EMS training: indications and contraindications

By Charlotte 5 months agoNo Comments
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First of all, before starting any physical activity, you have to make an appointment with your attending physician to be sure that there are no contraindications for any type of physical exercise, and to check up to verify that everything is ok and that you can train out of danger. 

Then, as we’ve already said, you have to be careful with the EMS equipment you choose: integral EMS suit, wireless EMS machine, certifications, etc. We’ve mentioned all these advice in this article, please read it carefully.

Never use EMS training on:

  • Painful muscles.
  • Atrophied muscles.
  • Muscles with spasms.
  • Muscles associated with a limb with a painful or afflicted joint.

EMS training is not intended for adjunctive therapy in the treatment of medical diseases and conditions of any kind. Do not use it:

  • For disuse atrophy prevention or postponement.
  • To avoid venous thrombosis.
  • To maintain or increase range-of-motion.
  • For muscle spasms.
  • For blood flow deficiencies.


  • At high amplitude directly over areas where bone is superficial.

Periosteal pain can result.

  • In areas of excessive adipose tissue.

The high levels of stimulation necessary to activate underlying structures may cause pain or autonomic reactions.

  • Within 3 feet of a transmitting cellular phone or two-way radio.

This may cause electrotherapy equipment malfunction.

  • Near the uterus during pregnancy and delivery.

Possible effects on a fetus are not known).

  • Within 10 feet of Group 2 ISM equipment that generates high-frequency or high-energy electromagnetic radiation.

Such equipment includes welding or cutting equipment, diathermy units & surgical electrocautery units. This may cause electrotherapy equipment tomal function.

  • In the region of the urinary bladder.

The current may interfere with normal function.

  • Over scar tissue because the scar will have an increased electrical resistance.

The current will preferentially travel around the tissue causing increased current density at the edges of the scar with possible burning.

  • With a patient that has a history of metastatic disease.

The patient has to see a medicine professional before using this type of training to avoid any risk.

  • For a patient with poor sensation.


  • Presence of a pacemaker: The magnetic field and alternating current can interfere with pacemakers. 

Bioimpedancemetry can cause a disturbance by interfering with pacemakers: they then incorrectly interpret the electrical current as a cardiac contraction, which can have the effect of inhibiting the pacemaker that is supposed to stimulate the heart when it needs it.

If the person wearing it is depending on its stimulator and is thus inhibited, this can cause various problems, including a loss of consciousness. 

  • Heart disease in the thoracic area in particular.

People that suffer from a cardiac insufficiency can’t in any case use electrostimulation in the heart area. 

  • Epilepsy.

Based on specialized doctor’s opinions, a severe epileptic seizure might be given when pulsing muscles with an electrostimulator. Existence of swallowing disorders, sleep apnea syndrome, vagotomy (cutting of the vagus nerve). 

  • Pregnant women.

It is forbidden to apply electrical stimulations to the abdominal area because in addition to the actual risk, it is totally useless since pregnancy already exercises the abdominal muscles. 

However, after pregnancy and with a doctor’s approval, electrostimulation is really efficient to rebuild the abdominal strap. 

  • People with phlebitis, febrile conditions, thrombophlebitis.

Electrical muscle stimulation can cause a clot to break and disappear, even causing the patient’s death. 

  • Presence of serious illnesses or infections without medical advice.

If you have fever, it is forbidden to do any sports. Indeed, by reaching the heart the pathogens could cause serious heart diseases.  

  • Inguinal or abdominal hernias.

Using the muscle electrostimulator will increase the pressure on the abdominal area increasing the risk of exacerbating the hernia.

  • Significant arterial disorders.

If the medical specialist determines or suspects the illness, because the user’s blood count shows a high risk to suffer whatever type of thrombosis it is contraindicated to use electrostimulation, this could move a blood clot producing a thrombus and more severe, ictus and even the user’s death. 

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