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The TENS + EMS COMB (Transcutaneous Electrical Nerve Stimulation + Electrical Muscle Stimulation Combination device) is a dual-purpose electrotherapy machine commonly used in physiotherapy, rehabilitation, and pain management. It combines the benefits of TENS and EMS in one unit.

Here are the main uses:

1. Pain Relief (TENS mode)

• Provides analgesic effect by stimulating sensory nerves.
• Effective for both acute and chronic pain (e.g., back pain, arthritis, post-surgical pain, sports injuries).
• Works through the Gate Control Theory and endorphin release mechanisms.

2. Muscle Stimulation & Strengthening (EMS mode)

• Activates motor nerves to cause muscle contractions.
• Helps in preventing muscle atrophy in immobilized patients.
• Useful in strength training for weak muscles (e.g., after stroke, spinal injury, or prolonged bed rest).
• Assists in improving muscle tone and endurance.

3. Rehabilitation & Recovery

• Facilitates muscle re-education, especially after neurological conditions such as stroke, multiple sclerosis, or spinal cord injury.
• Enhances circulation and reduces swelling (edema).
• Improves range of motion (ROM) when combined with exercise.

4. Sports & Fitness Applications

• Used by athletes for muscle conditioning, recovery, and relaxation.
• Assists in reducing muscle soreness (DOMS) after intense training.
• Can be applied for warm-up stimulation before physical activity.

5. Combination Therapy (TENS + EMS together)

• Provides simultaneous pain relief and muscle activation.
• Useful in conditions where muscle strengthening is required but pain limits exercise (e.g., post-ACL surgery rehab, knee osteoarthritis).
• Helps patients perform physiotherapy exercises more effectively by reducing pain and stimulating muscles at the same time