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Back Pain

Unilateral Low Back Pain
Unilateral Low Back Pain Focused on One Side of the Spine

B-set: Two same sized round electrodes are used. One is placed over the pain site, for example, in the lumbar region a few inches to the right of the spine.

As shown above, the second electrode is placed over the spine. The spine is a bony prominence and comfortable place to receive stimulation. In addition, the electrical field encompasses the nerve bundles running through the discs. If some of the pain presenting a few inches to the right of the spine is partially caused by a disc or nerve bundle issue at the spine, then the electrical field beneath the second electrode may capture the source of the pain as well. One inch is the minimum spacing between the electrodes. Electrodes must not touch each other.

Bilateral Low Back Pain
Bilateral Low Back Pain

B-set: Two same sized round electrodes are used fo
r two locations of pain that are similar in magnitude. For example, one may be placed directly over the pain site in the lumbar region a few inches to the left of the spine as shown above.

The second electrode may be placed directly over the pain site in the lumbar region a few inches to the right of the spine. Both electrodes should cover directly over locations where pain presents. The electrodes are independent of one another. There is no maximum distance between the electrodes. The patient feels nothing on the skin in between the electrodes; the active electrical field and sensation occurs in the volume of tissue (a 3″ diameter hemisphere) beneath each 2″ diameter electrode.

Low Back Pain
Low Back Pain Focused over the Spine

B-set: Two same sized round electrodes are used. One is placed over the pain site, for example, directly over L5 as shown above.

The second electrode is placed above or below the first electrode depending upon the spacing available. In this example, the second electrode is place approximately over L3 so that there is one of inch of spacing between the electrodes. The spine is a bony prominence and comfortable place to receive stimulation under the second electrode. One inch is the minimum spacing between the electrodes. Electrodes must not touch each other.​

Unilateral Low Back Pain
Unilateral Low Back Pain Focused over a Facet Joint

B-set: Two same sized round electrodes are used. One is placed over the pain site, for example, over the L5 facet joint as shown above.

In order to maintain one inch of minimum spacing between the electrodes, the second electrode is placed above the first and over the spine approximately over L3. The spine is a bony prominence and comfortable place to receive stimulation. In addition, the electrical field encompasses the nerve bundles running through the discs. If the pain presenting beneath the L5 facet joint is traveling up the spine toward the brain, then the active electrical field beneath the second electrode at L3 may help further reduce the transmission of the pain signal. One inch is the minimum spacing between the electrodes. Electrodes must not touch each other.


Lumbar Radiculopathy
(e.g. Sciatica or Radiating Pain)

B-set: Two same sized round electrodes are used. One is placed in the most proximal location where the pain first presents, for example in the buttock. (The electrode must be placed on the skin – the photo above illustrates the approximate positioning of the first electrode on the buttock).

The second electrode is placed over the source of the pain on the spine. For example, if the radiculapothy is caused by a herniated disc at L5, then the second electrode should be placed directly over L5 so that the electrical field captures the source of the pain as well. If, for example, the pain radiates down the right side, then the electrode over the origin of pain should actually be placed approximately 0.5 inches to the right of center so that the electrical field which forms beneath the electrode captures the pain signals in the direction they are traveling. There is no maximum spacing between the electrodes.

One inch is the minimum spacing between the electrodes. Electrodes must not touch each other.

Sacroiliac (SI) Joint Pain
Sacroiliac (SI) Joint Pain
(Bilateral or Unilateral)

B-set: Two same sized round electrodes are placed over one or two locations of pain over the sacroliliac (SI) joint. Even if pain presents just to one side of the SI joint, a bilateral placement as in the photo above may be used.

If there is unilateral SI pain as well as an additional location of pain or a diagnosis including an origin of pain at for example S1 or S2, then the first electrode is placed over the SI location of pain, and the second electrode is placed over the origin of pain, for example over S1 or S2.

One inch is the minimum spacing between the electrodes. Electrodes must not touch each other.


Unilateral Thoracic Back Pain Focused on One Side of the Spine (e.g. Trigger Points)

B-set: Two same sized round electrodes may be used to treat a large area of pain. If the two 2″ diameter round electrodes are placed one inch apart from one another, then the effective active electrical field forms in a 3″ by 6″ volume of tissue beneath both electrodes.

For example, for a rotational strain presenting in the lumbar area up to the thoracic area as shown above, the placement of the two 2″ round electrodes in a vertical orientation about one inch apart from one another provides an effective treatment area of approximately 6″ high by 3″ wide by approximately 1.5″ deep. Depth of penetration of the active electrical field is proportional to the intensity level reached and type of tissue through which the electrical signals pass. Both electrodes should cover directly over locations where pain presents. One inch is the minimum spacing between the electrodes. Electrodes must not touch each other.


Back Pain over a Large Area (e.g. Rotational Strain)

B-set: Two same sized round electrodes may be used to treat a large area of pain. If the two 2″ diameter round electrodes are placed one inch apart from one another, then the effective active electrical field forms in a 3″ by 6″ volume of tissue beneath both electrodes.

For example, for a rotational strain presenting in the lumbar area up to the thoracic area as shown above, the placement of the two 2″ round electrodes in a vertical orientation about one inch apart from one another provides an effective treatment area of approximately 6″ high by 3″ wide by approximately 1.5″ deep. Depth of penetration of the active electrical field is proportional to the intensity level reached and type of tissue through which the electrical signals pass. Both electrodes should cover directly over locations where pain presents. One inch is the minimum spacing between the electrodes. Electrodes must not touch each other.


Bilateral Thoracic Back Pain

B-set: Two same sized round electrodes are used for two locations of pain that are similar in magnitude. For example, one may be placed directly over the pain site on the left rhomboid as shown above.

The second electrode may be placed directly over the pain site on the right rhomboid as shown above. Both electrodes should cover directly over locations where pain presents. There is no maximum distance between the electrodes.