Transcutaneous Tibial Nerve Stimulation (TTNS) – Perth

Transcutaneous Tibial Nerve Stimulation (TTNS) is a non-invasive treatment option that uses gentle electrical stimulation near the ankle to influence nerve pathways linked with bladder and pelvic floor function. 

At Palms Physiotherapy & Allied Health, TTNS may be used as part of a pelvic health physiotherapy program to support symptom management and functional goals.

What is TTNS?

TTNS uses small surface electrodes placed on the skin near the ankle to deliver mild electrical impulses to the tibial nerve. The tibial nerve shares pathways with nerves that influence the pelvic floor and bladder, so stimulation is used with the aim of supporting symptom regulation over time.

What TTNS may help with

TTNS may be considered for pelvic floor and bladder-related symptoms such as:

• Pelvic floor overactivity (tight, overactive pelvic muscles and related discomfort)

• Overactive bladder (OAB) (urgency and frequency)

• Urinary incontinence (urge and mixed presentations; suitability assessed)

• Chronic pelvic pain where pelvic floor tension is a contributing factor

• Bowel dysfunction symptoms such as constipation or faecal incontinence (case-by-case)
  
  

Suitability depends on your assessment findings and overall treatment plan.

What to expect in a TTNS session

Your current page outlines a typical structure—here’s a tightened version:

1) Initial assessment

Your physiotherapist will assess your symptoms, pelvic health goals and whether TTNS is appropriate for you.

2) Electrode placement

Small electrodes are placed on your lower leg near the ankle.

3) Stimulation phase (20–30 minutes)

Stimulation is typically applied for about 20–30 minutes. Most people describe it as a light tingling sensation and intensity is adjusted for comfort.

4) Treatment plan

Sessions are commonly recommended once or twice per week over several weeks, depending on your symptoms and goals.

TTNS as part of pelvic floor physiotherapy

TTNS works best when integrated into a broader plan. On your page you note it may be combined with pelvic floor exercises, manual therapy and biofeedback—this is the right message.

Depending on your needs, your program may include:

pelvic floor relaxation or strengthening strategies

bladder and bowel habit education

graded exposure to triggers (e.g., urgency patterns)

lifestyle and pacing strategies

home practice recommendations

How many sessions will I need?

Your current FAQ says many people notice change after 6–12 sessions. That’s fine to keep, but soften it so it’s not a promise:
Many people trial a course of sessions and review progress around the 6–12 session mark, depending on symptom type and response.

We track progress against outcomes that matter (e.g., urgency, frequency, confidence, comfort, participation), not just session count.

Safety and suitability

TTNS is generally considered low risk and non-invasive, but it isn’t right for everyone. Your physiotherapist will screen for suitability and discuss precautions (for example: certain implanted electronic devices, skin sensitivity at electrode sites, or relevant medical considerations).

If you’re unsure, contact us and we’ll guide you before booking.

Frequently asked questions

Does TTNS hurt?
It’s usually described as a mild tingling sensation and intensity is adjusted for comfort.

Can TTNS be combined with other treatments?
Yes—TTNS is often used alongside pelvic floor exercises, manual therapy and lifestyle strategies as part of a comprehensive pelvic health plan.

Is TTNS safe?
TTNS is non-invasive and typically well tolerated; your clinician will screen for suitability and explain any precautions.

Book TTNS

If you’d like to explore whether TTNS is suitable for your bladder, bowel or pelvic floor goals, book an appointment and we’ll guide you through the best next steps.

Important disclaimer: This webpage contains general information only and is not intended to be relied upon as personal clinical advice. While we aim to keep information accurate and up to date, it may not reflect the most current research or your individual circumstances. Palms Physiotherapy & Allied Health does not accept liability for decisions made based on this information without an individualised assessment by an appropriately qualified health professional. If you have concerns, please contact us to book an assessment or speak with your GP/medical team.