TENS Unit for Pain Management & EMS for Muscle Rehab - Ask Doctor Jo

[@AskDoctorJo]

Don't forget to hit the 🔴 *SUBSCRIBE* 🔴 button above! *Find all of my videos at **kzbin.info*

[@nidafatima439]

wow, this video is 7 years old, still helping people like me . and these machines get even smaller now 😂

[@MrPanetela]

just wanted to do a 1 year come back comment. I purchased a compex sport elite. It has a TENS, but mainly EMS with several levels and settings. It is great. Big Thank you to Dr Jo; I constantly use the recovery program for swollen joints and the strength and recovery while I exercise. Dr Jo, wishing you a great holiday and the best New Years ever.

[@AskDoctorJo]

I'm glad it has helped! Thank you, you too!

[@theresakleinfelder566]

Thank you so much. I watched many videos over the yrs. You've really helped with pain and understand what to do about it. I decided to get a TENS and EMS unit after video. You are so right. Game changer. I bought the verve unit on at your store. Thank you soooooo. Much.

[@AskDoctorJo]

You're welcome.

[@taylor3875]

My back is killing me and this item been strongly recommended by a friend. I will be buying a kit after work today. Btw....both thumbs up to the video

[@melodieustv]

I been doing this wrong since forever! No one tells you how to use a TENS.

[@URRBANELEKTRO]

lol same here

[@jessicaluna3752]

I have been wanting a tens unit for a while for the space between my shoulder blades. Long story short car accident and I was side swiped in my chevy Cobalt by a guy in a truck 6 years ago. And every time the weather changes I have this uncomfortable tightness and pressure/ pain. Thanks for doing this video cause I had no idea which one to pick! :)

[@AskDoctorJo]

You're welcome. I hope it helps!

[@justinwebb9614]

I used to sell these things, I dont like how people say they dont know how to use them. I was hoping to get more clinical studies or more doctor lingo rather than the practical application. Thanks for creating awareness about the difference between EMS and TENS I agree there's a big misconception out there usually the first one I have to clear up when I am talking about them.

[@AskDoctorJo]

You're welcome.

[@FreshMootz]

I use the smaller device. In fact, I had a high volume squat session three days ago. The DOMS was bad because of the new stimuli to the muscle group. Last night I put the large pads on the leg in the direction of the actual muscle pattern. I had it on the second highest setting to really dig in. It felt amazing and after I felt so much better. Today, the quad pain is almost non-existent, I also added it to the calf area, not as effective but a bit better today.

[@AskDoctorJo]

Glad it helped.

[@JB-wx4wo]

Wow, the first time someone succesfully explained the difference between the two👍

[@AskDoctorJo]

:-)

[@JB-wx4wo]

@@AskDoctorJo disclaimer alert🤣

[@JB-wx4wo]

@@AskDoctorJo I'm having pain in my shoulder and arm like shooting nerve pains..do you think this device would work and do you have any videos on how to address this pain...I saw the playlist for stretching..you think just stretching and the tens would do the job?

[@AskDoctorJo]

It really depends on what is going on in your shoulder. Did you have a specific injury?

[@JB-wx4wo]

@@AskDoctorJo no direct injury..just ergonomics throughout life..I'm a little taller than average and after an hour or two of sitting or doing anything my shoulder and arm start pulsing in like nerve pain..it is so aggravating..I bought a stand up desk but still have the nerve pain in other situations..I just bought a tens unit..hopefully this could help..but not sure what else to do or who else to see..a chiropractor, physical therapist..not sure.

[@Xocolactic]

Dr. Jo, could you please, please make a video on units that have massaging functions to relax the muscles? Not to exercise, not for pain, just muscle relaxation. The info available online, as well as the standard settings on the units are often contradicting as to how many microseconds should be used depending on which part of the body it’s applied to as well as which frequencies are best (5Mhz< and such). Your opinion would be greatly appreciated.

[@AskDoctorJo]

Is your unit one you can actually change those specific settings? Wavelength, pulse duration, frequency? Many of the TENS units that have presettings will work for relaxation as well.

[@Xocolactic]

@@AskDoctorJo Yes, it says I can change the settings for massage and for EMS. But even the preset settings change a lot, mine has 3 modes for massage and one goes up to 60Mhz and others just below 5Mhz and also the manual says the legs need 400 microseconds and I have read elsewhere 250 is fine.

[@AskDoctorJo]

There are a lot of variations to it (usually anywhere from 50-250 microseconds, with 50 - 100 Hz for the "normal" setting), but I would stick to the manual since each unit is different. It really is to your specific tolerance, so that's why it varies so much. What might be comfortable for you, might not be for someone else. So I would really try different settings and see which one relaxes you the most. As long as you don't have the intensity too high, it shouldn't hurt anything.

[@Xocolactic]

@@AskDoctorJo Thanks a lot for the clear and detailed reply, I understand it so much better now. Can I ask you something else? If a muscle is too tight, can it be relaxed without reaching the point where there's a contraction? I read somewhere that frequencies lower than 10Mhz send oxygen and restore the fibers by removing "waste", which then relaxes the muscles. I'm afraid of seeing a contraction or using the EMS function because I don't know if that could cause a tear or something.

[@AskDoctorJo]

Hz or Mhz? I have only seen ones with Hz, which is also pps (pulse per second). Usually a lower Hz is for a different setting, which sometimes does cause a quick contraction. But again, all units are pretty different, so I am not sure with yours. With that said, a unit can not produce a contraction stronger than what you normally can (without injury), so unless you just leave it on with a painful contraction for a long period, it is not likely to tear anything. It might make it sore, but it shouldn't be anything bad.

[@billblake6954]

Great, explanation of the difference between TENS/EMS - thank you. I have peripheral neuropathy arising from repeated and ongoing chemotherapy. Would I be correct in thinking an EMS treatment would be more suitable for 'reconnecting' the affected nerves in my feet and fingers to the brain. I accept that a full recovery is unlikely but some improvement would be wonderful. I'm not asking for a definitive statement just your 'opinion' - without a full consultation, on the potential value of using an EMS treatment for peripheral neuropathy.

[@18matts]

Great alternative to pain medication. Should be the first try and pain meds last.

[@AskDoctorJo]

I agree!

[@paulbrown9415]

Hey Dr. Jo. The smaller unit is not available anymore but which ine would you recommend (small personal) that I could purchase now from amazon. I have massive hip pain for about 3 years now very active but damn the pain. Should I get one with both Tens and Ems or one or the other. P.s. seems a long time ago you did this email. Regards, Paul Canada.

[@AskDoctorJo]

I have reviewed several, and it just depends on how many "bells and whistles" you want. This one might be worth checking out: amzn.to/34YDEpR (affiliate link). I have reviewed their units in the past and liked them as well.

[@MarikaMedia]

you were so helpful. I find watching a video helps than the instructions they give u. I am experiencing extreme pain in my leg from my hip and would not have known to cross the pads. thank u!

[@AskDoctorJo]

You're welcome! I hope the TENS helps!!

[@MarikaMedia]

AskDoctorJo I think I need to use it more to see results because I am still in pain.

[@AskDoctorJo]

It is very much a temporary fix. Are you sure the pain is from your hip? Maybe it's coming from your back.

[@MarikaMedia]

AskDoctorJo. the doc today said most likely my leg pain is coming from a herniated disc in my back.

[@AskDoctorJo]

These might be worth trying to see if they help: www.askdoctorjo.com/content/herniated-disc-exercises Good luck.

[@Jvxsfferfbjes53]

I personally liked the Green Lantern socks. They look cool for this video. Other videos aren't as fun as this one.

[@AskDoctorJo]

Thanks :-)

[@amandajones661]

Dr Jo, I want you to know your videos have made it easier for me to speak to my PCM. For instance, if I went to my PCM, I might say, "I'm in pain, help me", and with DRs being overloaded, I was always given the standard physical therapy and pain pills. Of course, I do need these items, but, after watching each of your videos, I am able to say, "Hey Dr ABC, with my conditions would be it medically sound to try an EMS unit?" You give your fans a new and proper language to use in our own care. ---- Plus, I am out of gel, and new pads, and my TENS provider went out of business, I had no idea where to purchase any. Now, I will call FLEXTONE, and ask them where someone like me can make personal purchases. -- Thank you DR Jo.

[@AskDoctorJo]

+Amanda Jones You're welcome! I am glad the videos have helped! Hopefully they can help point you in the right direction. If not, I think you can purchase those from Amazon.com in general. Good luck!

[@redacted1824]

I found this extremely helpful. I was placing the pads incorrectly since I purchased a TENS unit two weeks ago.

[@AskDoctorJo]

I'm glad it helped.

[@therealfrisco3859]

Hello! I have a question please. I am suffering from full body atrophy. Doctors are clueless but I know it's from a spinal injury I've had years ago. Anyways, I am wasting away so I have been trying to combat it with weightlifting but I can only workout certain muscles at the moment due to lack of workout equipment. Will the ems unit help my muscles to stimulate and grow? Thanks.

[@AskDoctorJo]

It really depends on how much of a spinal cord injury you had. It can help retrain muscles, but it will not grow muscle if they are not able to grow on their own. Since they are fairly inexpensive, it might be worth trying though. Good luck.

[@nicocomari1093]

This made it difficult to pick out something now. 😂 I had something in my cart on Amazon until I look up what the difference is. Thanks for this video. I do strength training with resistance bands & strengthen with my core. I believe I have a herniated disc in my neck & lower back. Nerve pain happens a lot along with my muscles get tight. I do stretches too. For instance, I felt fine when I went to bed. I was laying on my back. I woke up with nerve pain from my knee to my ankle. Sciatica is flaring up. Same goes for my neck. I'm guessing TENS unit since I strengthen my muscles already or a combo of TENS unit & EMS.

[@AskDoctorJo]

I would get a combo unit mainly because they are about the same price, and then if you ever need the EMS, you will have it. Good luck!

[@bbgerli]

Hello Dr. Jo, I really like your videos. May I ask Why did you have a Hip Surgery? I am 44 years old and I had my Hip replacement 6 years ago, it helped a lot with mobility and it extended my right femur improving the length of my leg, it was shorter since I broke my femur when I was 9 years old in a car accident. Usually I can walk without pain but as soon as I walk more or try to exercise, I start feeling pain. I just bough this machine to improve my legs muscles for strength and better appearance. Can you recommend legs exercises for hip replacement? Thanks

[@AskDoctorJo]

Thanks! I had a labral repair in my hip. Do you have access to a pool?

[@bbgerli]

AskDoctorJo Hello, thank you so much for your prompt answer. Yes, I have a Endless swimming pool, the one you can swim in the same space and I use it to exercise. Do you know what are the best exercises for legs and not affecting my hip replacement?

[@AskDoctorJo]

Fun pool! If you haven't, you can also do exercises in the pool, and use the resistance of the water to work the muscles more. I have a playlist of pool exercises you can check out: kzbin.info/aero/PLPS8D21t0eO-X68fTNKk7UEkegxDqzQ3U They are all great for the hip and back.

[@bbgerli]

AskDoctorJo Hello Doctor Jo, the videos for the pool exercises are excellent. Thank you. I have another question: I just got the FlexTone Machine and reading the Manual I saw a Warning that says: "Avoid placing the pads over metal implants" I have a Total Hip Replacement (Right Hip), it is ok to use the EMS on my legs (Femur with metal) ? I want to use this to improve my muscles for strength and have less cellulite. Thanks.

[@thehandseesall]

I have an self powered electromagnetic metallic deflector inserted into my sternum by Stark industries. every time I connect the TENS or EMS machines and turn them on an electromagnetic pulse seems to fire out of my palm, could you please help me by telling me how to use these machines properly as I keep destroying my expensive furniture every time I use these? PS I'm considering the option of fabricating a suit for these to control the energy pulse that keeps discharging from my palms, but am not quite sure if this is a good solution or not?

[@AskDoctorJo]

Is this Ironman???

[@thehandseesall]

Hahaha yep, the one and only!

[@AskDoctorJo]

Awesome! Huge fan :-)

[@MaghoxFr]

LOL best thread ever

[@dylanmills9637]

Hey please do a video on the best resistance band exercises!?

[@AskDoctorJo]

+Dylan Mills Any particular body area?

[@dylanmills9637]

+AskDoctorJo The back or lumbar?

[@sailme2day]

dr joe , the 2 of the three tens unit link to your product on your website for sale , is not available for purchase. you might want to consider another unit and add a new purchase link. Thanks for the tens video . congrats on the book . the pad placement has always been a mystery you have solved :)

[@AskDoctorJo]

Thanks for letting me know.

[@nobody-ld8jv]

Tanks for this information

[@AskDoctorJo]

You're welcome.

[@ubreakitirepairit3569]

Most chiropractic offices seem to use (EMS) when people are injured (car accidents). When you’re injured, you feel pain right…? So seeing that EMS is for muscle rehab, why does EMS seem to be used more often in a chiropractic setting than TENS? The way I see it, is that people feel pain regardless; and anyone looking into an EMS / TENS unit, is probably doing so because they feel pain somewhere. So it would seem as if TENS should be used in any case. How do you know if you should use TENS (block the pain) or use (EMS) stimulate the muscle. TENS sounds like a temp solution, but what will EMS do for the long run? And to clarify that question, I guess I’m basically just asking, how do you know if you need a pain management solution vs a muscle rehab solution…? I can only assume that you have to determine whether or not your pain is a muscle related issue or a nerve related issue…

[@AskDoctorJo]

I don't really know what most chiropractors use, but many of my patients talk about some form of TENS being used if they see a chiropractor also. They might call it "e-stim" which can be a number of different currents, but if you are not getting a muscle contraction (or at least trying to), it's not EMS or NMES. EMS can be used for pain control as well since technically retraining a muscle should help decrease the pain. So it is really injury dependent. The best way to find out what you need is to go see a health professional first, even if it's just for an evaluation.

[@TeslaNova49]

Great video. I had abdomen surgery about 10 months ago and the surgery caused some nerve damage. I believe the nerve damage is causing my abdominal muscles to weaken. I thought I would use the TENS to hopefully stimulate the nerves and the EMS to re-strengthen the muscles. What are your thoughts about this approach and is it possible to cause damage to the muscle with an EMS if its in a weakened state?

[@vr4966]

Hello Dr. Jo! I'm a 45 years old male and an avid cyclist for nearly 25 years, and as of a year ago underwent cervical diskectomy c5-c6 and now how having issues with the facet joint region, possibly arthritis, will find out from my pain management doctor this week. Anyhow it appears the symptoms are affecting my left mid trap/rhomboid area casing muscle knots compressing the medial nerve down the left arm at times. When the pain subsides there the inflammation pain moves across the top shoulders into the back of the neck. Wondering if you may have experienced any of your patients with similar issues and the post results? I'm hoping an EMS FlexTone will help with the knots, thank you in advance! Vic

[@pa777billy]

Dr. Joe : Hi I'm Peggy . Thank you for showing me the correct way to apply the pads for my knees . I hadn't been crossing them in the X way . My question to you is : is there even a slight possibility that using the tens unit might stimulate new cartilage in the knees ? It seems like it would .

[@AskDoctorJo]

Hey Peggy! You're welcome. I'm glad the video helped. There have been no studies to prove that, but it does increase the circulation, which I think would definitely help. Good luck!

[@pa777billy]

Thanks for your reply . I am going to keep the faith because I have read in so many places how important circulation is for the body . There are other things that must be done of course , but without circulation aint nothing going down !! The fight against arthritis is a personal war . The tens unit might turn out to be more valuable than people realize .

[@AskDoctorJo]

You're welcome! I totally agree :-) Have you ever tried aquatic therapy/water aerobics for your arthritis? It can be very beneficial.

[@pa777billy]

Hi Jo , I have an intuitive feeling that the tens unit should heal . I suspect that something is missing . There is something that should be done before during and or after using a tens unit but we don't know what it is . I know it sounds crazy but that is what I suspect strongly .

[@AskDoctorJo]

Is this still for your knees?

[@julialevin4131]

I purchased a TENS unit to help with endometriosis pain. I'm having a hard time figuring out where to place the electrodes (mine are the four common patches like in the video) so that they cross and cancel out the cramps/pain. Any advice on placement of those will be super appreciated. Great informative video too! Thanks!

[@AskDoctorJo]

Thanks, and you're welcome! Is your pain pretty general in the lower abdomen, or do you have specific spots that hurt more? If it's general, you can go wider with a larger area, like go out to right inside the hip bone area on the front (not on the bone), and place them at the belly button line, and then about an inch or two below those. Some people also just place them on their lower back, which also helps with the cramping in the front. Good luck.

[@andrewstrang7854]

can you please do a video on how to stop bad stitches by the heart area it's getting annoying

[@AskDoctorJo]

+Andrew Strang By stitches, do you mean cramping, pain, twitching? Any kind of chest pain (angina) should be checked out by your doctor.

[@sriharibabu9175]

thank you dr jo

[@AskDoctorJo]

You're welcome.

[@alymarty]

Hi Doctor Jo, just a quick question for the EMS machine -- i noticed it had the red and white color on the top part of the sticky pad, does that matter where you place it? Thanks for the easy explanation on the video!

[@AskDoctorJo]

You're welcome! The original ones (the type II that you needed a prescription for) had red and black wires for positive and negative charges. The red (positive) would be placed closer to the body/torso, and the black (negative) would be placed farthest away from the body. For most of the ones now that don't need a prescription, that doesn't apply anymore (unless it's indicated in the manual), and it's not a big deal if it's not placed that way, but if you do have two different colors, it's probably worth putting the red closer to the torso.

[@terrytaylor2238]

How long does it take using this tens unit till u start to feel pain relief say with someone who has arthritis?

[@beebb1676]

Please I have an inflammation in the soles of the foot how do I get the device points

[@AskDoctorJo]

What is the inflammation from? Did you have an injury?

[@RedSox2018]

Hello Doctor Jo! I have extremely tight hamstring and quadricep muscles. Will the TENS or EMS help with loosening muscles, or are they strictly designed for pain management? Thank you.

[@williamtran3512]

Hello Dr. Jo I was wondering if you can use electrical heatpad with the tens simultaneously?

[@AskDoctorJo]

Yes, that should be fine. Good luck.

[@conniebreeze3490]

My PT is using both of these types of therapy on my knee ...sadly the quad muscle is not contracting...I allow the PT to increase the intensity nearly beyond what I can tolerate so we can get this quad to contract but still no contraction

[@AskDoctorJo]

What kind of injury did you have? Maybe the PT just needs to move the electrode placements around. Are you using Russian current for the muscle stimulation?

[@conniebreeze3490]

@@AskDoctorJo Russian...I have bone on bone and my patella is off track

[@AskDoctorJo]

It might just be the electrodes need to be moved around some. Sometimes it takes a few tries in different spots to get on the right area.

[@conniebreeze3490]

@@AskDoctorJo thank you...I'm supposed to have tkr but the dr wont do it now he said my quad is to weak...but the pain in the patella is so bad it inhibits me from doing certain exercises like leg lifts...I have been this way for over a year ...I really cant take it anymore....I see the dr again Wednesday..not sure what to expect...thank you for your suggestions...

[@conniebreeze3490]

@@AskDoctorJo oh and my pt uses a tens and I love it that and KT tape...reallly helps with pain so much so that I exercise this leg more now than I did before the tape and tens therapy..

[@stephanieme4405]

Can you tell me what numbers I need to I need to program My machine to? I have a Roscoe combo care machine with tens EMS and ultrasound. I'm most interested in the EMS for muscle Gained... And I agree with you I love the way it feels!

[@AskDoctorJo]

I am not familiar with that particular machine, so I don't know specific numbers for it. For the EMS portion, does it have a specific name, like Russian current, or are they all pre-programmed?

[@vaspitfyr9413]

Thanks for the tutorial! Quick question....TENS or EMS for muscle trauma (contusions post-MVA) recovery in the back and obliques?

[@AskDoctorJo]

You're welcome! TENS is for pain reduction and increasing circulation to help the healing, so that would probably be best as long as you are cleared by your doctor to use it on those areas.

[@George__Caldera]

Hello Doctor Jo Im looking TENS/EMS unit for scoliosis. How effective is TENS/EMS therapy for scoliosis? Could you please recommend me some brand units? do you know a sequence of channels and signals intensity for scoliosis? Thanks for your help!

[@bheeshamkumarsharma4822]

It is quite gOOd video it helps me to how to use TENS thankyOU.

[@AskDoctorJo]

You're welcome, and thanks! Good luck.

[@learn4fun829]

How strong is it? I have been using tens for years and I always max it out and still need more.

[@grease112]

how can I use this safely for costochondritis of sternum? Thanks!

[@AskDoctorJo]

It would be the same cross type pattern over the painful area. Good luck.

[@filalimalak3586]

mrc

[@ryan.stinson]

Will a TENS relax a tight muscle or just alleviate pain? My one SCM is super tight and would love to figure out a cost effective, somewhat easy way to alleviate it. Thoughts??

[@lissiewalkin3354]

thanks for another great video Dr. Jo!

[@AskDoctorJo]

Thanks, and you're welcome!

[@EMD0902]

Hi Dr Jo firstly let me congratulate you for your magnificent job that you do with this channel. I practice Kendo which requires a lot of strength on the knees as there is a lot of power and also landing after very short and intense movements,sadly I injured my knee ligament a couple of years ago and know I've been told that I need to strengthen my knee if I want to continue practicing. How would you position the electrodes to make it work?

[@AskDoctorJo]

Thanks! Do you have an EMS unit or a TENS unit?

[@EMD0902]

AskDoctorJo Does both job actually Ems and tens

[@AskDoctorJo]

If you are looking to strengthen, EMS is best. I would use two electrodes over quad muscle belly, maybe 3-4 inches apart. You want to be able to get a muscle contraction. Good luck.

[@lilianavazquez8154]

I had knee surgery back in December. I guess because of the pandemia they didn’t send me to therapy. My does not respond normally and even it locks and pops. I’ve been feeling my leg muscles too weak. If I walk for long periods , my knee starts to hurt bad. Do you think a TENS/EMS unit can help me with this?

[@robwisdom9608]

Dr Jo I had knee surgery 4 days ago. I had a tear on my lateral and medial meniscus. I'm going to be doing my own home therapy I have everything I could possibly do a therapist place I was wanted to know when is it the best time to do the tens either before therapy or after

[@AskDoctorJo]

Probably after, but you can use it as often as you want for pain control. Good luck.

[@ComedyTherapyYT]

I’ve seen some that convulse the muscle. Is that just as good for injury recovery as this sustained contraction?

[@BlackBlade0001]

I have been bedridden for a few months with an impinged nerve in lower back which means can't stand or sit for no time at all hardly. I ordered a tens machine off amazon to help with my lower back muscle that has been basically locked on for these past months due to the impingement. I forgot about my legs wasting away until today they are aching real bad, I never had developed leg muscles to begin with (chicken legs) so really didn't have much leeway I guess for being laid up this long. Would the EMS unit help me to rebuild these atrophied quads? Or would I be ok with using those exercise bands to work the muscle and then use tens to make the ache afterwards disapate?

[@AskDoctorJo]

If you are able to contract your muscles on your own at all, that's what you should try to do. You can do something like a quad set or a straight leg raise with the EMS, but you always want to try to actively move your muscles as well. Good luck.

[@jayshreelotlikar4893]

Chris C

[@moongirlmimi]

Chris C you need good chiropractic adjustments once a week or so until you're able to stand straight again. I know they can be pricey but im sure you can find a good affordable & i promise you won't regret it if you find 1 who knows what thwy like are doing. for the pain though i dont see why the unit wouldn't help.

[@kimbobandcameronwiller1511]

Is it safe to use the unit for EMS on a calf muscle after broken ankle surgery when there are pins and plates in the ankle? Great video. Thank you.

[@AskDoctorJo]

Thanks. When was your surgery?

[@kimbobandcameronwiller1511]

Surgery was March 12th 2018. I am out of my cast and into the CAM boot which I can take on and off but can not weight bear unless I am wearing it. I have started with PT and I am doing exercises without the CAM boot while at PT to regain mobility and strength. I am currently at a 1 inch calf difference and PT said that will only get worse. I am a very fit person who would really like for it not to get worse so I'm hoping EMS with as tolerable seated calf raises might help. Thank you for your response.

[@AskDoctorJo]

I would ask your PT just in case. It might be slightly too early for the EMS.

[@kimbobandcameronwiller1511]

Okay. Thank you!

[@AskDoctorJo]

You're welcome!

[@rachealvanelst-dancey6778]

Hey Dr. Jo! I have been looking for a TENS machine, and since there are so many different brands, price ranges, etc. I was wondering if you could suggest a general guideline when purchasing one. It would be around the knee area. Thank you for your videos and taking the time to respond !

[@AskDoctorJo]

+Racheal Vanelst-Dancey Most of them are pretty similar as far as how they work, and what they do. You can find the ones I have reviewed in our product store: www.askdoctorjo.com/products and you can also go to Amazon.com and look for the ones that have the best reviews. Good luck.

[@anatphil-golan1843]

hi, i saw your video and it was very helpful. I currently came back from a very hard hike and ever since then I have been having bad kneed pains. I was just wondering if you could tell me if there is any way my knees will heal so i will be able to hike again. Im wondering if you know how long it takes to heal from knee pains from hiking. I have never had it before.:-) thank you.

[@AskDoctorJo]

Unfortunately, without getting to evaluate you, I really don't know what it could be. If you just irritated your knees, then you should be fine with some gentle stretches and exercises. Good luck.

[@FrozenVodka1]

Dr. Jo, do you know how one can find the motor point on a muscle with EMS? I was informed on it, but wanted clarification. I don't want to get an electric shock to my heart. My understanding is that you put one electrode down on the Pt. and then one in the palm of your hand. You then turn the machine up to a light intensity and run your finger down the muscle until you feel the electricity at its strongest point? Is that the (safe) way to go about it? Thanks.

[@AskDoctorJo]

If you don't have a pen-electrode, you can do it that way. You might have to wet your finger slightly for the current to go through, but it won't hurt you either way. Good luck.

[@kcampbell867]

I have used a tens for years when my back is out of whack and it was suggested that I leave it on all day. What is your opinion on wearing it for that long? Obviously it is the small, portable unit.

[@AskDoctorJo]

+Kristi Campbell I wouldn't recommend it, but that is just my personal opinion. It is really meant to get you through bad pain moments. If you use it long term, then your body almost builds a tolerance to it, just like long term medication use, so then it become less effective. Good luck!

[@maatase-o9499]

What would be the difference between TENS and/or EMS and/or the Thermatix to address pain and inflammation around the knee(outer knee-meniscus tear)? What would be the most effective/appropriate system to use, if any? Most interested! Thanks, in advance.

[@AskDoctorJo]

They all do very similar things, but in very different ways. TENS and EMS are actual currents that not only help increase circulation to an area, but it also help relieve pain. The Thermotex infrared heat uses light therapy to help "heat up" the area which increases circulation and helps relieve pain. So it really depends on your specific needs and how far out you are from your injury.

[@maatase-o9499]

AskDoctorJo my injury occurred over a year ago. I haven't been committed to rehab, until the last four months... in the water, for starters. Are there a few tools/straps that I should purchase and exercises/physical therapy that will be essential to get me back active? I dare not think it is a lost cause. :/

[@ChrisJones1985]

I have a Massage mode on my TENS Sports 2 machine, and I really like having it as close to max intensity as I can handle. It does of course contract the muscle, especially on my quads after a long run. Is this ok to get a intense massage in? Or am I fatiguing my muscle too much?

[@grayanderson6840]

Hi there Dr Jo, Back in September 2nd 2015 I had a heart attack and ended up having an emergency operation. I had a triple heart bypass and the vein used was from my left leg, cut from ankle to just above the knee. Since then I have had knee aches and pains and back aches and also a lot of gout too. One good thing about it is that I am still alive though. Would the TENS benefit my aches and pains? It is painful when I walk now on one side of my hips but I do my best to plod on. I am 67 now but still young at heart and I want to be able to get around without knee and hip and back pains.

[@AskDoctorJo]

Unfortunately, I don't know for sure without getting to evaluate you, but I think it's worth a try. Good luck.

[@mercedesperez7542]

Hi Dr. Jo love your videos so very helpful! How would I know which of the two will benefit me best. will I need to consult with my Orthopedic doctor.

[@AskDoctorJo]

Thanks! Most likely. Mainly the TENS is for pain control, and the EMS is for muscle re-education. Good luck.

[@djhesh80]

hi , nice video.. i ve had a hip replacement surgery on left n right is waiting n have strong pain due to the bone deterioration on right (Still to be operated ). couple of questions: 1. what is the best machine to use for operated hip ? also is it safe with having metal implant? 2. Would either of the machines help for my unoperated hip bone pain ? Also do i need to be careful on where the nodes are placed ? i am not great with biology :) many thanks

[@AskDoctorJo]

Thanks. If you are looking for pain control, the TENS unit is best. It is okay to use with metal implants as long as it's not a pacemaker or something like that. If you are still in therapy for your first surgery, your physical therapist will be able to help with the placement. Good luck.

[@djhesh80]

thank you :)

[@AskDoctorJo]

You're welcome!

[@danas3818]

it would be helpful to show us which "one" has the contraction. I ordered a similar device which says its ems but there is no clear indicator how to do that.

[@AskDoctorJo]

What do you mean by "one?" The muscle that contracts or the unit that does the contraction? Unfortunately, each unit is usually pretty different with it's settings.

[@desireebrown8641]

Can you please explain the difference between a NMES (Neuromuscular Electrical Stimulation) unit and a TENS unit I have a dual unit that offers both modes.

[@AskDoctorJo]

The above video should explain that. If not, it's also explained in the description below the video.

[@sorydntmind]

Hi , Thanks a lot for your helpful video. would you recommend these massager for an arthritis patient ? i am looking for a massager for my mother to help her with her knee , hip and ankle pain . Thanks

[@AskDoctorJo]

The TENS unit might help control pain some, but honestly, the best thing for arthritis is exercise. If your mother has multiple spots that hurt, aquatic therapy in the water might be great for her. Good luck.

[@sorydntmind]

AskDoctorJo Thanks for your reply

[@AskDoctorJo]

You're welcome.

[@snoopysn100]

Dr. Jo I have a question, the question is a would electrical muscle stimulation help with removing fat from the body since the muscle is experiencing contractions and using the energy stored in fat cells

[@AskDoctorJo]

+snoopysn100 Probably not. To burn fat, it is best to do cardiovascular exercises. Good luck.

[@snoopysn100]

AskDoctorJo Thanks

[@AskDoctorJo]

+snoopysn100 You're welcome.

[@amandatwisener]

Our unit works great it is both tens and ems. However the setting for ems says to use chinese acupressure chart..is that true? For back shoulder and back issues.

[@AskDoctorJo]

I'm not sure what you are asking. EMS should be used on the specific muscle(s) you are trying to retrain/strengthen.

[@simplyinquiring8927]

I have a question about the portable unit. I received a very similar TENS/EMS unit today, but am curious which functions are actually TENS and which are EMS as they are all labeled as different forms of massage... The manual is a bit sketchy at best... Can you identify which are modes are TENS and which are EMS since the manual doesn't do that?

[@simplyinquiring8927]

Actually, I bought the Tec Bean which is listed in your online store. I'm just looking for direction on which settings are truly EMS versus which settings are TENS, as that is incredibly important for me to know before I even attempt to use it.

[@ranieronda17]

Hello dr Jo. I am a recently trained Doula and Childbirth Educator and I have a couple of questions. One would you advise using a TENS unit for mommies with back pain or hip pain? And two, I am wanting to simulate contractions to demonstrate labor contractions and how to properly count them. Would you recommend this EMS for this demonstration?

[@AskDoctorJo]

EMS is contraindicated for women during pregnancy. TENS can be used if cleared by their doctor, but you do have to be careful where it's placed since some studies show it could induce contractions.

[@doloresenriquez9275]

What is best to use a tens unit or ems for chronic pain or neuropathy ?

[@AskDoctorJo]

TENS if for pain control.

[@lizh9009]

I always love your videos-very informative! I do have a question: is EMS good for muscle knots/spasms? Would the electrical contraction from EMS reset the already over firing of the muscle fibers or make it worse by contracting more? I use a TENS-it helps, but I'd really like to relieve knots so I can exercise to build up weak muscles in my lower back due to scoliosis.

[@AskDoctorJo]

Thanks! I don't recommend using EMS on the back since some muscles cross the spine. It could cause contractions you are not wanting.

[@lizh9009]

@@AskDoctorJo Thank you for taking the time to answer my question. I'm a newbie to using a TENS and have noticed correct placement of the electrodes is everything along with the right amount of intensity! I wish I had a TENS unit years ago-it's major game changer!!

[@AskDoctorJo]

You're welcome. Yes, it definitely is!

[@snackertwo]

Can we use tens unit on my senior dog for hip arthritis pain? I'm using cold laser on him now and it has helped him a lot with the arthritic pain. Thanks Linda 9-11-16

[@AskDoctorJo]

It should be okay. I would double check with your vet though just in case. Good luck!

[@3S4EVR]

give the dog glucosamine , zinc and flavor less gelatin and he will heal

[@lavspurs]

Hi Jo, I have had a persistent chest injury for about 2 years caused in the gym. Long story short, I did not give it enough time to heal in the weeks after the initial injury. Now there is a weakness in the muscle fibres which causes it to re-injure very easily and was wondering if using a TENS machine will aid recovery once I have worked my chest in the gym? Your advice would be most appreciated!

[@AskDoctorJo]

TENS is really more for pain control, and some to increase circulation to the area. I'm not sure if it will help, but it might be worth a try. Good luck.

[@medilili2467]

Hi , what i need to use for my feet neuropatic diabetic 2 TENS or EMS? Thank you dr Joe

[@NoThankUBeQuiet]

Neuro is nerve so tens I assume.

[@emretascan7316]

Hi Dr.Jo!! Like your videos very much, thanks for sharing your all knowledge with us :) I'm doing triathlons and thinking to buy a TENS or EMS unit for to support my recovery process after workouts. For recovery purposes, currently i do foam roller and stretching. Do a TENS or EMS unit give any additional benefit on my recovery, or should i continue with the classic foam roller and stretching methods?

[@AskDoctorJo]

+Emre Tascan Thanks! Unless you are hurting after your workouts or you think you have a weakness somewhere, I think traditional methods would be just as beneficial. Good luck!

[@skyhigh6]

I have knots in my shoulder and mid-back. I have been using a TENS unit on my shoulders and I do get some relief. The TENS doesn't release the knots. I just ordered an EMS Device, where would you place the electrodes using the EMS?

[@AskDoctorJo]

You want the knot to be in between one channel (two electrodes).

[@NaturaKeratin]

very good tutorial..

[@AskDoctorJo]

Thanks!

[@fabsanh]

If I was diagnosed with extensor tenosynovitis of the foot, which settings should I use in a manual TENS machine? Thanks doc!

[@AskDoctorJo]

They are all pretty different, but with TENS, it's really about what is most comfortable for you since it is for pain control.

[@MandDEnterprises]

I went on your site and it says you recommending a different TENS unit. Why are you not promoting the one you displayed in the video?

[@AskDoctorJo]

That one is often not available. When it is, it's there. Also, I have reviewed many TENS units. I don't promote anything. I make an honest review of each, so you can decide which one will work best for you.

[@whs8657]

I have severe diabetic nerve pain in my calfs. I just got a TENS and EMS unit. I am assuming I use the tens for pain muscle relief and my goal is to get off of pain killers. How. do you determine what # level setting to you start at (1-150) and there are four categories (Burst,Normal, Pulse With Modulation & Plus Rate Modulation). Which of the 4 is best to set it on. One last question. Can these units be used a preventative, like starting of the day or afternoon with no pain present to help in eliminating severe pain coming on. Thank You

[@AskDoctorJo]

+William Snyder Yes, you would use TENS for pain control. It really doesn't matter with the setting a whole lot. It depends on what setting you like and what feels best for you. You want it to be strong, but not painful when it is on. I don't think it can work like a preventative, but it is definitely worth a try. Good luck.

[@Markomyt1]

Thanks for the demo... Love the Green Lantern socks!

[@AskDoctorJo]

You're welcome, and thanks!

[@kennyho25]

Dr Jo, can I ask if I want to increase muscle mass, which one is more effective, resistance training or using EMS or both? Thanks a lot!

[@AskDoctorJo]

+Kenny Ho I would say using both. However, I really don't think the EMS will strengthen your muscles more than what you can do on your own. It is really for rehab and recovery when your muscles aren't quite engaging on their own yet, but it might help some. Good luck!

[@teiganwhite]

Just had acl reconstruction surgery. Wondering how often I can use this to stimulate muscles around my knee?

[@AskDoctorJo]

+Teigan White If you are using the TENS, you can using it often through out the day. 4-5 times. If you are using the EMS portion, I would only use it 2-3 times a day. Good luck

[@farhadzakeri9678]

Hi Dr,I have had cramps and tightness in my calf and neck for a long time due to weight training.I had two massage therapy session which they didn't fix at all. will these products help with my problem?If yes, which one do you recommend me more?

[@AskDoctorJo]

+Farhad Zakeri They might. It really depends on if it is truly muscles tightness or if there is an imbalance somewhere. I think it is worth a try. I would recommend the TENS. Good luck!

[@bryanashcraft8017]

So I can still use the smaller one on my lower back pain ? Just cross the wires like you explained ? I see that you only used 2 vs using 4 on the bigger model. Thanks

[@AskDoctorJo]

You can. The different number of electrodes depends on the area size, and if it is TENS versus EMS.

[@bibij8117]

Hi! Thank you for your video. I have pathelofemoral pain sindrome in my left knee and now I have pain in my right knee too. (I guess it is from being over used) I started using TENS machine on both knees 30 min each, once a day and I feel a little better. I wonder how many days in a row can I use the TENS? Happy Thanksgiving!

[@AskDoctorJo]

You can use it everyday. Good luck.

[@skyhigh6]

Dr. Jo, I suffer from OA, especially my hands, I use a TENS on my chronic low back pain and absolutely love it, but I cannot get any relief for my hands. Most of the pain in the base of my thumbs. Any suggestions?

[@AskDoctorJo]

Depending on the electrodes, you can cut them to be smaller as long as you don't cut the part that has the wiring. Then you can get it closer to the area since it's smaller. Do you have the square shaped electrodes?

[@skyhigh6]

Yes, I have the 2" square electrodes, I place one on the palm of my hand and one on the joint above the thumbs base, Set it to 120pps and width at 50. I have very large hands, most gloves I have to buy are X-large. I also use the compression gloves at night.

[@AskDoctorJo]

These might help: www.askdoctorjo.com/hand-arthritis

[@teferimekonnen6326]

How to get these materil ?

[@rajinikanth616]

Hello mam can I use it for bells palsy. Can u please show how to use it

[@AskDoctorJo]

You will need to go see a physical therapist in person for that. Good luck.

[@radinsyah1574]

Hi Dr Jo. What do you think about some ems-tens combo mini units? Are they any good? Or would I need one of each?

[@AskDoctorJo]

Most of the combos are pretty good, but you can tell a difference with the contraction if it's just an EMS unit. It really depends a lot on your body type as well. People with less adipose tissue (fat) tend to get a stronger contraction because it goes straight to the muscle. Good luck.

[@zulfiqarali-rw7ry]

Hi Ma'm.. I have question ... What correct placement for pads of ems for pelvic floor muscles ?

[@AskDoctorJo]

Unfortunately, I don't have a video for that.

[@dawnroby4061]

Hi Dr. Jo,What is a good setting to start out with on an EMS unit.

[@AskDoctorJo]

+Dawn Roby It really depends on your body type and how easily your muscle contracts. If you are doing EMS for a muscle contraction, you want to take it as high as you can to get that contraction, and then bump it up one more. Good luck.

[@potie8]

Doctor Hi I have a machine can i use the ecg electrodes pad as a replacement of the pads?

[@AskDoctorJo]

I would not recommend using pads that are not specifically for a TENS unit since they might not be compatible.

[@alisonryan-landon9768]

I have MS and need to avoid atrophy of right leg muscles. I swim every day but I don't think the muscles are getting enough stimulation. Could I use a TENS machine to help? I tried the Walk Aide that shocked the peroneal nerve when the knee was bent but found it pretty distracting and painful as it jerked my drop foot with the shock. But I liked the idea of stimulating the nerve- just not the price tag of $5K. The TENS units are much cheaper and would they do the trick?

[@AskDoctorJo]

TENS units are really for pain. EMS units will help contract the muscles, and might be worth trying.

[@himanshuchaturvedi5278]

I have cervical injury....it helps me or not?

[@sallycorita1120]

Hi Dr Jo, will this help with back knee pain?? Where the calve and hamstring muscle is painful when squatting down low??

[@AskDoctorJo]

+LIPS Dance It depends on what the pain is from. Did you have an injury?

[@jasmelacosta3420]

Thank you for the video. For muscle recovery I have access to a neuromed but not sure the setting for muscle;e recovery. Do you have any insight? Thank you again

[@AskDoctorJo]

You're welcome. I'm not familiar with that particular brand, but I would think it is fairly the same. Good luck.

[@jasmelacosta3420]

AskDoctorJo would be not high not to low setting or there is a particular intensity protocol?

[@AskDoctorJo]

Mainly, you want it to be strong, but tolerable. Since everyone is different depending on how muscles react, you really just have to try the different settings to see what works best for you.

[@stephanieme4405]

Also do they make a splitter where I can turn my 2-channel machine that treats 2 areas into a four or eight area treating device? I know I won't be able to change the strength individually but at least I'll be able to cover more area and one setting

[@AskDoctorJo]

I would reach out to the company for that question. They might have cords with more channels that you can just plug into the same outlet, but unless the unit says that it has more than 2 channels, it probably doesn't do that. Also, if you are wanting to use EMS, you should only use two electrodes (1 channel) at a time anyway.

[@jane4759]

Where do I put it Voor fear and anxiety?

[@Fisioterapi_Rafindra]

Dr.Jo , what about the frequency between Tens & Ems? Are they different ?

[@AskDoctorJo]

Yes, since TENS is for pain control, you can use it several times a day 3-5. EMS is actually working the muscles so you don't want to over work them, so probably just 1-2 times a day. Good luck.

[@johnbarrow8128]

I have been using TENS with 2 pads to treat tennis elbow, one above the elbow and one below. Do you recommend using 4 as with the knee? I'm not sure how they would create that X pattern in such a small area. Any suggestions? Also, I assume TENS is the way to go over EMS for this treatment. Thanks!

[@AskDoctorJo]

+John Barrow Two is fine for a small area as long the current flows over the spot you want it. Yes, TENS would be better for pain control. Good luck.

[@johnbarrow8128]

Thank you!

[@AskDoctorJo]

+John Barrow You're welcome!

[@iandildine5456]

If I have a hamstring strain and chronic tightness, should I use an EMS or TENS machine?

[@AskDoctorJo]

+Ian Dildine I would recommend the TENS since it is for relaxation and pain control. Good luck.