Wednesday, April 17, 2024

Tens Placement For Bladder Control

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Can You Put A Tens Unit Anywhere

InControl – TENS for strengthening muscles of the pelvic floor

TENS Units at Home TENS treatment is generally safe but as with most therapies, there are some ways the treatment shouldnt be used and some people who should not use it. The electrodes for a TENS unit should not be placed: Near their heart or so the current goes through your chest, from front to back. On your face.

Being Sedentary Is The Biggest Cause Of Sciatica

The good news is that since TENS units are so portable, you can use the device at work as well to provide all day relief when you need it.

Any appropriate stretches can be beneficial for your pain management, but in many cases, yoga or Pilates can be especially worth considering, as most will include the much needed hip stretches, as well as flexing of the whole body.

In these schools of exercise, a lot of attention is given to strengthening your core as wellthe abdominal muscles, obliques, and area around the spinewhich can help fortify your back, and also improve posture.

Furthermore, his type of stretching can prevent injury from other activities such as sports or cardio exercise you may also be doing. Activity not only can potentially ease sciatic pain, but also prevent future flare-ups when done regularly.

The TENS unit really helps post-exercise to promote blood flow and ease any remaining inflammation. Even though exercise is beneficial, it can sometimes cause mild strain, which the TENS unit soothes.

Perhaps the most important rule to keep in mind here is if anything starts causing you worse pain, then stop doing it immediately. If the pain is severe enough to be debilitating, exercise may not always be an option.

The TENS unit is affordable, easy to use, and effective immediately.

It is a great option to consider as a first line of treatment, before doing anything more invasive and could be a go-to measure any time discomfort arises.

Thank you for reading,

Electrical Nerve Stimulation For Overactive Bladder A Comparison Of Treatments

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
Verified April 2016 by Shannon Lamb, Walter Reed National Military Medical Center. Recruitment status was: Enrolling by invitationFirst Posted : September 12, 2013Last Update Posted : April 28, 2016
  • Study Details
Condition or disease
Overactive BladderUrge Urinary Incontinence Device: PTNS Not Applicable
Layout table for study information

Study Type :
Percutaneous Tibial Nerve Stimulation vs. Transcutaneous Electrical Nerve Stimulation for Overactive Bladder: A Randomized Trial
Study Start Date :

TENS therapy will be administered as follows:

  • Surface electrodes, 2″ x 2″ in diameter, will be placed over sacral foramen S2-4, bilaterally, using 2 channels – Approximate locations are over posterior superior iliac spine and inferior lateral angle of sacrum. Sticker electrodes for the duration of the study will be issued to subjects. They are adhesive and can be re-used for up to 3-4 weeks with proper skin care and electrode care.
  • The electrodes will be connected to the TENS device and the following settings will be pre-set:

  • Mode: Burst

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How Long Has Sacral Neuromodulation Been Around

The InterStim System received its CE mark for the treatment of chronic intractable function disorders of the pelvis, lower urinary and intestinal tract in 1994. Today over 225,000 patient have been treated worldwide. It’s a proven treatment option for people who have not had success with more conservative urinary retention treatments.

Tens Placement For Ic: Help With Bladder Urgency And Frequency

TENs placement for IC: help with bladder urgency and ...

TENs placment for IC: help with urgency and frequency

We have talked about how to use TENS for IC before. As a reminder, TENS stands for Transcutaneous Electrical Nerve Stimulation. It has predominately been used for treating nerve-related acute or chronic pain. But there is another condition that TENs has been proven to be effective for. And if your IC has you running to pee every 5 mins, youll be very interested in reading further.

First, a little medical background. The lumbar-sacral nerves control the bladder detrusor muscles and the perineal floor. This group of nerves, sometimes referred to as the sacral plexus, occupy the spinal cord at levels L4 to S3 which are located towards the base of your spine, between your lower back and, well, your butt crack.

In fact, that same collection of nerves is often targeted by Neuromodulation therapy sacral implants like InterStim. You may have read about these implantable devices since they have been one of the options for treating IC for many years. A major downside of these Neuromodulating implants is that it is highly invasive. Once a patient is deemed to be a responder via a test stimulation, the unit is surgically implanted while you are under general anesthesia.

Luckily there is another option for impacting the lumbar-sacral nerves that control your bladder and pelvic floor function. The posterior tibial nerve the nerve that runs along the inside of your ankle and up your leg provides access to the sacral plexus.

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Clinically Approved Modes Of Electrical Stimulation In The Treatment Of Non

In this section, SNM with non-rechargeable and rechargeable systems is discussed, after which posterior tibial nerve stimulation is addressed. In Table 2, the chronology of introduction and approval of these devices is given.

Table 2 Introduction and approval of sacral neuromodulation and tibial nerve stimulation

Who Shouldnt Use A Tens Unit

The consensus is that TENS devices are generally safe. nonetheless, some individuals shouldnt use these items, for safety reasons.

So, you shouldnt use this type of therapy:
  • If youve got heart disease
  • If youve got epilepsy
  • You have a pacemaker
  • You are pregnant unless your healthcare provider has recommended you to try and do therefore.
  • If the reason behind your pain isnt diagnosed yet

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How To Place Tens Unit Electrodes

It’s best practice to place TENS unit pads near the painful/injured area. This type of placement is called contiguous placement. Placing the electrodes in this manner causes the electrical current to be directed through or around the area of pain. We’ve highlighted this treatment style below in our TENS Unit Placement Guide:

TENS Unit Electrode Placement Tips and Best Practices

Tips for Skin Care

If you have sensitive skin, it’s essential to follow these suggestions:

Keeping Your Electrodes in Good Condition

New Treatment Option For Oab: Ttns

Nerve Stimulation for an Overactive Bladder

Key Messages

  • Transcutaneous Tibial Nerve Stimulation is a form of neuromodulation, involving stimulation of the posterior tibial nerve via a TENS machine.
  • TTNS is cheap, safe and easy to administer.
  • New systematic review shows efficacy of TTNS for idiopathic OAB.1
  • TTNS can be as effective, or more effective than anti-muscarinics.1

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Incontinence After Prostate Surgery

Please note: Electrical stimulation should not be used anywhere near an active malignancy.

Urinary incontinence is common in men who have had surgery or radiation treatment for prostate cancer. Medical science continues to improve treatments to reduce the risk and extent of post-surgery and post-radiation incontinence.

Following treatment, there are different types of urinary incontinence and differing degrees of severity:

  • Some men dribble urine

  • Others will experience a total leakage

  • Loss of urine with a cough, sneeze or laugh is called stress incontinence and is the most common type of urine leakage men experience after surgery

  • The need to frequently urinate with episodes of leakage, called urge incontinence, is the type seen most often after radiation treatment

When Do I Know That The Electrode Pads Needs To Be Replaced

The best indicator that you need to replace your electrode pads is when they are not sticky anymore. And this depends on a number of factors, such as how regularly you use it, at what capacity you use it, what the quality of the pads are and how good you are at maintaining them.

Some general rule to keep the electrode pads last longer is to always place them on dry and clean skin and never expose them to any water since this will decrease the stickiness really fast. So be sure that your skin is dry before placing them!

If you have more than one set of electrode pads, treat them as your shoes and rotate between them in order to make them last longer and not get worn out as fast.

Also, consider your body hair. If you are a hairy person or if you want to regularly place your pads on a hairy area, make sure that as small amount as possible gets stuck to the pads, since by then removing the hair will decrease the longevity of the pads significantly.

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Are Acute Effects Of Stimulation Of Clinical Significance

An obvious approach to answer this question would be to assess the effectiveness of electrical stimulation in suppressing detrusor overactivity , chosen because it presents in many patients with OAB symptoms . This has led researchers to investigate the acute effects of electrical stimulation during an urodynamic study.

Similarly inconsistent effects apply for acute TPTNS studies, although Amarenco et al. reported positive results in half of the neurogenic disease patients he studied. These patients showed a 50% improvement in volume at the first detrusor contraction and/or MCC of more than 50% of the baseline value. A previous urodynamic study showed no significant differences in any of the urodynamic parameters in 36 detrusor overactivity patients . This differing result might arguably be due to different pathologies seen in the patients.

Neither of the two approaches to the investigation of acute effects, at either stimulating site, has clearly and robustly demonstrated effectiveness. Nevertheless, the balance of the literature indicates that patients may benefit from neuromodulation effects which may arise from repeated stimulation sessions rather than a single application. In addition, de Seze et al. concluded that treatment may be effective even in patients who did not respond to an initial acute TTNS applied during urodynamic testing.

Expanding Or Removing The Bladder


A surgeon can enlarge the bladder with bowel tissue or remove it entirely however, both these surgeries have serious limitations. They do not guarantee pain relief because a phantom pain, similar to that experienced by amputees, may continue. This is known as neuropathic pain, which is discussed in more detail in the chronic pelvic pain unit.

Surgery to expand the bladder, called a supratrigonal cystectomy, leaves only a small portion of the original bladder in place and replaces the rest of the bladder with bowel tissue. This increases the size of the bladder, allowing it to hold more urine, but it often impairs the ability of the bladder to empty properly. To compensate for this problem, many women who have this procedure must learn to insert a catheter once or twice a day to remove the remaining urine. This increases the risk of bladder infections. Also, bowel tissue naturally produces mucus that may block the flow of urine or make self-catheterization more difficult.

Recommended Reading: How To Treat A Leaky Bladder

What Is The Distinction Between Ems Units And Tens Units


The fundamental distinction between the two is that EMS units concentrate on specific muscles, whereas TENS units target specific nerves.

What is more, some TENS units might also be used as EMS units. nevertheless, EMS units cannot be used as TENS units.

Furthermore, the latter are more commonly used for managing and treating the pain.

As for the former, they deliver a therapeutic intervention for muscle rehabilitation.

Which Stimulation Parameters

The literature on the stimulation parameters used is summarised in , , . The location of electrodes and range of stimulus parameters are likely to be critical factors in all forms of stimulation. Relevant stimulus parameters include pulse width pulse repetition frequency burst length and stimulus intensity . The technical description of the stimuli used in some studies does not give all these details.

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Are Tens Units Safe

Each call we have a tendency to create has its professionals and cons. the identical applies when it involves getting the best transportable TENS unit.

whereas the majority UN agency use these devices wont expertise any aspect effects, its best to understand what to expect.

The first aspect result is associated with the self-adhesive pads.

So, several users reported unpleasant skin reactions when applying the pads. Thats because theyre made of latex. about 3% of individuals experience allergic reactions.

However, most of the time, those reactions could also be avoided. The key is to steer clear of placing the pads in the actual place use after use.

Additionally, if one uses the machine too often, or their pulse is just too high, the electrical stimulation may further cause muscle pain and twitch.

Aside from these potential side effects, using these units is safe. however, some individuals should steer beyond these devices. well discuss this in a bit .

How Do I Place My Tens Machines Electrode Pads For Sciatica

You Are Not Alone Find Relief for Bowel & Bladder Control Problems

To handle and pain related to sciatica, use either two, or most preferably, four electrode pads placed above and under the area on pain. DO NOT place the pads directly on the spine, but you can without any problem place the pads vertically on either side of the spine.

You can also place two of the electrode pads on the high part of the backside of your legs and experiment with the placement of them as shown in the image.

Read Also: Losing Control Of Your Bladder

Posterior Tibial Nerve And Oab

  • Percutaneous tibial nerve stimulation, requiring needle-tip electrodes which are invasive and expensive.
  • Transcutaneous tibial nerve stimulation , which requires just a basic TENS machine and standard electrodes. TTNS is much more cost effective than percutaneous tibial nerve stimulation, and much simpler to administer.

How Do I Place My Tens Machines Electrode Pads During Labour

This is actually an extension to how to place the electrode pads for your back and is not really that much different.

But remember that you should only be using a TENS machine in the early stages of labor.

NOTE: You may need to take off the TENS pads if your babys heart has to be monitored electronically because the pads could affect the signals to the monitoring machine.

Follow these steps:

  • Place the two or four electrode pads as suggested for lower back pain. Follow the steps under the guidelines of placement as well, and remember If the pads start to lose their stickiness, rub a few drops of water into the gel side of the pads before putting them back on. The more firmly the pads are stuck on, the better theyll work.
  • Start with the absolute lowest setting and slowly work your way up, making sure youre not overdoing it.
  • Use the boost button at the peak of each contraction. The boost function results in more intense, wave-like tingling or buzzing sensations. Dont forget to the boost button off again when the contraction has ended. This is so you feel the benefit of the boost next time you have a contraction. This works super-great!
  • As mentioned above in the expectations management, dont give up just because youre not feeling anything at first. Give it some tweaks and some time and you will most surely find some benefits.
  • Dont forget that the electrode pulses are under your control. If you feel any discomfort, just turn it off or lower the intensity!
  • Also Check: Natural Remedies To Cure Bladder Infection

    How Do I Place My Tens Machines Electrode Pads For Neck Pain

    The way to place the electrode pads is similar to how to place them for the lower back pain, except of course place them higher.

    Here is also suggested to use four pads to better triangulate the area of pain. You can either place two of the electrode pads on either side of the spine at the base of the hairline and two lower on the shoulder or cross them as an x as the image suggests.

    Principle Of Sacral Neuromodulation

    TENs placement for IC: help with bladder urgency and ...

    The sacral nerves serve the lower urinary tract. To activate or inhibit urinary tract reflexes, SNM delivers mild electrical impulses to the sacral nerves. Besides the local stimulation, neuromodulation also influences the higher centres of bladder control in the brain although its mechanism is not yet clear.The procedure is done in two stages under general anaesthesia. Local anaesthesia is sometimes offered.

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    How Do I Place My Tens Machines Electrode Pads For A Migraine

    A TENS machine is often recommended as a solution to deal with the pain of their attacks. But as opposed to the other symptoms in this article, a migraine attack isnt a pain disorder, but a neurological disorder. Attacking the attack itself is not the best way to go.

    As mentioned at the beginning of this article, a TENS machine is designed to disrupt the pain pathways, rather than fixing the attack.

    What a TENS machine can do for a migraine is to confuse the source of pain for a while, but even though some suggests a way of placing the electrodes, I wont suggest using this method as a cure for your migraine.

    Incontinence Is The Silent Disabler

    You are not alone – approximately 5 million Australian men and women experience some degree of incontinence, and almost all are suffering in silence.

    It is both easy and wise to address the issue as soon as it manifests itself. If you don’t tackle the problem soon:

    • It will not get better on its own – wishful thinking does not work

    • It will get worse as you age

    • Eventually, you will be mopping up the symptoms

    • YES, the purchase and wearing of incontinence pants or pads

    • This is expensive, uncomfortable, inconvenient and potentially embarrassing

    • For the rest of your life!

    And there is another major concern to mention. There is:

    • A proven link between incontinence and urinary tract infection

    • A proven link between UTI in the elderly and fever induced delirium

    • A proven link between delirium and dementia

    Why is no-one talking about this?

    • Physiotherapists know that weak pelvic floor muscles are a major cause of incontinence

    • Primary care doctors know that untreated incontinence is a cause of UTI

    • Geriatricians know that chronic UTI’s in the elderly are a cause of delirium

    • Neurologists know that delirium exacerbates dementia

    Who is joining the dots?

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