{"id":2560,"date":"2026-08-19T14:59:44","date_gmt":"2026-08-19T14:59:44","guid":{"rendered":"https:\/\/oabtherapy101.org\/?page_id=2560"},"modified":"2026-10-07T04:31:37","modified_gmt":"2026-10-07T04:31:37","slug":"70-ttns-2","status":"publish","type":"page","link":"https:\/\/oabtherapy101.org\/?page_id=2560","title":{"rendered":"70 TTNS"},"content":{"rendered":"<div class=\"brz brz-root__container brz-reset-all brz-root__container-page\">\n<section id=\"k1gmowK2elZl_k1gmowK2elZl\" class=\"brz-section brz-section__header brz-section__header-type--fixed brz-css-d-1qa21x7 brz-css-10ygnav\" style=\"height: auto;\">\n<div class=\"brz-section__header--fixed\">\n<div class=\"brz-section__menu-item brz-css-d-1pmg9eu brz-css-1ewjdu3\" data-brz-custom-id=\"jVjKEFiE9Sar\">\n<div class=\"brz-container brz-css-d-brzbnx brz-css-g6in6f\">\n<div class=\"brz-row__container brz-css-d-w3a52u brz-css-1o7gdc6\" data-brz-custom-id=\"qnNYy4jzn3hu\">\n<div class=\"brz-row brz-css-d-1n95ksq brz-css-dvgvev\">\n<div class=\"brz-columns brz-css-d-j7y22h brz-css-1sh13dk\" data-brz-custom-id=\"b036iYyGnDYn\">\n<div class=\"brz-column__items brz-css-d-v5w42e brz-css-1hc8ff2\">\n<div class=\"brz-row__container brz-css-d-w3a52u brz-css-7b010f\" data-brz-custom-id=\"n7scYoRQt8ox\">\n<div class=\"brz-row brz-row--inner brz-css-d-1n95ksq brz-css-r-1xc399q brz-css-bg43ha\">\n<div class=\"brz-columns brz-css-d-j7y22h brz-css-nbtnr3\" data-brz-custom-id=\"cKM1n1W7vjDQ\">\n<div class=\"brz-column__items brz-css-d-v5w42e brz-css-pjzryl\">\n<div id=\"\" class=\"brz-css-d-1wonu5h brz-css-22e4a3 brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-1ehz5mr brz-css-1qo6s4b\" data-brz-custom-id=\"kTG5TlgvyP5d\">\n<div data-brz-translate-text=\"1\">\n<h2 class=\"brz-text-lg-justify brz-tp-lg-empty brz-ff-overpass brz-ft-google brz-fs-lg-16 brz-fss-lg-px brz-fw-lg-400 brz-ls-lg-0 brz-lh-lg-1_9 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-37zt74\" style=\"text-align: center;\" data-generated-css=\"brz-css-37zt74\" data-uniq-id=\"hqYzd\"><strong class=\"brz-cp-color2 brz-bold-true\" style=\"color: rgba(var(--brz-global-color2),1);\">Why Does This Website Include a TTNS Guide?<\/strong><\/h2>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<section id=\"yS64GYvp5GBh_yS64GYvp5GBh\" class=\"brz-section brz-css-d-ynf0il brz-css-149qiuu\">\n<div class=\"brz-section__content brz-section--boxed brz-css-d-oh3bvl brz-css-1myl89u\" data-brz-custom-id=\"rEIJOHcyM3b_\">\n<div class=\"brz-container brz-css-d-x9rvyp brz-css-k7lylm\">\n<div id=\"\" class=\"brz-css-d-1wonu5h brz-css-z0zi0p brz-wrapper\">\n<div class=\"brz-rich-text brz-rich-text__custom brz-css-d-1ehz5mr brz-css-kbrhyn\" data-brz-custom-id=\"oFDZHn2Eqhit\">\n<div data-brz-translate-text=\"1\">\n<ul>\n<li>Transcutaneous Tibial Nerve Stimulation (TTNS) is one member of the Tibial Nerve Stimulation (TNS) family of therapies.<\/li>\n<li class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_6 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-wexugm\" data-generated-css=\"brz-css-wexugm\" data-uniq-id=\"bECX9\">Outside the United States, TTNS has been studied and used extensively to treat overactive bladder symptoms.<\/li>\n<li class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_6 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-wexugm\" data-generated-css=\"brz-css-wexugm\" data-uniq-id=\"wJaYk\">In the United States, however, TTNS using general-purpose TENS devices has not been cleared by the FDA for treatment of OAB symptoms, and it remains unfamiliar to many physicians and patients.<\/li>\n<li class=\"brz-fsft-lg-0 brz-fwdth-lg-100 brz-vfw-lg-400 brz-lh-lg-1_5 brz-ls-lg-0 brz-fw-lg-400 brz-fss-lg-px brz-fs-lg-24 brz-ft-google brz-ff-overpass brz-tp-lg-empty brz-tp-xs-empty brz-fs-xs-12 brz-fss-xs-px brz-fw-xs-400 brz-ls-xs-0 brz-lh-xs-1_6 brz-vfw-xs-400 brz-fwdth-xs-100 brz-fsft-xs-0 brz-css-wexugm\" data-generated-css=\"brz-css-wexugm\" data-uniq-id=\"tqbxY\">As a result, patients who wish to make knowledge-based decisions may discover that relatively little practical information about TTNS is available from traditional U.S. sources.<\/li>\n<\/ul>\n<p>If you read \u201cMy Story\u201d earlier on this website, you may remember that I did a lot of reading and research after about 3 years of PTNS therapy. I found studies from outside the U.S. that claimed:<\/p>\n<ol>\n<li>TTNS and PTNS results are comparable,<\/li>\n<li>TNS works for perhaps 2\/3 of people, and<\/li>\n<li>If PTNS works, it is likely that TTNS will also work.<\/li>\n<\/ol>\n<p>I wrote: \u201cI decided to try TTNS even though I was confident, I could self-administer PTNS successfully.\u201d Since I had also learned that the FDA has not cleared TENS devices for TTNS therapy, I owe you, the reader, an explanation of the thoughts and logic that led me to this decision:<\/p>\n<p>These were my thoughts and the logic supporting my decision at that time:<\/p>\n<ol>\n<li>As an electrical engineer I have great respect for the power of electric current. Amperes of electric current can kill. Milliamperes can pace the heart muscle, stimulate nerves, and relieve sore muscles as well as myriad other things.<\/li>\n<li>TENS devices are FDA-cleared and commonly used in the U.S. to relieve a variety of aches and pains all over the body from the neck to the feet.<\/li>\n<li>I can buy a TENS device for about $50 that has built in \u201cfoot, ankle, and knee treatment modes,\u201d that are FDA-cleared and commonly used throughout the U.S. The issue is whether using the TENS device to stimulate the Tibial nerve creates risk that is unacceptably higher than the risk posed by PTNS electric current.<\/li>\n<li>The PTNS protocol specifies the location of electrodes: the needle just above the ankle, and the ground electrode on the soft skin of the arch.<\/li>\n<li>The nurses administering PTNS looked for evidence that they characterized as \u201cthe needle touching the nerve\u201d before initiating PTNS therapy. I inferred that my discomfort that led us to limit the current from the PTNS device is associated with the quality of the needle-nerve &#8220;connection&#8221; and the amount of current actually stimulating the nerve as opposed to current that leaks or passes elsewhere through skin or flesh.<\/li>\n<li>For some of my PTNS treatments, I increased the stimulation current up to the maximum of the PTNS device capability (9 mA); however, for other treatments increases were not warranted. At least one 3-mA-treatment lasted for the entire 30 minutes because it continued close to the level I considered uncomfortable.<\/li>\n<li>During three years of PTNS, my nurses increased the current from zero in 0.5 mA steps until I asked them to stop. If they went a step too far making the stimulation uncomfortable, they reduced one step. The comfortable stopping point varied between treatments, which I inferred reflected differences in the quality of the needle-nerve connection. This experience gave me confidence to use discomfort as feedback to limit current and stimulation intensity.<\/li>\n<li>As I began TTNS therapy, it turned out as expected. The discomfort from strong TTNS current and strong PTNS current was virtually identical, which seemed to confirm my expectation that the current flowing through skin and flesh that did not reach the Tibial nerve would have a similar risk profile to other TENS applications which are FDA-cleared, and the Tibial nerve would receive the stimulating current without distinguishing its source (the needle in the case of PTNS and the pad electrode, centered at the same location as the needle, in the case of TTNS).<\/li>\n<li>I considered both the potential benefits and the uncertainties of TTNS. The research I had read, the established use of TENS devices for surface stimulation outside the U.S., and my experience adjusting PTNS intensity gave me enough confidence to cautiously try TTNS. These considerations did not eliminate risk of TTNS therapy for OAB, but after more than a month of studying and thinking, I judged the opportunity worth pursuing, and I finally made the decision to try.<\/li>\n<\/ol>\n<p><strong><em><u>IMPORTANT<\/u><\/em>: <\/strong><\/p>\n<p><strong>Reader: Remember that I am not a physician. This logic that I used to support my decision to try TTNS may be faulty. Feel free to discuss my logic with your physician. Make a knowledge-based therapy decision that is right for you. <\/strong><\/p>\n<p class=\"brz-tp-lg-paragraph brz-css-1wkli4b\" data-generated-css=\"brz-css-1wkli4b\" data-uniq-id=\"potyA\"><a class=\"brz-a brz-btn brz-css-d-1syz9i2 brz-css-pfmmm3 brz-css-d-13c78oe brz-css-38rw2z\" style=\"font-size: 16px; background-color: #ffffff;\" href=\"https:\/\/oabtherapy101.org\/?page_id=215\" target=\"_self\" rel=\"noopener\" data-brz-link-type=\"page\" data-brz-custom-id=\"h9fkd_GjpQKy\"><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\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0\u00a0 \u00a0 <a class=\"brz-a brz-btn brz-css-d-1syz9i2 brz-css-4lqo8s brz-css-d-13c78oe brz-css-1tehmcx\" style=\"font-size: 16px; background-color: #ffffff;\" href=\"https:\/\/oabtherapy101.org\/?page_id=2558\" target=\"_self\" rel=\"noopener\" data-brz-link-type=\"page\" data-brz-custom-id=\"u2ihWguwZkct\"><span class=\"brz-span brz-text__editor\" data-brz-translate-text=\"1\">NEXT<\/span><\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/section>\n<\/div>\n<p><!-- version:1789679251 --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Why Does This Website Include a TTNS Guide? Transcutaneous Tibial Nerve Stimulation (TTNS) is one member of the Tibial Nerve [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-2560","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>70 TTNS - OABTherapy101.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/oabtherapy101.org\/?page_id=2560\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"70 TTNS - OABTherapy101.org\" \/>\n<meta property=\"og:description\" content=\"Why Does This Website Include a TTNS Guide? 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