Add a few drops of water on the gel surface. HIMS, HERS, H, and HIMS & HERS are trademarks of Hims, Inc. Get medication to your doorstep, if prescribed, https://www.ncbi.nlm.nih.gov/books/NBK562253/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047238/, https://www.ncbi.nlm.nih.gov/books/NBK537188/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2435023/. sharing sensitive information, make sure youre on a federal I would say with care the pads can last about 2 weeks of daily use. i found this for you its about someone who is allergic to tens machine pads and even bought the boots anti allergy ones but they did not work and this is someone leaving links to amazon about anti allergy pads that work. Happy for now and appreciate you making them. PMC At this point, youre probably asking yourself how safe this is. New media New comments Search media. Try changing your pad more throughout the day. Adult diaper rash can indeed be caused by adult diapers. And though also rare, it's possible to have an allergic reaction to the silicone nose pads found on many sunglasses. Wish they didn't cost so much more. Yes, these electrodes have reusable hypo allergenic gel so you can apply them multiple times as long as you take good care of them. My skin looks so much better. Live Chat. This will help the electrode pad and you can extend the life of the pad. Headache. Note: iTENS wings should always be used with a gel pad. My wife has super sensitive skin. Oh, and they make special pads for people with this problem. Hims & Hers has strict sourcing guidelines to ensure our content is accurate and current. eCollection 2021. Just apply a bit of water and they're ready to go again. When you are finished with your treatment session always place the electrode pad back on the square plastic to ensure that no dirt or dust accumulates. $29.95. Home; Uncategorized; allergic reaction to tens pads; Posted on June 29, 2022; By . While current study records are promising, the fact is you cant get that kind of help from a battery-powered Amazon purchase. Eating well, getting enough sleep, working out and laying off tobacco, alcohol and recreational drugs can improve your health, heart function and erections. They were delivered in a timely manner. Shortness of breathe. II can inbox you pictures through messenger or via email. I will be ordering more soon. Excess moisture is caused by the product having been subjected to a freeze thaw cycle, somewhere between manufacture and use on the patient. I tried these Hypo-Allergen free electrodes and they are perfect. Copyright 2021 ExcelHealth Inc. |All Rights Reserved|Powered by iReliev |, Premium TENS + EMS Therapeutic Wearable System, Premium TENS + EMS Pain Relief & Recovery, Wireless TENS + EMS Therapeutic Wearable System, Pain Relief Gel, Topical, Colorless, 6% Menthol, Spectra 360 Conductive Gel, 250 Gram Tube (8 02. $69.99 *. A 50 year-old man suffered from post-traumatic lumbar pair. cracking skin because of dryness. And how can you make it go away ASAP? The adhesive pads used to attach the electrodes to the skin can also trigger an allergic reaction in some . However, most of the time, those reactions . Shop MoS. Even though they share many similarities, pad rashes and diaper rash are not the same. These electrode pads are great for a person like myself . Please enable it to take advantage of the complete set of features! about 3% of individuals experience allergic reactions. The standard ones cause unbearable itching; weeping, blistering and just cant use the machine. My only complaint is that they are not offered in a 2x4 pad. Try a lower setting. Why is there sometimes excess moisture in the pack, is this dangerous? I use my TENS daily, so I need these gentle electrodes. When you subscribe, you can get the pads you need for as low as $12/month sent to your door at the frequency of which you choose. Hello my name is John Roman andI created Optimize Health 365 to help people get the most out of life by improving their health through easy to follow strategies and solutions. ulcerations. I use the gel on them that I have use on other pads at it takes ALL the stickiness off of them. Transcutaneous electrical nerve stimulation -- TENS -- machines are a common form of pain relief, especially for musculoskeletal pain 2 5 6. what are the advantages and disadvantages of recycling brainly . As always they lose some of the stickiness after the first use. I leave the tTens unit electrodes on all day and the regular electrodes would turn red and itch. Has anyone used a tens machine regularly for chronic pain? Maybe you just werent changing your pad enough that could easily lead to a rash. Youll notice a pad rash on your vulva, thighs, or buttocks. Adhesives on a pad can be a lifesaver: they keep it in place even when youre doing a lot of moving around. What about erectile dysfunction? I have enjoyed wearing the Protens Hypo-Allergenic Blue Cloth Electrodes For Sensitive Skin. Ingredients including, but not limited to, gel, backing material, and pigtail connection (Weight Percent): For All Orders That Ship Within The 48 Continental States Only, > 2'' x 2'' Hypo-Allergenic Sensitive Skin & Allergen Free Premium Electrodes, 2'' x 2'' Hypo-Allergenic Sensitive Skin & Allergen Free Premium Electrodes. Would suggest one tries them first before buyign several. It is feasible that you are sensitive to the metals or plastics found in your sunglasses frames or lens coatings. It is suggested that TENS stimulates skin wound healing and tendon repair, as well as the viability of random skin flaps.Such effects may be due to the release of SP and CGRP, which would increase blood flow and, consequently, hasten the events of tissue repair. Join and Save. I'm very happy with these electrodes I am allergic to adhesive and they do not make me break out. With repeated use, the pads gradually lose their stickiness. The only downside it that after you remove them, it leaves a little of the adhesive on my skin. Burst TENS- Application Pulse width: high 100-200 micro seconds Pulse rate: 70-100 pps modulated to 1-5 burst/sec Intensity: strong but comfortable treatment length: 20-60 minutes 23 . If possible, it's best to leave the area uncovered so it can heal. . Well walk you through the answers to these questions, starting with how this thing with the wires and the pads works. Axion Pack of 16 Electrodes. Journaling may be a way to support other anxiety treatments or improve how you feel when worries are taking over your life. So, several users reported unpleasant skin reactions when applying the pads. Yes you can! Then, I broke out in patches of bumps on my chest area and even down on my ankles and shoulders. What's new. Add. allergic reaction to tens pads. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Here's a rundown of the different causes and signs of relationship anxiety. Hello my name is John and I created Optimize Health 365 in order to help people get pain relief through medication free solutions. As someone guys. Med-Fit 1 Tens Pads 12 Pads 3 Packs of The Highest Quality Extra Long-Lasting self-Adhesive Tens Pads Size 5cm x 5cm 2"x 2" Med-Fit Pads use Patented Hydrogel for Guaranteed Long Life. multiple uses, These electrodes work great and my skin does not break out into a rash. Some patients who struggle with erectile dysfunction have felt like other treatments, such as Viagra, are not as effective and that shockwave therapy has better results. Disclaimer. Youll likely notice it on your vulva, buttocks, and/or thighs. These electrodes give me a rash, but are supposed to be hypo-allergenic. I have to wear the Tens most every day because of surgery and need a pad that is hypo allergenic. Only increase the intensity to fit what feels right for you. But it can also cause symptoms that might mimic . To relieve this, simply place the TENS pads on your traps, the nape, or near the upper spine. The objective is to place the pads either side of any spot where your muscles are tense. Its normal to be a little alarmed if you notice that your skin is red, itchy, and full of little bumps. Follow these simple 3 tips to prevent allergic reaction or skin irritation when using your TENS unit: Can you trim a TENS electrode pad? prince william county sheriff election. The blue cloth electrodes work fine for me. I wear my TENS all day long, These electrodes are hypoallergenic, and they don't make my back break out in a rash, but for some reason they keep catching on my clothing and peeling off. So that is why I ordered two sets the second time. Place electrode on exact skin location where recommended by practitioner. After all, it affects men in one of the most intimate, vulnerable and unmasked areas of their lives: sexual intimacy. You Are Here: phrases with the word lane youth movements 2020 allergic reaction to tens pads. If you get any rash from regular pads I highly recommend these hypoallergenic pads. Physiother Can. If you are in need of electrode pad replacements, check out ourDollar Electrode Pad Club. Other indications to avoid TENS treatments are people with epilepsy, have heart problems, or have a pacemaker present. The standard ones cause unbearable itching; weeping, blistering and just can't use the machine. Wear a thinner pad if possible so that you know youll need to change it sooner than something larger that absorbs more. Again, if you experience muscle soreness the day of or the day after TENS therapy, it was probably caused by having the settings too high. ELECTROPHYSICAL AGENTS - Contraindications And Precautions: An Evidence-Based Approach To Clinical Decision Making In Physical Therapy. But while a pad rash is caused by, well, a pad, a diaper rash isnt always caused by the diaper. But how to tell if its contact dermatitis from your pad or something else? Having a poor seal to the skin can cause the TENS unit to not be efficient at reducing pain. Hi, I received a heart monitor for a month to catch my heart arrythmias. Some research shows TENS electrodes may cause problems with transdermal drug delivery where the pads are placed (or near the area). (2011). Here's why it happens, how. Try to move the pads slightly each day too. Pain. allergic reaction to tens pads. This will help create good adhesion to the skin and will minimize allergic reactions. The most common complaint for electrodes is allergic skin reactions, usually in the form of a rash, . Contact dermatitis - epidemiological study. The reality of TENs and other electrical stimulation techniques is that we dont know enough about them to be a first-line treatment, especially when medication, therapy and lifestyle changes offer so many proven alternatives. ADD TO CART. There is a wide range of replacement TENS unit pads available, but due to the number of manufacturers, types of pads and price variance it can be hard to know what to buy. Despite being a rare case, an allergic reaction to TENS pads can happen. TENS (Electrical Nerve Stimulation) February 1, 2023. We get commissions for purchases made through links on this website from Amazon and other third parties. Thank you, These are great, I have many issues with adhesives, gels and such and wearing these for the 30 minute per area in which I use the TENS for, I am please that I have not had a outbreak of rash since using them. The .gov means its official. Keep in mind, rashes are notoriously difficult to diagnose and these symptoms could be signs of other types of rashes as well. If it's the quads you're treating . Great product! The signal passes from one electrode to the other, therefore passing through the site of tension. A Little More About how a TENS Machine Works The way that these machines work is by using electrode pads. If a bandage is necessary, covering the area with . Can a TENS unit stimulate the blood vessels or nerves in your most sensitive areas and help with ED? We also have an online therapy platform where you can conveniently and discreetly talk with a mental health professional about the psychological side of ED and work through whatevers delaying your intimate launch schedules. He developed eczematous lesions on the sites where the TENS electrodes were . I have to wear a TENS Unit all day long. They really are hypo-allergenic. The pad itself is made from fabric allowing perfect adhesion to your skin. But medication and electrodes arent your only options. The diagnostic evaluation, treatment, and prevention of allergic contact dermatitis in the new millennium. Very satisfied. Heres What You Need to Know. ADD TO CART. Tips to Prevent Allergic Reaction. Then they stimulate the nerves with different wave patterns. Thank You Tens Pros!!! These are extremely expensive! After six weeks, researchers found that electrical stimulation from a TENS unit on penises was more effective in managing ED than exercise. Bought these for use on our friends very sensitive skin. Get the right recommendations today. Flexible carbon layer allows for flexibility, maximum charge delivery and comfort. You should get anywhere between 8-15 uses out of them depending on skin type, care, and storage. nickel, are not uncommon. The algorithm performed reasonably well on USMLE, but it wasn't a complete-value [] whiskey distillery tasmania; william and bluitt obituaries Learn more about our editorial standards here. Allergic reaction to gels, tapes, or electrodes Even a little electroshock therapy seems tolerable when faced with the chance of experiencing that again. I also use on my dogs which seems to last longer than the regular ones also. Small Business. Hypo-Allergenic Sensitive Skin Premium Electrodes 2.0" x 2.0" Square, White Cloth, Carbon Layered, Hypo-Allergenic Blue Gel, Reusable electrodes. Compared to the numerous clinical studies proving the benefits of medication and therapy, theres just no way a TENS unit is your best first-line of treatment for erectile dysfunction. DOI: Williams JD, et al. Ensure that your TENS Unit will work properly by putting gel on the pads and placing them 1 inch (2.54 cm) apart. And how close, exactly, does this thing need to get to your balls to work correctly? Attach electrode lead wires to TENS unit or other device. Wearing a pad is supposed to make your life a little bit more comfortable unfortunately, sometimes it can do the exact opposite. Now I don't have to worry about the itchy rash for several after I use my TENS unit. This will prevent dirt from accumulating on the pad ensuring a longer lifespan. press@forhims.com goes to a third party never send personal, medical, or health information to this address. Meanwhile, a pad rash is called a pad rash because it occurs from wearing a pad or from experiencing complications due to wearing a pad. Home. 4. I have used two sets of 4 in rotation for about 4 weeks on a 24/7 basis. It is never recommended by any manufacturer to place electrode pads on the face. We may receive a commission if you make a purchase after clicking on one of these links, Many men will experience some symptoms of erectile dysfunction in their lifetime. When a TENS unit is turned too high, muscle twitching can occur. Because of this, avoid placing electrode pads on or near damaged skin. Do not use for customer service inquires. When you are finished with your treatment . For example, no NIH resources mention ED treatment as a proven or approved use for a TENS unit. And this first set, used about 5 times per week for 2 hours at a time, is holding up great and lasting longer than I expected. However, there is a small chance that while TENS is being applied, it will affect the way you feel and move your muscles. These were what I was looking for and needed. Exercise (specifically the type that improves your heart health) is considered a great element of treatment for vascular erectile dysfunction because high blood pressure and hypertension can be associated with ED issues. The https:// ensures that you are connecting to the DOI: Sharifi-Heris Z, et al. Sometimes the rash can be the result of . In . Typically, our first recommendation is to speak with a healthcare professional. Ingredients including, but not limited to, gel, backing material, and pigtail connection (, 2'' x 2'' Premium White Cloth Electrodes - 4/pack, InTENSity 2'' x 2'' Premium White Cloth Electrodes - 4/pack, TENS 3000 3 Mode Analog TENS Unit with Timer, Electrodes: 1.5'' x 1.5'' Premium Tan Cloth (4/pack), 3'' Round Premium White Cloth Electrodes - 4/pack, 2'' x 2'' Tan Cloth Sterile Post-Op Electrodes - 4/pack, 2oz Electra TENS Lotion with Aloe and Vitamin E, 8.5oz SignaSpray Electrode Solution & Skin Prep, Bifurcation Cables: Turn 4 Electrodes Into 8. Heres what to know about male TENS unit pad placement for ED. HHS Vulnerability Disclosure, Help It's very irritable. Finally I have found what I needed! It's best practice to place TENS unit pads near the painful/injured area. These stick fairly well for the first 3 uses, are soft and comfortable, and do not peel off any skin when removed. After about 3 times putting them they lose the stickiness. It is a great alternative when people experience allergies to other types of pads. But sometimes it can leave us caring too much, especially about what people online think of us. 4 electrodes per pack. TENS has not been tested to discover its effect on fetuses. These really are hypoallergenic. Love them. Instead, you should look at existing ED treatments and talk with a healthcare team. These prescription drugs increase blood flow to your cavernosal arteries, potentially restoring your ability to get hard when aroused. Be sure to dry your skin thoroughly and to read your units manual to ensure proper adhesion. And now, naked from the waist down and fiddling with adhesive pads, youre Googling male TENS unit pad placement for ED.. Today, these devices can be used outside the ocean. The most important treatment for an allergic or irritant contact reaction to a medical adhesive is to remove the bandage or tape 3. Belsito DV. These are just minor problems that can be resolved by doing the following: 1. Free Same Day Shipping. Kanerva L, Lauerma A, Estlander T, Alanko K, Henriks-Eckerman ML, Jolanki R. Am J Contact Dermat. However, they are a good buy and they don't bother my skin, so I will continue to buy them. (2007). Remedy Review: Can You Take Ashwagandha for Anxiety? Wearing a pad can lead to contact dermatitis, which can lead to an annoying rash. Medications like PDE-5 inhibitors are a great place to start. Try to move the pads slightly each day too. June 17, 2022 . But why exactly is your body intent on making you feel as miserable as possible about your situation down there? Never shave. Treating a pad rash might require you to try a few different things, like switching your pads, changing them more often, or wearing loose clothing. Electrodes should be replaced periodically once they become un-sticky and lose their adhesiveness. Transcutaneous electrical nerve stimulation (TENS) is a treatment that administers mild electrical currents to the skin to relieve pain. electrodes are made with the highest clinical standards for sensitive skin. These Hypo-Allergenic stopped that from happening. We rely on peer-reviewed studies, academic research institutions, and medical associations. Insurance cover for lost, stolen or damaged items $2.00 (inc. GST). I will buy these again. Acoustic Wave Therapy for ED at Home: Does it Work? If the rash isnt improving, you should of course call your doctor to talk about medication. Hello world! The reaction comes and goes. These pads stick well to clean skin. I took off the electrodes and where they were, was now weeping sores. Therapy can help you overcome those feelings and get back to business. One of the biggest signs of irritant contact dermatitis is skin peeling, according to the American Academy of Allergy Asthma & Immunology (AAAAI). I have the same issue as you. Gently cleansing the area with mild soap and water is necessary to remove any residual adhesive. If you have any other questions, feel free to give us a call here during our office hours and we can further assist. New posts New media New media comments Latest activity. Does Travel Anxiety Trip Up Your Vacation? I know a TENS unit can be a hassle to apply, wear, and recharge. Some people may be allergic to the adhesive pads. Had been using another brand that left a nasty blister type rash on my back, so i tried these For All Orders That Ship Within The 48 Continental States Only, PROTENS 2'' x 2'' Hypo-Allergenic Blue Cloth Electrodes For Sensitive Skin. And while the study we mentioned earlier wasnt so impressed with exercise, experts generally agree that lifestyle changes can benefit erectile health and sexual function. The safety and effectiveness of TENS is why it has become the most popular way to relieve pain. Great product! I have sensitive skin but these worked just fine for me. I have used these items in the past and found them to be very good. Warnings and Precautions. I just moved them around. Wearing a sanitary or maxi pad can sometimes leave something unwanted behind a rash. After 2 months, he had an eczema on the sites where the TENS electrodes were applied. These electroes are super adhesive and I can reuse them many times so they are an excellent value for the money. I have dry skin eczema that breaks out at the drop of a pin, but not with these new electrodes. The bad news? DOI: Rashid RS, et al. I try to wear the pads for 2 or 3 times before throwing them away. 1996 Jun;7(2):109-15. The good news: There are lots of treatments! 2022 Hims & Hers Health, Inc. All rights reserved. and transmitted securely. I chose these pads because thirty years ago, had a TENS unit and would break out in hives the size of the pads. These last just as long as any of the other pads except without irritation. Score: 4.4/5 (14 votes) . I like these the best as they stick better than the normal ones. Stop using this medicine and get emergency medical help if you have signs of an allergic reaction : hives, itching; difficult breathing, feeling light . blisters. These pads are really great. I read on a different thread here that it could be an allergic reaction to the pads I . Oxy-10 can cause a rare but serious allergic reaction or severe skin irritation. These were supposed to be hypo allergenic but they caused a contact dermatitis for me. Thats because theyre made of latex. Rise and Stress: Why Do I Wake Up with Anxiety? Cialis helps you get and keep stronger erections with a daily or as-needed pill. Yes I am happy with these electrodes because they are the only ones that do not cause my skin to brake out into a rash. Magis D, Sava S, d'Elia TS, Baschi R, Schoenen J. J Headache Pain. June 17, 2022 . Side Effects of Overusing a TENS Machine. Save pouch for later storage. Make sure your electrotherapy unit is first turned off. Here Are 9 Ways to Deal. If it is a general, all-over, calmer feeling you are seeking, then we recommend placing pads on the wrists or ankles. I love these pads! Safety and patients' satisfaction of transcutaneous supraorbital neurostimulation (tSNS) with the Cefaly device in headache treatment: a survey of 2,313 headache sufferers in the general population. Unauthorized use of these marks is strictly prohibited. Truly th best on the market and believe me - I've tried them all. Best used for TENS, EMS, IF, and other electro-stim . TENS therapy is a drug-free, affordable way to manage and treat pain when needed. During my period, I've found that my outer labia and the skin between my buttocks has gotten irritated. what does the person and plus sign mean on facebook; accenture past ceos; gus malzahn record vs alabama; marshall high school basketball; 1988 fresno state baseball roster So yes, research shows that electrical stimulation of the area between your anus and scrotum can offer some erectile function benefits. contact dermatitis. Anything that gets more serious may take longer to treat. Heres how to treat and identify morning anxiety symptoms. However, symptoms can affect other areas if the reaction is more severe. Stop using this medicine and call your doctor at once if you have: redness or swelling of the treated area; increased pain; or. We report on two cases of contact dermatitis due to TENS electrodes by sensitization to the acrylate in TENS conductive gel. I will buy again for sure. I am so thankful to have found these. Im so glad I found this site! Weakness . Unfortunately, along with those generally low risks of injury comes a generally unproven benefit for this treatment at least in comparison to proven ED treatments. Are you one mishap away from becoming the least child-friendly superhero in Marvels canon? Tip! If you were thinking about buying a TENS unit to evade speaking with your healthcare provider, youre out of luck. Store the electrodes sealed in the zip-lock poly bag packaging when not in use. Pads are of great quality, and a very reasonable price. Here are 10 TENS Unit side effects to be aware of: 1. Clean and dry application site as needed. If this happens, turn the machine down immediately until twitching ceases. Ive ordered similar from Amazon a number of times, but recently theyve been far too expensive, and the leads have come out of the pads on the very first use! They are very cost effective compared to the other hypoallergenic brand. 1988 Jan;18(1):10-5. doi: 10.1111/j.1600-0536.1988.tb05482.x. Optimize Health 365 1390 Santa Alicia Ave, Chula Vista CA 91913, unit to not be efficient at reducing pain, Say Goodbye to Pain: How to Adjust your TENS Unit for Maximum Relief Optimize Health 365. As the name suggests, it involves the application of a mild electrical current to the affected area. Electrical Current Parameters Current types Waveforms Time-Dependent Parameters Other Electrical Current Parameters Current density . Blue color, cloth-based backing of the pads also helps maintain structural integrity, but allows flexibility to contour to the skin. (2018). Log in Register. I find these pads very comfortable and last a while. Has anyone had like lots of little blisters ? Best value: AUVON TENS Unit Pads 2"X4" 10 Pcs, 3rd Gen Latex-Free Rectangular. If the pads feel less sticky. To our knowledge, only one case of an allergy to the polyacrylates of TENS electrode gel has been previously reported in the literature. I am so pleased with these pads. I have a 39 year-old female with grade 2 astrocytoma of T11 on chemotherapy, who has developed new-onset severe contact dermatitis to most adhesives. A question for women's health: Chemicals in feminine hygiene products and personal lubricants. So where does all of this leave TENS? Hi just a quick question. Take this 2008 study that looked at electrode stimulation through the perineum (yes, thats also known as the taint). burning or irritation. The other "regular" patches were causing skin irritation all the time. click here to learn more. This article is for informational purposes only and does not constitute medical advice. It is a signal to the adrenals to "put out the fire" and is a form of an adrenaline response. Caused by tens pads or machine its so sore and irritating.Dr in hospital said ? Dont put pads on (of any type) until the rash is completely gone or it will never heal. how to print avery 5395 labels in word; Tags . You might also try moving the pads further apart. TENS has been used in various conditions, including for the treatment of urinary symptoms with rare adverse reactions such as pain and skin irritation that are managed with proper hygiene, decreasing the intensity setting, and periodic removal of the pads [2], [3]. 2021. But is transcutaneous electrical nerve stimulation (TENS) the solution? Menu. The adhesive used for TENS Unit Pads is a self-adhesive compound with ASTM D-4236-86-04 to provide the required . They also are very durable and continue to stick with just a bit of water to rehydrate them. Superior highly conductive electrodes deliver more current with better distribution across the entire pad. With these pads I have almost no marks anywhere on my back and if I need to I can put the pads back in the same place the next day. Important: FOR MEDIA ONLY. 11 October, 2021. These electrodes are very effective and less costly than other brands I've bought in the past. It can be caused by the pad youre wearing, a scented pad, too much friction, or too much moisture. And its no wonder. But thats assuming you can handle the idea of a medical treatment resembling a Jackass stunt. Actas Dermosifiliogr. Check skin underneath electrode pads every ten minutes making sureskin is not irritated. If your device only uses a Snap-end Lead Wire, then you can only use Snap Electrodes, which we unfortunately do not carry any options of at all simply because they are not as widely used in our industry compared to the more common 2mm-diameter pin-style connection type. Autor de la entrada Por ; Fecha de la entrada godal duble farsi 210; new restaurants coming to hemet, ca . Both the healthy volunteers and the ED patients saw benefits from the treatment, with the ED patients actually seeing a longer response in comparison. Open the tamper proof foil electrode pouch. These electrodes are the first that I have been able to use regularly with no problems. Haven't heard about using a TENS machine for girthwork before.
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allergic reaction to tens pads