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4. HOW “TENS” WORKS
TENS stands for Transcutaneous Electrical Nerve Stimulation. TENS
stimulates your body's own natural defences against pain, namely the
release of endorphins. TENS is totally safe, has been used successfully by
thousands of pain sufferers.
TENS sends a gentle stimulation through the skin which works in
TWO ways:-
Pain Gate
Stimulating the sensory nerves, which carry touch and temperature signals.
These nerves go to the same connections in the spine as the nerves
carrying pain. A strong sensory signal will block the pain signal travelling
up the spine to the brain. This is known as closing the “Pain Gate” and
takes effect quite quickly after the unit is switched on. You can use TENS
several times a day, for as long as you like.
Endorphin Release
At low frequency settings, and slightly stronger output, TENS drives the
motor nerves to produce a small repetitive muscle contraction. This is seen
by the brain as exercise, and this promotes release of Endorphins - your
body's own natural pain killer. The relief builds up and normally takes
about 40 minutes to reach a maximum level which can last for hours after
the machine is switched off.
By using TENS you can expect to achieve a significant reduction in pain if
not complete pain relief.
SIDE EFFECTS
There are no known side effects to TENS use and long-term TENS use is
not harmful.
POSITIONING THE ELECTRODES FOR TENS
Electrodes are usually first placed where the greatest pain is felt. Try
different positions until you find the best for you. Try moving the electrodes
short distances to establish the positions that are most effective for you.
5. THE PROGRAMMES
The unit has 8 pre-set EMS programmes A,B,C,D,E, F, G and H
2 Manually selectable programmes Mand N
3 Manually selectable TENS programmes. S, T, and W
The choice of programme depends on the results you wish to achieve.
Each programme has a different feel and a pre-set default duration.
Programmes may be locked by your physician:
If this has happened, a message:- LOC M (or N, S, T or W) will appear on
the display if you attempt to change programmes.
PROGRAM OUTPUT SENSATIONS
Programmes Ato Hproduce a combination of tingling or pulsing/ tapping
sensations associated with muscle contractions. In EMS a period of muscle
contraction (Work) is alternated with a period of rest.
Programmes S , T and Ware TENS programmes.
In programmes Sand W, the output is Continuous. Strength should be set
so that there is a strong tingling feeling WITHOUT muscle contraction.
Programmme Scan be used until the pain relief effect starts to wear off -
up to 2 hours.
In programme Tthe stimulus is delivered in bursts, i.e. a group of pulses
rather than a single pulse. You should set strength so that muscle
contractions just start to appear, and use for not more than 60 mins.