A Home TENS Machine to Manage Pain Between Acupuncture Sessions
I love helping people move out of chronic pain. But for many, lasting relief means having ways to care for themselves between sessions, carrying the effects of the session forward for faster results, or preventing chronic flare ups from starting.
For clients working with me on conditions like low back pain, runner’s knee, tendonitis in menopause, or joint flare-ups, a home TENS (Transcutaneous Electrical Nerve Stimulation) machine can be a very safe, effective, and low-effort way to extend the work we do together.
Personal Note
I use a TENS machine at home myself. I have one in my clinic, of course, that I apply to the needles, but I also keep a personal unit in my house. I use it often. It’s been essential in my own runner’s knee rehab, and when I’ve felt like I might have “tweaked” my low back, using it early has prevented flare-ups from turning into bigger issues. I use it frequently on long car trips. It’s one of those tools that has truly saved me.
What Is a TENS Machine?
A TENS machine is a small, portable device that uses low-level electrical impulses to stimulate nerves through the skin. These signals help block pain, reduce inflammation, and promote circulation in the surrounding tissues. Most people experience a mild, tapping or buzzing sensation. it’s not painful and often feels soothing. Many people know TENS machines from physical therapy or from athletic rehabilitation.
In Chinese medicine, TENS therapy fits beautifully into our understanding of how to move Qi and Blood, especially when there is stagnation due to injury, overuse, or hormonal changes (the #1 cause of frozen shoulder is prenancy!). It’s a way to bring therapeutic circulation into a painful area without strain or force.
When Is It Helpful?
TENS can be a wonderful support for:
• Knee Pain and IT band issues
• Tendonitis (especially common in menopause or postpartum)
• Low back pain from posture, stress, or overuse
• Neck and shoulder tension from screens or caregiving
• Joint stiffness and flare-ups
• Recovery from minor injuries or overtraining
What the Research Says
TENS therapy has been widely studied for various pain conditions and the research supports what many of us already know from experience: it works.
Here are a few highlights:
• Knee Osteoarthritis: A 2021 study in Medicine found that TENS significantly improved knee function and reduced pain when added to physical therapy. Study link
• Chronic Low Back Pain: A 2022 systematic review found moderate evidence that TENS reduced both pain and disability in adults with chronic low back pain. Study link
• Tendinopathy: While research is more limited, early studies suggest that TENS may enhance tendon healing by improving blood flow and modulating inflammation. Overview article
Where to Buy One & What They Cost
There are many great options, most of which are budget-friendly. Most devices are available at Walgreens, on Amazon, or directly from the manufacturer. Many are FSA/HSA eligible and don’t require a prescription for general use.
How to Use a TENS Machine
TENS machines come with reusable sticky pads (electrodes) that you place on or near the area of pain. Once positioned, you turn on the unit and select a setting. Start with a low, rhythmic pulse and gradually increase intensity as tolerated.
Use it for:
• 15–30 minutes at a time
• A few times a week, or multiple times a day during a flare. ( I will attach the very sticky pads to my skin and keep the controller in my pocket and use it frequently on long car trips…or in bed before falling asleep on my low back)
• After movement, or anytime you feel discomfort creeping in
At your appointment, I can show you how to place the pads for your specific condition—so you feel confident using it at home.
Safety & Contraindications
TENS is generally very safe. You should not use it if:
• You have a pacemaker or implanted electrical device
• You’re pregnant and haven’t been cleared for TENS by your provider
• You have epilepsy (consult your doctor)
• You have broken, irritated, or infected skin where the pads would go
• Over the front of the neck, head, or heart
Always start at a low setting and work your way up gradually. The sensation should feel strong-but-pleasant, not painful.
A Tool to Help You Heal
If you’re working with me on a pain condition, and you’re looking for a way to support yourself in between sessions, please consider buying and using a home TENS machine. It’s one of the few tools I recommend again and again, because it truly helps.
Let me know at your next visit if you’d like guidance picking one out or using it safely. I’m here to help.