Overactive bladder (OAB) can disrupt daily life with frequent urges to urinate, urgency, and, sometimes, urinary leakage (incontinence). While lifestyle changes, pelvic floor exercises, and medications are common treatment options, many people may not be aware of the benefits of using a Transcutaneous Electrical Nerve Stimulation (TENS) machine to manage OAB through a technique called Transcutaneous Tibial Nerve Stimulation (TTNS).
What Is Transcutaneous Tibial Nerve Stimulation (TTNS)?
TTNS is a non-invasive technique where gentle electrical impulses are delivered to stimulate the tibial nerve, a branch of the sciatic nerve running down the leg. The tibial nerve connects indirectly with the nerves controlling bladder function, making it a valuable target for treating urinary issues like OAB.
By stimulating the tibial nerve, TTNS helps regulate the bladder, reducing the involuntary contractions that contribute to the urge to urinate frequently. This can be effective for many people experiencing OAB and can often be used as a complementary treatment to other therapies like pelvic floor exercises.
How Does the TENS Machine Work?
A TENS machine (Transcutaneous Electrical Nerve Stimulation) delivers mild electrical impulses through electrodes placed on the skin. In TTNS for OAB, the TENS machine is applied to stimulate the tibial nerve, typically near the ankle area. Precise placement of the electrode and that correct settings are essential for effective stimulation, which is why it’s recommended that a physiotherapist help set up your initial sessions.
Not everyone is a candidate for TTNS. Your physiotherapist will assess whether this treatment is suitable based on your medical history, current symptoms, and overall health. A physiotherapist will check that there are no contraindications, such as pacemakers, neuropathy or other conditions that may make using a TENS machine unsafe for you.
Results from TTNS can vary, but many people notice a reduction in urgency and improved bladder control after a couple of weeks. Combining TTNS with other conservative treatments like lifestyle modifications and pelvic floor exercises can enhance results and provide long-term relief. Managing an overactive bladder can be life-changing, and adding Transcutaneous Tibial Nerve Stimulation (TTNS) to your treatment plan might be the key to finding relief. Remember, it's always best to consult with a pelvic health physiotherapist who can guide you through the process, ensure the treatment is right for you, and help you get the most out of your TENS machine.
If you're interested in exploring this treatment further, book an appointment to discuss whether TTNS for OAB is a good fit for you.
This is general information only and should not replace medical advice. Please book in with your medical or allied health professional for tailored advice.
Lisa Moffatt
Physiotherapist - Women's and Pelvic Health
I believe every Aussie mum deserves the knowledge and tools to feel strong, confident, and in control of their body. Too often, women are told that issues like incontinence and postnatal pain are just “part of being a mum”—but that’s simply not true.
I’m on a mission to break the silence around pelvic health by sharing my expertise for free, so mums can get the support they deserve. Through education, community, and open conversations, I want to empower women to take charge of their health and well-being.
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