Flex TENS ™ Protocol
Click on the diagnosis below for suggested electrode placements
TARSAL TUNNEL SURGERY
Electrode Placement
Along medial and lateral border of foot
Control Settings
Mode: 8/8 or 10/10
Frequency: 100
Treatment Time: 15 minutes
Amplitude: Maximum Sensory Level
THEN
Mode: 1/1
Frequency: 10
Treatment Time: 15 minutes
Amplitude: Maximum Sensory Level
FLEX-GAR SOCK™
- Red lead goes into sock
- Black lead placed in electrode proximal to the body
LOW BACK PAIN
Electrode Placement
OPTION 1: Centralized LBP
Channel 1: Bilaterally at level L2-3
Channel 2: Bilaterally at SI level
Note: General rule - place channel
1 above pain level, channel 2 below
pain level
OPTION 2: Radiating LBP
Channel 1: Bilaterally at lumbar level involved
Channel 2: One patch over SI joint of affected side, other over sciatic notch or just distal to end point of pain
Control Settings
Mode: N
Frequency: 125 pps
Pulse Width: 20 - 60 ms
Amplitude: Sensory level to tolerance
Treatment Time: 30 minutes to 1 hour intermittently throughout the day
FLEX-GAR BACK™
- Place electrodes as shown in option 1
CERVICAL SPRAIN/STRAIN
Electrode Placement
Channel 1: Place electrodes bilaterally at suboccepital area
Channel 2: Bilaterally at C7-T1 level
Control Settings
Mode: N
Frequency: 10 pps
Pulse Width: 150 - 250 ms
Amplitude: Sensory level to tolerance
Treatment Time: 30 minutes to 1 hour intermittently throughout the day
FLEX-GAR CERVICAL™
- Place electrodes as shown
SHOULDER SPRAIN
Electrode Placement
OPTION 1: Centralized LBP
Channel 1: Place one pad on trigger point of supraspinatus, other on deltoid insertion
Channel 2: One pad on pec insertion other one teres major
Control Settings
Mode: N
Frequency: 100 pps
Pulse Width: 150 ms
Amplitude: Turn up to MS contraction state if palpable trigger points
Treatment Time: 15 - 20 minutes to decrease trigger points
FLEX-GAR SHOULDER™
- Place electrodes as shown
HIP STRAIN/PAIN
Electrode Placement
- May use 1, 2, or 4 electrodes
- If you use 1 pad try paravertebral
- If you use 2 pads use 2" x 3.5"
- If you use 4 pads use 2" round
OPTION 1
Place 2" round pads 3 - 4 inches
apart forming a square around the site of pain
OPTION 2
Place 2" x 3.5" above and below site of pain
OPTION 3
Paravertebral Pad - Place over involved region
Control Settings
Mode: N
Frequency: 80 pps
Pulse Width: 250 ms
Amplitude: Just below MS contraction
Alternate Control Settings
Mode: N
Rate: 4 pps
Duration: 150 ms
Amplitude: Just below MS contraction
Treatment Time: 15 - 20 minutes
FOOT OR ANKLE PAIN
Control Settings
CHRONIC
Mode: M
Frequency: 150
Pulse Width: 70 ms
Amplitude: Maximum Sensory Level
Treatment Time: 20 - 30 minutes
Interferential
CHRONIC
Mode: 10/10
Frequency: 80 - 150
Treatment Time: 20 - 30 minutes
Amplitude: Maximum Sensory Level
EDEMA
Mode: 1/1
Frequency: 1 - 10
Treatment Time: 20 - 30 minutes
Amplitude: Maximum Sensory Level
back to top