Should you consider using a TENS machine to manage pain? Well, the answer depends on the type of pain, cause, and how effective it is for you. TENS (transcutaneous electrical nerve stimulation) is a noninvasive device that passes electrical current to stimulate your muscles and nerves to relieve pain through pads that attach to your body in the area of pain. While it is effective, it does not work for everyone. In some cases, it can make the pain worse.
Learn how TENS can make the pain worse, who should use it, and when you should seek medical help for TENS in this article. Visit the best Pain Management Clinic in Brooklyn at Doral Health & Wellness or log on to www.doralhw.org.
Can TENS make the pain worse?
Usually, TENS machines are safe and effective for most patients, but in a few cases, TENS machines may worsen the pain. Here are some common reasons:
- Incorrect placement of pad:
Poor placement of the adhesive pads can lead to irritation from the electrical stimulation to the surrounding nerves and muscles. This way it won’t block pain signals; it triggers new ones and amplifies them. That’s why it is important to follow the instructions in the manual or to consult with your doctor first on how to go about this treatment.
- Through High intensity setting:
Many people think that when the machine goes on, it will provide relief but setting it on high intensity can lead to over-firing which causes a burning or stinging sensation. So, always start at the lowest setting and work your way up to the uncomfortable but tolerable level of intensity.
- Underlying medical conditions:
Certain conditions can make TENS uncomfortable and ineffective including – nerve damage and hypersensitivity to electrical impulses. Individuals with any of these conditions may feel worse after using the machine. So, always consult with your doctor first before using a TENS machine, if you have any of the underlying medical conditions.
- Overuse of the TENS machine:
Spending too much time on a TENS machine may lead to skin irritations, muscle fatigue, or hypersensitivity of the nerves which can worsen the pain instead of improving it. So, it is recommended that you follow the guidelines for TENS use. No more than 30 minutes at a time, 2 to 3 times a day is advisable.
- Incorrect diagnosis of pain:
TENS machines won’t work for all types of pain. Pain caused by infections, open wounds, or deep tissue damage is generally not relieved by TENS therapy. So, if your pain is not improving or getting worse, it may happen because the root cause requires some other mode of treatment.
Who is not a candidate for TENS Machine?
You’re not a suitable candidate for TENS if you have any of the following:
- History of epilepsy
- A pacemaker or other implanted electronic device fitted
- Are pregnant (except for getting pain relief during labor pain)
- If you’re a child
- Recent history of bleeding, blood clots, or very poor circulation
- If you’re not able to feel the pulsations/sensations of the TENS machine
If you’re unsure about your case, talk with your doctor.
Best practices
These tips can help you get the most out of this device:
- Check with your doctor first: A TENS unit is not recommended if you have a pacemaker or any other type of electrical implant, or you’re pregnant, etc. So, make sure you always consult with your doctor first before using a TENS machine for your back, spine, or other pain.
- Try different intensities until you find the comfortable one: You should try different intensities when you start feeling tingling in your muscles, but not the intensity that contracts your muscles. If you’re experiencing a muscle spasm, set the device at a lower intensity if your TENS machine offers muscle stimulation mode. These machines are made to be used for the long term and over time, you can adapt to using a TENS device, and the tingly, prickly sensation of electricity will become therapeutic.
- Watch the time: To get the most benefit, limit TENS unit use to 10 to 15 minutes per session in muscle stimulation mode. In pure TENS mode, a TENS unit can be used for up to 2 hours per treatment, 2 to 3 times a day in the same area. For total spine pain – cervical, thoracic, and lumbar – it is recommended to use a TENS machine on each area for up to 2 hours at a time. But after 2 hours, a TENS unit is not recommended because the electrical stimulation may irritate the skin.
When to go to a doctor?
You should go to the doctor when the TENS machine increases your pain. Persistent or increased pain may indicate serious problems that need medical attention; your doctor will tell you whether TENS is right for you, or you should look for another treatment to meet your needs.
TENS machines are a good option for relieving pain, but it is not for everyone. It is not effective for all types of pain and not everyone can use this machine. The above-mentioned factors can make your pain worse with TENS machines, so always follow manual instructions and doctor’s guidance to use this device. You should consider a TENS machine if it works well for you and your doctor recommends it. Otherwise, you can look for other treatment options to manage your pain.
Need help with pain management, visit our pain management clinic in Brooklyn to get professional medical help. Call us to book your appointment now!!!! Our location at 1797 Pitkin Avenue, Brooklyn, NY 11212 is well-served by public transportation, including many bus routes, and the subway line. Visit our website at https://doralhw.org/department/pain-management/ or contact us on +1-718-367-2555 for additional details.
