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Placing And Using TENS Unit Pads

Electrodes are usually first placed where the greatest pain is felt or, on certain acupuncture points nearest to where the pain is felt.

It is best to try different electrode positions until you find the most comfortable, effective position for you.

Using the chart below, you can locate the most effective points in accordance to your pain condition.

chart
Tips And Tricks For TENS Unit Pads

• Make sure that the skin is clean first before use. The skin has natural oils in it, which can mar the adhesive surface of TENS unit pads. Make sure to clean the area with soap and water where you are planning to apply the pads, and then dry thoroughly before applying the pads.

• Put a thin coat of gel onto the bottom part of each TENS unit pad. This will help get the electronic pulses to the nerves that are located under the skin.

• It helps to put tape over the TENS unit pads. Even if you clean the skin and put a generous amount of adhesive on the electrode, the simple act of moving can dislodge the TENS unit pads. You will increase your chances of having the pads stay on for a longer period of time if you put medical tape over the TENS unit pads to help them stay in place. This is a particularly good tip for individuals who wear the TENS unit pads for an extended period of time and need to move around.

• Make sure to remove the TENS unit pads at least once a day. Some people find TENS therapy so useful that they use it most of the day. Even if you are somebody who wears TENS unit pads for hours at a time, it’s important to take them off at least once a day to check and make sure that the skin underneath them is not red or irritated.

• Make sure to wash the TENS unit pads with soap and water, not alcohol. Alcohol can destroy the lining of the TENS unit pads, which will hinder them from being used in the future.

• If your TENS pads no longer stick, get replacements in our store. While TENS pads can be removed and reused, there comes a certain point where they cannot be reused any longer. If your TENS unit pads no longer stick, try using a new pair and seeing if that works better.

TENS therapy helps millions of people manage their pain in a safe and effective way. If you can follow the above tips and ensure that you are practicing proper maintenance on your TENS pads, you’ll enjoy effective therapy for years and save money along the way.

What If My TENS Pads Don’t Stick?

If you have a tens machine that has self adhesive pads which have lost there stickiness, it is sometimes possible to re-activate the sticky by using a small paint brush and clean tap water.

Paint a little on and the pad all over and allow it to sit for a few minutes, the gel will absorb the water and become sticky again. If you put too much on, then leave the pad in a cool place for a while.

This can be repeated several times so you do not have to buy new pads every time they appear to dry out, although eventually it will cease to work.

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Select Your Use Case

 

Whether you are looking to relieve pain without the use of medications, increase your athletic performance, rehab from injuries or simply unwind with a soothing massage. Discover the right TENS Machine product below!

 

Neck/Cervical Pain


For relief of neck or cervical pain, follow these steps to place the electrode pads:

Pad Placement:

  • Use Channel 1 for one side and Channel 2 for the other side
  • Place the first pad (1) on the upper back, just to the left of the spine and below the neck.
  • Place the second pad (1) on the left part of the nape.
  • Place the third pad (2) on the upper back, just to the right of the spine and below the neck.
  • Place the fourth pad (2) on the right part of the nape.

Neck Strain

For relief of chronic neck strain, follow these steps to place the electrode pads:

Pad Placement:

  • Use Channel 1 for one side and Channel 2 for the other side
  • Place the first pad (1) on the upper back, just to the left of the trapezius muscle.
  • Place the second pad (1) on the left shoulder, close to the neck.
  • Place the third pad (2) on the upper back, just to the right of the trapezius muscle.
  • Place the fourth pad (2) on the right shoulder, close to the neck.

Shoulder Pain

For relief of shoulder pain, follow these steps to place the electrode pads:

Pad Placement:

  • Place the first pad (1) above the chest area, armpit level.
  • Place the second pad (1) on the middle part of the arm.
  • Place the third pad (2) on the upper side of the arm.
  • Place the fourth pad (2) on the neck.

Frozen Shoulder

For shoulder pain, electrode pads can be applied to the inflicted area using either two or four pads at a time. Pads should be applied at the perimeter of the painful area sticky side down. Please ensure that pads are two to three inches apart. You may try placing pads on the upper arm, on the front and back sides of the shoulder.

For relief of shoulder pain, follow these steps to place the electrode pads:

Pad Placement:

  • Place the first pad (1) on the shoulder, directly on the top.
  • Place the second pad (1) on the upper arm aligned with the first pad
  • Place the third pad (2) just a little below the first pad, slightly towards the back of the shoulder
  • Place the fourth pad (2) at the front of the shoulder, directly opposite to the third pad. 

Arm/Wrist Pain

Pad Placement:

  • Place the first pad (1) at the front of the wrist, just below the palm.
  • Position the second pad (1) at the back of the wrist, aligned with the wrist joint.
  • Place the third pad (2) midway along the forearm, on the top side.
  • Position the fourth pad (2) near the elbow joint, on the underside of the forearm.

This placement targets different points along the arm, providing support and relieving pressure on the affected areas. Adjust the pads as needed for comfort and effectiveness. 

Arm Pain

Pad Placement:

  • Place one electrode pad (1) just below the wrist on the inside of the arm.
  • Position another electrode pad (1) on the inner bicep, aligning with the upper arm.
  • Place one electrode pad (2) on the upper forearm, approximately two inches from the inner elbow.
  • Position the fourth electrode pad (2) on the inner elbow, also about two inches from the first pad (2).

This placement targets specific areas along the arm and elbow to provide targeted pain relief. Adjust the pads as needed for comfort and effectiveness.

Elbow Pain

Pad Placement:

  • Place one electrode pad (1) on the outer side of the elbow, just above the joint.
  • Position another electrode pad (1) on the outer side of the elbow, just below the joint.
  • Stack two electrode pads (2) vertically on the inner side of the elbow, with one above the joint and the other below it.

Hand Pain (Carpal Tunnel Syndrome)

Pad Placement:

  • Place the first Pad on the opposite side of the wrist, aligning with the affected area.
  • Position second Pad two inches from the thumb side of the wrist, targeting the side part of the wrist.

This targeted pad placement aims to provide relief to the specific areas associated with Carpal Tunnel Syndrome or hand pain. Adjust the pads as needed for comfort and effectiveness.

Lower Back Pain

Pad Placement:

Treating One Side:

  • Use two pads from Channel 1.
  • Place one pad on each side of the painful area.
  • Pads should be positioned two to three inches apart.
  • Angle the pads as needed for optimal coverage and comfort.

Treating Both Sides:

  • Use two pads from Channel 1 and two pads from Channel 2.
  • Place one pad from each channel on each side of the spine at the lower back.
  • Ensure that the pads are two to three inches apart for each side.
  • Adjust the intensity levels independently for Channels 1 and 2 as needed for balanced therapy.

This method allows for targeted treatment of lower back pain, whether focusing on one side or both sides of the spine. Adjust the placement and intensity levels for optimal pain relief. 

Back/Sciatica Pain

Sciatica is a condition characterized by pain that radiates along the path of the sciatic nerve, which branches from your lower back through your hips and buttocks and down each leg. Using electrode pads can be an effective way to manage sciatica pain by targeting specific areas along the nerve pathway.

Pad Placement:

Channel 1 (Lower Back):

  • Place both pads from Channel 1 on either side of the lower back, targeting the area where the pain originates or radiates from the spine.

Channel 2 (Buttocks):

  • Position both pads from Channel 2 on the upper portion of the buttocks, aligning with the area where the sciatic nerve travels.

It's recommended to have someone assist you for accurate placement of the electrode pads on your lower back.

Abdominals

Pad Placement:

Imagine a square shape on your abdomen, with four corners representing the top left, top right, bottom left, and bottom right areas.

  • Place the first electrode pad from channel 1 on the top right corner of the imaginary square, targeting the right side of your abdomen.
  • Position the second electrode pad from channel 1 on the bottom right corner of the square, targeting the right side of your abdomen.
  • Position the first electrode pad from channel 2 on the bottom left corner of the square, targeting the left side of your abdomen.
  • Place the second electrode pad from channel 2 on the top left corner of the square, again targeting the left side of your abdomen.

Hip Pain

Pad Placement:

Stronger Setting on Painful Area:

  • Place one pair of electrodes with a stronger setting directly on the area where you feel the most pain in your hip.

Lower Setting in Surrounding Area:

  • Use another pair of electrodes with a lower setting in the surrounding area of the hip for additional support and relief.

Placement Options:

  • You can place the pads aligning vertically on either side of the hip.
  • Alternatively, you can place each pair of pads horizontally, mirroring each other on both sides of the hip.

Leg/Knee Pain

Pad Placement:

Placement for Each Knee:

  • Use channel 1 for one side and channel 2 for the other side.
  • Place one electrode pad on the outer side of the knee cap.
  • Position another electrode pad on the inner side of the knee cap.

This electrode pad placement targets both sides of the knee cap, providing relief to the area commonly affected by leg or knee pain. Adjust the pads as needed for comfort and effectiveness. 

Pad Placement (targeted):

  • Use all four electrode pads around the knee joint.
  • Place two pads above the knee joint (of different channels), targeting the area above the knee cap.
  • Adhere the other two electrode pads below the knee joint (of different channels), targeting the area below the knee cap.

Leg/Thigh/Hamstring

Pad Placement:

Leg (Back of Thigh/Under Butt):

  • Use channel 1 for one side and channel 2 for the other side.
  • Place the first pad from channel 1 on the back of the thigh, just under the buttocks.
  • Position the second electrode pad of the same channel vertically below the first pad, still on the back of the thigh.
  • Repeat the same for the other leg. 

Leg/Shin

Pad Placement:

  • Use channel 1 for one leg and channel 2 for the other leg. 
  • Place the first pad of channel 1 under the knee, targeting the area just above the shin.
  • Position the second pad of channel 1 vertically below the first Pad, targeting the middle of the shin.
  • Repeat the same for the knee of the other leg.
  • Make sure to use the same channel per leg.

Leg/Calf

Pad Placement:

  • Use the same channel per leg
  • Place the electrode pads of channel 1 on either side of the calf muscle.
  • Ensure that this pad is positioned horizontally, aligned with the midsection of the calf.
  • Repeat the same placement on the other leg..

This horizontal placement of electrode pads targets the calf muscles on each leg, providing stimulation and relief to the calf area.

Foot/Ankle

Pad Placement:

  • Use two electrode pads from the same channel for the first ankle area.
  • Place the pads around the strongest point of pain, whether it's up into the calf muscle or around the ankle joint.
  • Ensure the pads are sticky side down and at least two inches apart.
  • Arrange the pads vertically, horizontally, or diagonally based on comfort and effectiveness.

This electrode pad placement strategy allows for targeted stimulation and relief for foot or ankle pain. The arrangement of the pads (vertical, horizontal, or diagonal) can be adjusted for optimal comfort and effectiveness. Remember to adjust the intensity levels independently for Channels 1 and 2 as needed.

Foot Pain

Pad Placement:

Heels or Arches:

  • Clean and dry your feet and ankles thoroughly before applying electrode pads.
  • Place one electrode pad of the same channel on each heel or arch, targeting the area of pain or discomfort.
  • Ensure the pads are securely adhered and positioned comfortably on the heels or arches.

This electrode pad placement targets the specific areas of pain in the heels or arches of the feet, providing localized relief. It's important to clean and dry the feet and ankles before application to ensure optimal adhesion and effectiveness.

Period Pain

Pad Placement:

  • Use Channel 1 for the abdomen, and channel 2 for the back. 
  • Place the first pad on the lower abdomen area, focusing on the region of discomfort or pain.
  • Position the second pad of the same channel adjacent on the lower abdomen, ensuring they are at least 1 inch (2.5cm) apart.
  • Place the first pad of channel 2 on the lower back area, targeting the region where you feel pain or discomfort.
  • Position the second pad of the same channel adjacent on the lower back, maintaining a distance of at least 1 inch (2.5cm) between them.

This electrode pad placement strategy aims to provide targeted stimulation to both the lower abdomen and lower back areas for pain relief.

Micro TENS Placement

VNS Treatment/CES

  • Gather at least two ear clips for tVNS setup with MicroTENS.
  • Apply a small amount of special gel or water onto the ear clip connections for better electrical conduction.
  • Position the ear clips securely on the tragus (a part of the ear) for effective stimulation.
  • Adjust the MicroTENS intensity starting from a low level and increasing gradually.
  • Follow recommended session durations as advised by your healthcare provider.
  • Clean the ear clips and device regularly as per manufacturer's instructions.

EMS Placement

Neck/Trapezius (EMS)

Pad Placement:

  • Place one electrode pad (Ch1) on the inner side of the shoulder close to the neck targeting the trapezius muscle in that area.
  • Place another pad (Ch2) horizontally about 2 inches away from the first pad.
  • Place the 2nd pads of Ch1 and Ch2 to mirror the position of their 1st pad counterparts.
  • Ensure the pad covers the desired area effectively and is positioned for optimal stimulation.

This electrode pad placement strategy focuses on stimulating the trapezius muscle near the lower scapula for muscle relaxation or pain relief using EMS technology. 

Shoulder/Deltoid (EMS)

Pad Placement:

  • Place two electrode pads of different channels on the front of the shoulder, targeting the anterior deltoid muscle.
  • Position the other two electrode pads of different channels on the back of the shoulder, targeting the posterior deltoid muscle.
  • Ensure that the pads are evenly spaced and cover the deltoid muscles effectively.

This electrode pad placement strategy uses four pads to stimulate both the anterior and posterior deltoid muscles for muscle growth and strength using EMS technology.

Arm/Biceps (EMS)

Pad Placement:

  • Place two electrode pads of the same channel on each bicep, targeting the bicep muscles directly.
  • Ensure the pads are positioned evenly and cover the entire bicep area for effective stimulation.

This electrode pad placement strategy focuses on stimulating the bicep muscles for muscle growth and strength using EMS technology. 

Back/Dorsals (EMS)

Pad Placement:

  • Place the first pad (channel 1) on the middle back, targeting the outer lateral area.
  • Place the second pad (channel 1) diagonally on the lower back.
  • Repeat the same procedure for the pads in channel 2. Position Pad 1 (channel 2) on the other side across Pad 1 (channel 1).
  • Next, position Pad 2 (channel 2) on the other side of Pad 2 (Ch1) so that the pads from channel 1 and 2 are sitting across each other.

Note that the pads from channel 1 and channel 2 should be placed diagonally across each other. This electrode pad placement strategy targets both the lower back and middle back, focusing on the dorsal muscles for pain relief and muscle stimulation. 

Weight Loss/Abdominals (EMS)

Pad Placement:

  • Place the 1st pad of the 1st channel slightly below the last rib.
  • Place the 1st pad of the 2nd channel above the 1st pad at least two inches apart.
  • Place the 2nd pad of the 1st channel beside the 2nd pad aligning diagonally to the 1st pad. 
  • Place the 2nd pad of the 2nd channel beside the 1st pad placed at least two inches apart, creating a square but with 2 channels diagonally placed. 
  • Adjust the intensity levels independently for Channels 1 and 2 based on your comfort and training needs.

This electrode pad placement strategy focuses on stimulating the abdominal muscles for weight loss and abdominal training. Monitor your intensity levels and adjust as necessary to achieve the desired workout intensity. If you have any concerns or need further guidance, consult with a fitness professional or healthcare provider.

Hip/Glutes (EMS)

Pad Placement:

  • Place one electrode pad on each side of the lower part of your bottom, targeting glute muscles.
  • Place the other pad of the same channel across and onto the top part of your buttocks. 
  • Place the 1st pad of the 2nd channel to mirror the 1st pad of the 1st channel; and
  • Place the 2nd pad to mirror the 2nd pad of the 1st channel creating a criss-cross pattern.

This electrode pad placement strategy aims to target the hip and glutes area for pain relief and muscle stimulation.

Leg/Calf (EMS)

Pad Placement:

  • Use Channel 1 for one leg and Channel 2 for the other leg. 
  • Place the first pad of channel 1 vertically on one calf, targeting the area where you feel discomfort or pain.
  • Position the second pad of channel 1 vertically below the first pad, aligning them in a vertical column.
  • Repeat the same vertical alignment for channel 2 on the other calf.

This electrode pad placement strategy targets both calves for pain relief. Aligning pads vertically ensures effective coverage of the calf muscles. Adjust the pads as needed for comfort and effectiveness. If the pain persists or worsens, consult with a healthcare professional for further evaluation and treatment recommendations.

Leg/Thigh (EMS)

Pad Placement:

  • Use the same channel per leg.
  • Place the first pad of channel 1 on the upper thigh area, targeting the region where you feel discomfort or pain.
  • Position the second Pad of channel 1 on the lower thigh area, adjacent to the first pad, ensuring they are at least 1 inch (2.5cm) apart.
  • Repeat the same for channel 2 on the other thigh.

Pelvic Floor Exercises

Pad Placement for Men

Pad Placement for Women

Using Electrode Pads:

  • Place the first electrode pad between the genitals and rectum.
  • Position the second electrode pad at the base of the spine, near the sacrum or tailbone.

Consult your doctor or pelvic floor physiotherapist for further guidance and information on using electrode pads for pelvic floor exercises.

Using Probes

Using Probes:

  • Insert the probes into the vagina or rectum, as indicated by the red arrows in the illustration provided.
  • Follow the instructions and guidance from your healthcare provider or pelvic floor physiotherapist when using probes for pelvic floor exercises.

Always seek professional advice and guidance from your healthcare provider or pelvic floor physiotherapist before starting any pelvic floor exercise program, whether using electrode pads or probes. They can provide personalized recommendations based on your specific needs and conditions.