♪ Bob and Brad ♪ ♪ the two most famous ♪ ♪ physical therapists ♪ ♪ on the internet ♪ – Bada-bing Bada-boom Hi folks! I’m Bob Shrupp,
physical therapist. – Brad Heineck, physical therapist. – And we are the most
famous physical therapists on the internet. – In on our opinion of course, Bob. – Today, we are gonna
talk about the TENS unit for low-back pain and/or sciatica pain. We’re gonna show you
the electrode placement, is basically the purpose of this video. – Right, where you physically
put ’em on your body so that they’re effective, ’cause it’s really important
to understand this. – So with TENS, what
we’re talking about it is transcutaneous electrical neuro-muscular or nerve stimulation. One of them. – Right. In other, it’s easier just to say TENS and know it’s for pain management. – Right. And we’re gonna talk
about it in just a second, but if you’re new to our channel, please take a second to subscribe to us. We’ve provide videos how to stay healthy, fit, pain-free. We upload everyday. Also, yes sir, you wanna, or ma’am you wanna join us on our Facebook, BobandBrad, or go to bobandbrad.com, ’cause we’re always giving something away. – Yes. – Right now, well, go to the give-away section on bobandbrad. Right now, we’re giving
away, I think three of these. – All to the same person? – That’s right, no. – (Laughs) – It’s gonna be three different winners. – Okay.
– And these are nice and soft. I really like these foam rollers. These are really nice.
– Right. Yep, the density is nice. They look nice. They’re just a excellent quality. – Yeah, and you can clean ’em. Yeah, oh absolutely.
– Yeah, so. I don’t know why you’d get it dirty. You don’t do it in the.. You do it in the clean floor. – All right, now the,
I do it all the time. – Anyways, just continue TENS. – All right, so, how does TENS work? There’s really kinda two theories. One, electrical pulses. I don’t know if you’ve
ever seen a TENS or not, but you basically have the TENS unit. You have the lead and it
goes to the electrodes. Now they also have, we tend to like or we really like iReliev. – Right. – The brand name, we’ll
have the link below. They also have a wireless unit. – Sure. – So that the pads are, these are actually serve as the pads. They call ’em pods and
yeah, instead of that you have this, so you can really, especially with sciatica, you can put it without worrying about
the lines, the leads coming down. – Right, so the leads
don’t get in your way, they get caught up on things, and they can be a problem, particularly if you’re doing down the leg with ’em. Yeah, so if you’ll use our link below, you’re gonna get a hefty discount. We make sure of that. – For the whole unit. – For the whole unit, right so. So, it’s gonna give you electrical pulses that help prevent the pain signals from reaching the brain. – Right. – That’s the simplest explanation of it. – Right, there are some people who do not want to use TENS. I’ll just mention some of the big ones. Like if you have a pacemaker. – Yeah, there’s precautions
and contraindications. – Right. – Right. Pregnancy, you wouldn’t wanna go over the, you know, area of the fetus.
– Abdominal area. – So you don’t put ’em on your eyes. You don’t put it on broken skin. – Right. – There’s a lot different things. – You go to iReliev units. You can read through the list, but those are some of the big ones. So anyways, – The second thing TENS can do, it can actually stimulate
your natural endorphins. And, if it does that, it can actually have some carryover then. So, like you put this on, you take it off, and it still may control
the pain for awhile. – Sure. – Now, we’re gonna say
this as kind of a overall statement regarding
back pain and sciatica. We would prefer that you
first try some videos to take it away. – Right. – Like, you know, exercise. Like, the McKenzie technique. – Right. If you go to our playlist,
Bob and Brad for Sciatica, you’ll get a number of options to do this through exercise to,
instead of just masking up the pain, get rid of
it the way you should. – Right. – It might be just a posture problem. You’re sitting in a bad chair. – Yep. So, you wanna make sure
you address that first, but there are people that
it just doesn’t work. Their exercises don’t work and they’re living with sciatica pain
or they’re living with back pain that’s chronic. – Right. – And that’s where we would recommend something like this. – Right. Matter of fact, I’ve
got a woman right now. She has it and the doctor right away gave her an opioid. So it’s… – And that’s what we’re trying to avoid. – Right, exactly. – We’re trying to help
you manage your pain without having to use, especially these strong medications, the narcotics.
– Right, sure. – If we can do that, this
is definitely worthwhile. – Exactly. – So, let’s talk about
the placement of this. – Okay. – Obviously these are
gonna go on the skin. We’re gonna show you. It’s actually on our
clothing just so you can see ’em better, but you actually, obviously, wanna put this on skin. Again, you don’t wanna have broken skin and you wanna make sure the skin is clean. – Right. – A lot of times they have you take an alcohol wipe or… – If you happen to be a
hairy person, you may have to shave the hair off, because
– Good point. – it doesn’t get the
contact it needs, and then when you pull it off, it’s
not so comfortable either. – Right, you might say
some bad words like you like to always say.
– (laughs) – So, the guidelines for
placement, number one, and this is probably the
biggest thing you want to take away from this. You don’t have to be
that specific, I mean, it’s an experiment. – Right. – You know, there’s no
real right or real wrong except I guess wrong would be if you have pain here and you put it up here. – Right. – So, suggestions. You find, the first thing I’m gonna have you do is find the painful area, and surround it with electrodes. – So in other words, it’s gonna be four. Four electrodes.
– I would use four electrodes in that case, although you could go with two. Just go on one side
– Sure, yep. – of the pain. So, we’re set up here
for kinda low-back pain and sciatica here. Brad, you wanna point out how we’ve got these electrodes set up? – Yep. So, let’s say we had, the pain was here, and it was running down the buttock area, and it came to here. This is the central part
of the pain, right here. So, you can, if you use four, you’re gonna surround the area, and.. – And they’re gonna have the two leads are gonna cross. – Right, I’m gonna tell that right now. – Oh, you’re gonna show that. – This would be one channel. One channel is two leads, okay. Now these are black and
these are white so you see. So this is gonna be one channel here and here, and the current wants to go from here to here electricity. And then the other
channel is here and here. So, they make a crisscross pattern and that’s typically the most effective for pain relief using your TENS unit. Again, like Bob says, if you just wanna use one channel and not use two channels, you’ll cross the pain in either direction and see which way works the best. – Yeah, so, again, these are the ones that hook up to the wireless one and this is the unit for that. Another way we can do is just follow the path of the sciatic nerve. – Right.
– …down. And that’s what Brad has done here. So a lot of times the pain runs down in the back of the leg. You can put one here and here. We generally like ’em to have a couple inches apart. At
least you don’t have ’em – At least, yeah
– right on top of each other. Right, you can’t do that. – You could also put one here, wow, that really sticks, and one here, because your pain might go into the calf. – Sure. – And you’re again catching both. You can, like if you’re having back pain, you know, another
suggestion is you can put the electrode right on
the pain, if you want. – Sure. – Or if you like have a trigger point. – Right. – You can put it right
on the trigger point. – But then the other one has to be – Farther away. – farther away. – Right. – So you’re not gonna put one pad up here and one pad way down by your ankle. That’s too far apart. – Right. – You know, if you get
one or two palm-widths away, your starting to push it, you know, that distance is probably the farthest you’re gonna go between the two pads. – And you wanna keep in mind, you know, like you put it here, you’re gonna keep in mind you know, go down here where the sciatic notch is, sort of right here. You have to sit on it sometimes. – Right. – You don’t wanna really sit on an electrode. – Right. – I would say, yeah. – You’ll know ’cause if doesn’t make a good connection, you’ll feel where the pad is connecting to the skin, and it’s not real comfortable, so you may have to adjust. Make sure you have clean skin. It’s really important that your skin is clean and it’s not, doesn’t have a lot of oils on it and you’ll have to wipe that off with one of those alcohol pads works good so you get good contact. – Right. – So the electrical current. If you’re a little concerned about getting electrocuted, you’re not going to with these. These are very well controlled. It’s a small unit. They just work off of,
well these are not.. – Yeah, they won’t get electrocuted. You can get a good jolt though. – Oh yeah. – (laughs) – Yeah. They’re strong. They’re very, that’s been the surprising thing to me is how
powerful these things are. – Right.
– Cuz you can actually use ’em for muscle contractions. – Sure, sure. – To actually stimulate muscles that way. So basically, it’s an experiment. Again, to re-iterate, you know you can cross ’em over, you can use two, one at the start, one
down the path further. You can put it right over the pain. You can put it right over a trigger point or acupuncture point too. – Sure. – So that’s basically it and on a, you wanted to say a nutshell or a knot-shell, or the knots, remember? – (laughing) Yeah, I remember, but (laughs) – Alright. – We don’t wanna go there. – Alright. Remember, I’ve got your shirt on. – Alright, strong like bull. Bob and Brad, there you go. – Yep. ♪ (electric chord) ♪