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TENS, EMS and MENS – What's the difference?

TENS is probably the best-known type of physiotherapy treatment. It's so common that in our country today many people (incorrectly) call any device that provides electrical treatment a TENS device. In fact, electrotherapy includes a range of treatments that can have stronger therapeutic effects than TENS. Examples include EMS (muscle stimulation) and MENS (microcurrent), among others. If you don't know what these strange acronyms mean, what the methods involve and what advantages they bring, read my article.

TENS – Transcutaneous Electrical Nerve Stimulation

TENS is an abbreviation formed from the initials of the English expression meaning transcutaneous nerve stimulation.

TENS pulses act on the pain-sensing nerve endings in your skin and on the nerve pathways that carry signals from these endings to your brain — hence the name nerve stimulation.

The treatment has a pain-relief effect. It is primarily intended to reduce bone-joint-ligament-tendon pain. It is excellent for reducing symptoms caused by any arthritis or wear-and-tear (arthrosis).

However, it is strictly forbidden to use TENS for headaches, because applying TENS current through the skull can disturb brain function and may even trigger epileptic seizures.

Beyond pain relief, TENS has little or no other effects. It has no healing effect; it simply replaces pain-relieving medication, meaning you don't have to poison your body. Its advantage is that it is completely free of side effects, even when repeated several times a day.

EMS – Electric Muscle Stimulation

EMS stands for electrical muscle stimulation. In other words, it is intended exclusively for treating muscles.

The pulses create a series of muscle contractions through the skin. You feel this in your muscles as twitching.

Depending on the frequency and other settings of the muscle-stimulation program, the effects vary. For example: muscle relaxation, increased blood circulation, increased muscle strength, stopping muscle atrophy, regaining muscle strength after illness, etc.

It is ideal for any muscle pain, muscle weakness, circulatory problems, muscle wasting, and so on.

What is MENS?

MENS is also an abbreviation formed from the initials of an English expression (Microcurrent Electrical Nerve Stimulation), meaning microcurrent electrical nerve stimulation.

The waveform and frequency range of the electrical impulses fall into the same range as TENS. The difference is in the applied current strength. Microcurrent is on the order of millionths of an ampere — that is, about a thousand times smaller than TENS current.

This is such a mild electricity that the treatment itself is not even perceptible. The current strength is close to the electrical potential of cells.

The effect of MENS is twofold

Read this article of mine: Microcurrent – pain-relieving (MENS) and healing (MCR) effects

On the one hand, it has a pain-relieving effect, and it is significantly more effective than TENS. 90% of people who receive the treatment report a reduction in pain (whereas with TENS this is only 60–70%).

On the other hand, it has a healing-promoting effect. The microcurrent conducted through an inflamed, injured or diseased area restores the membrane potential of damaged cells, allowing the cell that was "shut down" by the disease to regain functionality. ATP (energy) production can increase by as much as 600–800%, and protein synthesis is triggered, which is the basis of healing.

Microcurrent is an energy that "pushes" diseased cells out of their "frozen, sick" state and initiates regenerative (self-healing) processes.

The pain-relieving effect is felt immediately after treatment, while the healing effect may require several weeks (after all, eliminating a long-standing inflammation doesn't happen with a snap).

The impulses are so mild that some microcurrent devices are already approved for use on the skull (CES, cranial electrostimulation), and are excellent for migraine attacks and many forms of headache.

Product recommendation: TENS / EMS / Microcurrent devices

Product recommendation: TENS / EMS / Microcurrent devices

Our store offers a very wide range of devices that provide electrical treatment. Look for the words TENS, EMS or Microcurrent (MENS, MCR) in the product name. That tells you which treatment mode the device provides.

Go to TENS-EMS-MENS devices! →

Beware: the term "microcurrent" is being misused!

Medical studies confirm that microcurrent effects occur in the range below 800 microamperes. The greatest ATP-boosting effect is experienced in the 200–800 microampere range.

Currents greater than 800 microamperes do not provide the cell-level effects described above.

It's worth knowing this because there are some manufacturers (e.g. the Italian iTech and some Chinese ones) that "play tricks" with the term microcurrent. They include the word microcurrent in the device name or description or offer a "microcurrent" program (e.g. iTech T-One devices). In reality, however, the device cannot produce "true" microcurrent. The smallest adjustable current value is given as 1000 microamperes. But that is actually 1 milliampere (=1000 microamperes), which is outside the effective treatment range, so it has no microcurrent effect.

It's like a car advertisement that says: very fast, because it can travel at 500 m/min. Five hundred... that sounds like a big number, fast. The deception is that they provided the figure in a unit (meters per minute) you rarely use and which looks large. In fact, 500 meters per minute is only 30 km/h, and you can be faster than that even by bicycle.

TENS – EMS – MENS. What's the difference?

All of these belong to electrotherapy treatments, but there are significant differences in their effects.

  • TENS relieves or even eliminates musculoskeletal pain,
  • EMS relaxes muscle stiffness, stimulates blood circulation, and (re)strengthens muscles,
  • MENS reduces pain, decreases inflammation, and aids tissue regeneration.

Microcurrent is a more modern and more effective pain-relief method than TENS. The main difference is that microcurrent (if you weren't cheated when buying) has a healing effect, whereas TENS has no such effect.

TENS current is perceptible and gives a pinching, tingling or burning treatment sensation, while microcurrent cannot be felt, making it ideal for those who dislike TENS because of its unpleasant sensation.

EMS acts only on muscles. Consequently, it can have pain-relieving effects, for example by relaxing a stiff muscle. But EMS itself is not good for immediate reduction of, say, knee pain, unlike TENS and MENS treatments.

At present I know of three microcurrent device manufacturers whose products have proven effects: Alpha-Stim (USA), Globus (Italy) and JeeCee (Belgium). Of these, JeeCee makes devices only for clinics, while the other two manufacturers produce devices specifically intended for home use.

In my opinion, microcurrent will soon take over the leading position currently held by TENS. According to some information, this has already happened in wealthier countries — in the USA, the UK, Japan and Australia people tend to buy and use microcurrent devices. Its spread domestically is hindered by the fact that, relative to already low wages in Europe, a microcurrent device is still considered expensive.

Article recommendation: Overview of electrotherapy methods

Article recommendation: Overview of electrotherapy methods

Electrotherapy does not mean a single method, but a variety of treatments using different electrical currents. My article helps you understand what each is used for.

Read the article! →
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