to feel the relief you are looking for after the 45-minute session. This is why short TENS sessions are sometimes used to relax the shoulders, legs and other muscles after training.

What are the risks and side effects of using transcutaneous electrostimulation units?

Transcutaneous nerve stimulation is known around the world to be a very safe therapy. The only real risk would be related to a fault in the machine being used; a short circuit or configuration error that generates an increase in voltage and frequency in the current used.

What is known is that its use is discouraged in cases such as the following:

• Patients with pacemakers: in these cases, as the device reacts to even the lowest frequencies, it is recommended to avoid TENS and any other form of electrostimulation, especially in areas close to the location of the pacemaker.
• Early and late pregnancy: Electrostimulation is sometimes used to relieve back pain in pregnant women between the 20th and 30th week of pregnancy. However, as it is potentially relaxing, some specialists advise against its use after 31 weeks of pregnancy because of the risk of inducing labour, and in the first 15 weeks because of the risk of miscarriage, although there are no studies to confirm this fear.
• Severe nervous problems: studies have shown unfavourable results for patients suffering from epilepsy or even severe cardiac problems such as arrhythmias.
• On anaesthetised or injured skin: the reason why it should not be performed in these cases is because there is a risk of aggravating the skin lesion in the event of an error in the TENS electrostimulation machine.
• Do not use near the carotid artery in any case: TENS should be avoided at all costs in the path of the carotid artery as some studies indicate that there is a high risk of ischaemic stroke.

What are the differences between TENS electrostimulation and PENS electrostimulation?

Percutaneous nerve stimulation is another well-known stimulation therapy. It involves direct stimulation of a nerve, which leads to more specific changes in the behaviour of the nerve. For this, electrodes are surgically inserted under the skin, or with the insertion of needles similar to acupuncture, which will transmit the stimulating current.

The main difference with TENS is precisely the method of application. While transcutaneous stimulation is limited to transmitting the stimulation through the skin, PENS is more invasive and involves the insertion of external material into the patient's skin.