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What is Electrical Stimulation, and Should I Be Using It?

Man receiving e-stim treatment on his deltoid

At Valeo, we offer additional therapies that go above and beyond a chiropractic adjustment, especially when dealing with an injury or pain. I’ve been using Electrical Stimulation (e-stim) as a Chiropractor for over 15 years, both for myself and for my patients, as part of my treatment to help manage pain naturally and recover from injuries faster.

So what is e-stim? E-stim is just what it sounds like: using electrical currents to stimulate nerves and muscles. This is done by placing electrodes on the skin in a specific area.

Now that you know what e-stim is, you might be wondering: should I be using it? In short, if you have pain, the answer is YES!

Ways You May Benefit from E-stim

Pain Relief

  • E-stim can block pain signals traveling to the brain (like a natural painkiller).
  • It also triggers the release of endorphins (your body’s own pain-relieving chemicals).

Muscle Relaxation

  • It can calm down tight or spasming muscles
  • By relaxing muscles, it also makes adjustments easier and more comfortable.

Reduced Inflammation & Swelling

  • Certain settings help increase circulation and lymphatic flow, which can decrease swelling around injured tissues.

Faster Healing

  • By improving blood flow, e-stim helps bring oxygen and nutrients to the area, speeding up tissue repair.

Improved Muscle Function

  • If muscles are weak or inhibited after injury, stimulation can “re-educate” them and restore proper activation patterns.

Complement to Chiropractic Adjustments

  • Adjustments improve joint movement, while e-stim calms irritated muscles and nerves.
  • Together, they can make the results last longer and feel more complete.

Can It Only be Performed at the Clinic?

At times, I will recommend patients use e-stim at home, usually in the form of a TENS unit. This would be slightly different than the Interferential Current I use in the office and I find myself always explaining the differences:

TENS (Transcutaneous Electrical Nerve Stimulation)

  • Purpose: Primarily used for pain relief.
  • Mechanism: Applies low-frequency, low-intensity pulses through the skin to stimulate sensory nerves, blocking pain perception and encouraging endorphin release.
  • Feel: Tingling or buzzing on the skin, but generally comfortable.
  • Use: Often for chronic or acute pain, easy for patients to use at home.

Interferential Current (IFC)

  • Purpose: Pain relief (like TENS), but with the added ability to penetrate deeper tissues.
  • Mechanism: Uses two medium-frequency currents that intersect (interfere) in the tissues. Where they meet, they create a therapeutic low-frequency effect that reaches deeper nerves and muscles without irritating the skin.
  • Feel: Smoother, less prickly than TENS—patients often find it more comfortable.
  • Use: Common in physical therapy for musculoskeletal pain, post-surgical pain, or deep joint/muscle issues.

Key Differences

Key differences between TENS and IFC

To Summarize: TENS is great for surface-level pain relief and home use, while IFC that we do at our office delivers deeper, more comfortable stimulation for larger or deeper problem areas.

Ask me about e-stim the next time you are in the office and I can help you find the best way to add it to your care!

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Picture of Jon Toftoy

Jon Toftoy

Dr. Jonathan Toftoy is a doctor of chiropractic. Over the past 10 years, he has worked as a private doctor for professional athletes. He has helped weekend warriors achieve personal bests, high school athletes win state titles, grandparents keep up with their grandkids, infants get a head start on their lives, pregnant women through healthy pregnancies, and everyone in between.