{"id":227,"date":"2026-08-02T05:26:44","date_gmt":"2026-08-02T05:26:44","guid":{"rendered":"https:\/\/oabtherapy101.org\/?page_id=227"},"modified":"2026-09-24T01:14:20","modified_gmt":"2026-09-24T01:14:20","slug":"70-ttns","status":"publish","type":"page","link":"https:\/\/oabtherapy101.org\/?page_id=227","title":{"rendered":"72 Approaches"},"content":{"rendered":"<div class=\"brz brz-root__container brz-reset-all brz-root__container-page\">\n<section id=\"mrgOqTdFuOae_mrgOqTdFuOae\" class=\"brz-section brz-section__header brz-section__header-type--fixed brz-css-d-1qa21x7 brz-css-1jtkpdo\" style=\"height: auto;\">\n<div class=\"brz-section__header--fixed\">\n<div class=\"brz-section__menu-item brz-css-d-1pmg9eu brz-css-1qzc03b\" data-brz-custom-id=\"yRzMMgZOLmLB\">\n<div class=\"brz-bg\">\n<div class=\"brz-bg-color\" style=\"text-align: center;\"><strong class=\"brz-bold-true\" style=\"font-size: 1.7em; text-align: center;\">Two Ways to Approach TTNS<\/strong><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"z8au5LV0R34p_z8au5LV0R34p\" class=\"brz-section brz-css-d-ynf0il brz-css-9m7chz\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-oh3bvl brz-css-10t6i65\" data-brz-custom-id=\"mR0dm1pAv2hx\">\n<div class=\"brz-container brz-css-d-x9rvyp brz-css-1g3nz9q\">\n<div id=\"\" class=\"brz-css-d-1wonu5h brz-css-10r2li2 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-1ehz5mr brz-css-xbdjbj\" data-brz-custom-id=\"eA2CP_O4wRPb\">\n<div data-brz-translate-text=\"1\">\n<p class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-uniq-id=\"jvGXl\" data-generated-css=\"brz-css-1toj24g\">If you and your physician conclude there are no contraindications to TNS, there are at least two ways to consider:<\/p>\n<h3 class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-uniq-id=\"gL9VV\" data-generated-css=\"brz-css-1toj24g\"><strong>Approach 1 \u2013 <\/strong><\/h3>\n<ul>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-uniq-id=\"aENI8\" data-generated-css=\"brz-css-1toj24g\">Begin in a clinic with FDA-cleared PTNS.<\/li>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-uniq-id=\"pz8HI\" data-generated-css=\"brz-css-1toj24g\">If PTNS provides meaningful improvement, decide later whether changing to TTNS offers advantages for your situation.<\/li>\n<\/ul>\n<h3 class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-uniq-id=\"bor9D\" data-generated-css=\"brz-css-1toj24g\"><strong>Approach 2 &#8211; <\/strong><\/h3>\n<ul>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-uniq-id=\"ljLFQ\" data-generated-css=\"brz-css-1toj24g\">Learn about electrode placement, treatment technique, and tracking results<\/li>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-uniq-id=\"hrzpo\" data-generated-css=\"brz-css-1toj24g\">Discuss TTNS directly with your physician.<\/li>\n<li class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-uniq-id=\"znrra\" data-generated-css=\"brz-css-1toj24g\">If TTNS fits your circumstances, decide whether to begin a TTNS trial.<\/li>\n<\/ul>\n<p class=\"brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-24 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_5 brz-vfw-lg-400 brz-fwdth-lg-100 brz-fsft-lg-0 brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_2 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-1toj24g\" data-uniq-id=\"j4WTl\" data-generated-css=\"brz-css-1toj24g\"><strong class=\"brz-bold-true\">If you are interested in tibial nerve stimulation but your physician is not comfortable discussing TTNS, <\/strong><strong class=\"brz-bold-true\">consider and discuss PTNS.<\/strong><\/p>\n<p class=\"isSelectedEnd\">PTNS treatments can provide useful information:<\/p>\n<ul data-spread=\"false\">\n<li>If PTNS provides meaningful relief, you can continue it for as long as you and your physician consider appropriate.<\/li>\n<li>You may later explore whether TTNS could provide similar benefit with treatment at home.<\/li>\n<li>Success with PTNS does not guarantee success with TTNS. Lack of success with PTNS does not prove that TTNS would not work.<\/li>\n<li>Your experience with PTNS can help inform future decisions about TTNS.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"tPAUmaSurHjz_tPAUmaSurHjz\" class=\"brz-section brz-css-d-ynf0il brz-css-8pdk6q\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-oh3bvl brz-css-1ayg95l\" data-brz-custom-id=\"cHaxhEvkYolT\">\n<div class=\"brz-container brz-css-d-x9rvyp brz-css-g2exxy\">\n<div class=\"brz-row__container brz-css-d-w3a52u brz-css-11ksgs7\" data-brz-custom-id=\"rIoj2vrP6lzb\">\n<div class=\"brz-row brz-css-d-1n95ksq brz-css-r-1xc399q brz-css-m262av\">\n<div class=\"brz-columns brz-css-d-j7y22h brz-css-16fp65c\" data-brz-custom-id=\"eyQh1xlRgI12\">\n<div class=\"brz-column__items brz-css-d-v5w42e brz-css-c0cbap\">\n<div class=\"brz-wrapper-clone brz-flex-xs-wrap brz-css-d-x0dcve brz-css-28oamo\" data-brz-custom-id=\"fEF8jM2zD0kj\"><a class=\"brz-a brz-btn brz-css-d-1syz9i2 brz-css-dd8kfo brz-css-d-13c78oe brz-css-1tpkkq5\" href=\"https:\/\/oabtherapy101.org\/?page_id=2558\" target=\"_self\" rel=\"noopener\" data-brz-link-type=\"page\" data-brz-custom-id=\"dWjYD9ErTXA8\"><span class=\"brz-span brz-text__editor\" data-brz-translate-text=\"1\">BACK<\/span><\/a>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0 <a class=\"brz-a brz-btn brz-css-d-1syz9i2 brz-css-n1cinx brz-css-d-13c78oe brz-css-81myun\" 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