Sciatica is not a back problem. The pain in the back, glute, and down the leg is coming from the sciatic nerve — compressed or irritated where it exits the lumbar spine. The nerve is sending pain signals along its full length. The leg hurts, but the source is the nerve pathway, not the leg.
This distinction matters because most treatments for back pain target the muscle, the disc, or the joint. These address the underlying cause, which matters. But they do not address the nerve signal itself. The pain continues because the nerve continues to fire.
TENS works differently. It sends electrical impulses along the nerve fibre, competing with the pain signal for bandwidth. The signal has to queue. What reaches the brain instead is the TENS signal: a controllable, adjustable tingling — not the radiating pain.
It is not a cure for the disc issue or nerve compression causing sciatica. But it is one of the most direct approaches to interrupting the pain signal while that underlying issue is managed over time.