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Ankle and Foot Pain

Plantar Fasciitis
Plantar Fasciitis

E-set: For pain occurring in the bottom of the foot, for example, from plantar fasciitis, the small round primary electrode should be placed directly over the pain site as shown above.

The rectangular secondary electrode should generally be placed starting on the lateral aspect of the foot over the malleolus and wrapping around the Achilles tendon. This is the most comfortable location to receive stimulation from the larger dispersive electrode. The rectangular electrode should not touch the medial side of the ankle or foot as the electrical field can stimulate the tibial nerve which may limit the level of stimulation that the patient could otherwise achieve.

The use of a cohesive self adhering wrap, elastic bandage or velcro strap is recommended to hold both the round Primary Electrode and rectangular Secondary Electrode in place.

Achilles Tendinitis with Primary Pain in the Achilles Tendon
Achilles Tendinitis with Primary Pain in the Achilles Tendon

E-set: For pain occurring from achilles tendinitis, the small round primary electrode should be placed directly over the location where the pain presents itself, typically over the achilles tendon as shown in the photo above.

The rectangular secondary electrode should generally be placed in a horizontal fashion across the calcaneus but also covering the insertion point of the achilles tendon as shown in the photo above. The electrodes should have at least 1.0 inch of spacing between them. The rectangular electrode should not touch the medial side of the heel as it is sensitive to stimulation.

The use of a self adhering wrap, elastic bandage or velcro strap is recommended to hold both the round Primary Electrode and rectangular Secondary Electrode in place.

Achilles Tendinitis with Primary Pain at the Insertion Point of the Achilles Tendon
Achilles Tendinitis with Primary Pain at the Insertion Point of the Achilles Tendon

E-set: For pain occurring at the insertion point of the Achilles tendon, the small round primary electrode should be placed directly over the location where the pain presents itself as shown in the photo above.

Often there is secondary pain or stiffness along the Achilles tendon above the insertion point. The rectangular secondary electrode may be placed vertically over any secondary pain and/or stiffness presenting along the Achilles tendon as shown in the photo above. The electrodes should have at least 1.0 inch of spacing between them.

The use of a self adhering wrap, elastic bandage or velcro strap is recommended to hold both the round Primary Electrode and rectangular Secondary Electrode in place.

Lateral Ankle or Foot Pain in a Single Location (e.g. Ankle Sprain)
Lateral Ankle or Foot Pain in a Single Location (e.g. Ankle Sprain)

E-set: For pain occurring in the ankle or foot, for example from a sprain of the lateral collateral ligament complex, place the small round primary electrode directly over the pain site as in the photo above.

If spacing permits, the bony prominence or comfortable location to place the rectangular secondary electrode is starting on the lateral aspect of the foot over the malleolus and wrapping around the Achilles tendon, which is up higher than shown in the photo above. This is the most comfortable location to receive stimulation from the larger dispersive electrode. The rectangular electrode should not touch the medial side of the ankle or foot as the electrical field can stimulate the tibial nerve which may limit the level of stimulation that the patient could otherwise achieve.

One inch is the minimum spacing between the electrodes for this placement. The electrodes must not touch each other.

Medial Ankle or Foot Pain in a Single Location
Medial Ankle or Foot Pain in a Single Location

E-set: For pain occurring on the medial side of the foot or ankle, place the small round primary electrode directly over the pain site as in the photo above.

The rectangular secondary electrode should generally be placed starting on the lateral aspect of the foot over the malleolus and wrapping around the Achilles tendon. This is the most comfortable location to receive stimulation from the larger dispersive electrode.

Ankle or Foot Pain in Two Locations
Ankle or Foot Pain in Two Locations

B-set: For pain occurring from any foot or ankle injury where pain presents in two separate locations, for example from a high ankle sprain, two same sized 2-inch diameter round electrodes should be used. Both round primary electrodes should be placed directly over both primary locations of pain as shown in the photo above.

One inch is the minimum spacing between the electrodes for this placement. The electrodes must not touch each other.

High Ankle Sprain with Pain in a Single Location
High Ankle Sprain with Pain in a Single Location

E-set: For pain occurring from a high ankle sprain, primary pain often occurs above the ankle toward the anterior or lateral side of the foot. Place the small round primary electrode directly over the primary point of pain.

If spacing permits, the bony prominence or comfortable location to place the rectangular secondary electrode is starting on the lateral aspect of the foot over the malleolus and wrapping around the Achilles tendon, which is up higher than shown in the photo above. This is the most comfortable location to receive stimulation from the larger dispersive electrode. The rectangular electrode should not touch the medial side of the ankle or foot as the electrical field can stimulate the tibial nerve which may limit the level of stimulation that the patient could otherwise achieve.

Half of one inch (0.5 inches) is the minimum spacing between the electrodes for this placement. The electrodes must not touch each other.

Turf Toe, Metatarsophalangeal Joint Pain
Turf Toe, Metatarsophalangeal Joint Pain

E-set: For pain occurring in the big toe, for example from turf toe or metatarsophalangeal joint pain, the small round primary electrode should be placed directly over the pain site on the top of the toe as shown in the photo above.

The rectangular secondary electrode should generally be placed starting on the lateral aspect of the foot over the malleolus and wrapping around the Achilles tendon. This is the most comfortable location to receive stimulation from the larger dispersive electrode. The rectangular electrode should not touch the medial side of the ankle or foot as the electrical field can stimulate the tibial nerve which may limit the level of stimulation that the patient could otherwise achieve.

There is no maximum distance between the electrodes.

Metatarsal Pain, Morton's Neuroma
Metatarsal Pain, Morton’s Neuroma

E-set: For pain occurring in a joint on the top of the foot, for example between the phalanges and metatarsal bones, or for pain from a Morton’s Neuroma, the small round primary electrode should be placed directly over the pain site on the top of the foot as shown in the photo above. If the pain presents from the side or bottom of the foot, the small round electrode should be placed over the painful area on the side or bottom of the foot.

The rectangular secondary electrode should generally be placed starting on the lateral aspect of the foot over the malleolus and wrapping around the Achilles tendon. This is the most comfortable location to receive stimulation from the larger dispersive electrode. The rectangular electrode should not touch the medial side of the ankle or foot as the electrical field can stimulate the tibial nerve which may limit the level of stimulation that the patient could otherwise achieve.

Warning: Electrodes must not touch each other.

Pain in the Lateral Posterior of the Foot and Heel
Pain in the Lateral Posterior of the Foot and Heel

E-set: For pain occurring in the posterior lateral side of the heel or ankle, place the small round primary electrode directly over the pain site as in the photo above.

The rectangular secondary electrode should be placed starting on the lateral aspect of the foot over the malleolus and wrapping horizontally around the Achilles tendon. Over the malleolus is the most comfortable location to receive stimulation from the larger dispersive electrode. The rectangular electrode should not touch the medial side of the ankle or foot as the electrical field can stimulate the tibial nerve which may limit the level of stimulation that the patient could otherwise achieve.