Two Ways to Approach TTNS
If you and your physician conclude there are no contraindications to TNS, there are at least two ways to consider:
Approach 1 –
- Begin in a clinic with FDA-cleared PTNS.
- If PTNS provides meaningful improvement, decide later whether changing to TTNS offers advantages for your situation.
Approach 2 –
- Learn about electrode placement, treatment technique, and tracking results
- Discuss TTNS directly with your physician.
- If TTNS fits your circumstances, decide whether to begin a TTNS trial.
If you are interested in tibial nerve stimulation but your physician is not comfortable discussing TTNS,
consider and discuss PTNS.
PTNS treatments can provide useful information. If PTNS provides meaningful relief, you can continue PTNS for as long as you and your physician consider it appropriate. You may also decide later to explore whether TTNS could provide similar benefit with treatment at home. Success with PTNS does not guarantee success with TTNS, and lack of success with PTNS does not prove that TTNS would not work. But your experience with PTNS can provide useful information for future decisions about TTNS.