15
TSE Mode
6
Transcutaneous Spinal Electroanalgesia (TSE)
is a relatively recent innovation in chronic pain
relief, discovered in 1991. It employs very
short (typically less than 4µs), medium
frequency, high voltage pulses applied to the
spinal cord. TSE was inspired by Dorsal
Column Stimulation and has the benefit that
no surgical procedure is required to implant
the electrodes.
Using TSE is easier than TENS since there are
only two electrode placements to consider.
Correct electrode placement is one of the
major reasons that users of TENS experience
difficulties in early use. To get started, follow
the steps summarised in the flowchart below
as described in detail in the next pages.
Getting started with TSE
Commence treatment b
treatment intensity until a light tingling
sensation 100% .
y pressing and
holding down the button to increase the
is felt or is reached
Typical settings are 50% with electrodes on
the neck and 100% with electrodes on the
back in TSE 1 (the default mode).
Treatment ends when the timer finishes
counting down and the message
“Treatment Complete” is displayed.
Plug the lead wire into the top of the
device and connect to two electrodes.
Stick the electrodes on the skin in one
of the two positions shown on page 18.
Turn on Acticare TSE by pressing and
releasing the ON / OFF button.
Acticare IC has three different TSE therapy
modes. First time users should use TSE 1
therapy mode for pain relief. Acticare IC
comes set in TSE 1 mode as standard so you
should not need to change these settings on
first use. When the device is switched on the
set mode is displayed on the screen for 1
second.
TSE modes
We recommend the use of self-adhesive
electrodes for TSE treatments. Low resistance
metallic conductor based electrodes are
required. Standard carbon TENS electrodes
are not suitable due to their poor current
distribution at the relatively high currents
employed by TSE.
Selecting a treatment time & intensity
With TSE, there is no one treatment time
appropriate for everybody. Because of this,
we recommend that users follow the
treatment schedule below for the first two
weeks of using TSE.
Start with a 30 minute
treatment using the default TSE mode called
TSE 1. Set the treatment intensity at a mild
First time use:
Name Therapy Recommended For
TSE 2 Powerful TSE Severe or long-
lasting conditions
where TSE 1 has
not helped.
TSE 1 Normal TSE All first time users,
all conditions.
TSE 3 Long pulse Low mood, fatigue
TSE and conditions where
TSE 1 & 2 have not
helped.
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