Dolito TENS Device 2-Channels

The Dolito is a modern, portable electrical nerve stimulation device primarily developed for pain relief and muscle stimulation. Manufactured by the German MTR+ Vertriebs GmbH, this medical device holds CE certification and complies with strict European medical device standards. With proper use, the device's expected lifespan is 10 years.

Operating Principle and Mechanism of Action of the Dolito Device

The Dolito operates on the principle of transcutaneous electrical nerve stimulation (TENS), a scientifically proven pain relief therapy method.

The device delivers electrical impulses to nerve fibers via electrodes placed on the skin.

The pain relief effect is based on two main mechanisms. One is the gate control theory, where electrical impulses block pain signal transmission to the brain. The other is the stimulation of beta-endorphin release, which are the body's natural pain-relieving compounds with morphine-like effects but without morphine’s side effects.

Click here to read more about TENS treatment, a drug-free and side effect-free method of pain relief.

Main Applications and Indications

The device is excellent for relieving pain of various origins.

It can be especially effective in treating cervical, dorsal, and lumbar spine pain. It is also effective for arthritis, circulatory problems, nerve pain (neuralgia), neuropathic and muscle pain.

Furthermore, it can help alleviate phantom pain, post-fracture pain, and pelvic floor muscle pain.

The built-in 5th program is specifically designed to strengthen weakened but intact muscles using a special work/rest rhythm.

Operating Modes of the Device

The Dolito can be used in three different TENS modes.

• The continuous (CONT) mode applies constant, unchanged electrical impulses.
• The modulated (MOD) mode automatically and regularly changes parameters (frequency, pulse width, intensity), delaying the body's adaptation to stimuli.
• The third is the burst (BST) mode, which emits 9 impulses twice per second at preset frequency to promote natural endorphin production.

Contraindications for Electrotherapy Treatments

TENS is a safe and side-effect-free treatment method. There are very few contraindications.

Use of the TENS device is not recommended in the following cases:

Pacemaker or other implanted electrical devices: Electrical signals from TENS devices may interfere with older pacemakers or other electrical devices, especially if used in close proximity.

During pregnancy: Particularly during the first trimester, avoid using TENS on the abdomen, lower back, or sacral area due to potential harmful effects on the fetus.

Epilepsy patients: Electrical impulses applied to the head and neck area may trigger seizures.

Malignant tumors: The use of TENS is controversial. Many recommend avoiding direct application over or near tumors, while others suggest it as complementary treatment to reduce medication needs for tumor-related pain.

Fresh injuries, skin lesions, open wounds: Electrodes should not be placed on open wounds or inflamed skin to prevent irritation and delay healing.

Other conditions are not absolute contraindications but require careful consideration of benefits and risks by a physician.

Dolito TENS Device Programs

The device offers 5 predefined and 1 customizable treatment program.

Programs 1-4 contain various pain relief protocols; the 5th program is for muscle strengthening.

The programmable 6th program allows perfect adaptation to individual needs.

Settings include treatment duration (1-599 minutes), stimulation mode, frequency (1-150 Hz), and pulse width (50-350 μs).

Proper Use of Electrodes

Treatment effectiveness greatly depends on correct electrode placement.

Self-adhesive electrodes should be applied to clean, healthy skin. The distance between electrodes should not exceed 20 cm. Areas with dense hair should be shaved.

Electrodes must be replaced regularly when their adhesion decreases.

Treatment Procedure and Practical Advice

Before starting treatment, check battery charge and proper electrode connection.

After selecting the desired program, gradually increase intensity with the "+" button until a firm but comfortable sensation is felt.

The device has a built-in safety feature that locks intensity increase after one minute; unlock with three button presses. Stimulation stops automatically if the circuit is interrupted (e.g., electrode detachment).

Maintenance and Hygiene

The device is practically maintenance-free but requires regular cleaning with a mild detergent damp cloth (Clinell device disinfectant wipe). The device is not waterproof and should be protected from moisture. Disinfect cleaning is needed before use by another patient.

Memory

The Dolito has built-in memory storing treatment data: up to 60 days with 5 treatments daily. This enables physicians or therapists to monitor and evaluate therapy.

The device can be locked to a specific program to ensure the patient uses only the prescribed treatment.

Advantages and Limitations of the Device

The Dolito’s major advantage is its suitability for home use as an easy-to-operate pain relief tool. It effectively helps alleviate various types of pain without medication.

However, it is important to know it is not effective for all pain types and is contraindicated in certain conditions (e.g., headaches). Consultation with a doctor or physiotherapist is recommended before starting treatment to ensure optimal use.

Overall, Dolito is a versatile, reliable, and safe electrical stimulation device that can aid in pain relief and muscle regeneration when properly used. Its safety features and detailed instructions support correct application, but strict adherence to contraindications and precautions is essential.

If uncertain about applicability, read Dr. Zsolt Zátrok’s article on the Life Long Healthy blog. Click here.

There is a common belief that electrotherapy devices cannot be used with metal implants, prostheses, bone plates, or screws. This is outdated. Read Dr. Zsolt Zátrok’s article about implants and electrical therapy. Click here.