schwa-medico TENStem eco basic - Special Contraindications for Low-Frequency Electrostimulation with TENS in Pregnant Women; Special Contraindications for Muscle Stimulation; Side Effects; Special Side Effects for Nerve Stimulation

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1.4.2 Special contraindications for low-frequency electrostimulation with TENS in pregnant
women
The following applies in addition to the general contraindications for TENS:
• The use of TENS during pregnancy should always be agreed with the attending doctor and
the midwife, taking into account the benets and risks.
• TENS should not be used during pregnancy in patients who have experienced a miscar-
riage or a premature birth.
• TENS should not be used on patients in early labour.
• TENS should generally not be used or only used after careful consideration of the risks
during the rst three months of pregnancy. In particular, stimulation near the womb
should be avoided.
• From the 4th month of pregnancy TENS should never be used near the womb. This con-
cerns all placement of the electrodes in the abdomen, pelvis and lower back.
• TENS may be used during birth.
1.4.3 Special contraindications for muscle stimulation
The product should not be used or only used after consulting the responsible doctor in the
following cases:
• Persons in whom muscle stimulation leads to a high release of muscle enzymes and pro-
teins (e.g. creatine kinase, myoglobulin). This release can also be caused by the simulta-
neous taking of medications, e.g. cholesterol-lowering drugs (e.g. statins), and requires
medical supervision.
• With muscle disease (myopathies)
• Following drug use (e.g. alcohol) or those taking medications (e.g. lipid-lowering agents,
muscle relaxants, cortisone) that lead to the increased release of muscle enzymes and
muscle proteins in the blood serum
• For Diseases, such as of the kidneys or the liver as well as heart diseases, which are as-
sociated with a reduced compensation of increased values of muscle enzymes, muscle
proteins and electrolyte imbalances
1.5 Side eects
1.5.1 Special side eects for nerve stimulation
• Pain intensication: Excessive and prolonged use might cause an increase in pain. In or-
der to avoid an increase in pain, treatment should be carried out using a rather weak cur-
rent intensity (intensity control), especially during the rst treatments, and not for longer
than 30 minutes.
• Skin intolerances: These can occur as a reaction to the electrodes, to the electrode gel
when using rubber electrodes or if the pulses of current are too high.