Can a Tibial Nerve Stimulation Help with Bedwetting?
Tuesday, April 22, 2025
Can a Tibial Nerve Stimulation Help with Bedwetting?
If your child is still wetting the bed after trying standard treatments like alarms, bladder training, and addressing constipation, you may be wondering what else can help. One option that’s gaining interest is Tibial Nerve Stimulation (TNS)—a gentle, non-invasive treatment that uses electrical pulses to improve bladder control.
But what is TNS exactly, and could it help your child? Let’s take a look.
What Is Tibial Nerve Stimulation?
TNS involves sending mild electrical impulses through the posterior tibial nerve (a nerve located near the ankle that communicates with the same spinal segments that control the bladder).
This stimulation helps regulate bladder activity by modulating nerve signals, which may reduce nighttime wetting.
What Does the Research Say?
The 2024 International Consultation on Incontinence reported that TNS shows promise for children with refractory enuresis—bedwetting that hasn’t improved with standard first-line treatments. It’s particularly useful when families are hesitant about medication or when other treatments haven’t worked.
How To Use a TENS Machine for TNS?
Using a TENS machine at home for tibial nerve stimulation should follow professional advice. But generally, it involves:
- Electrodes placed along the tibial nerve at the ankle
- TTNS frequency, wavelength and intensity settings
- A daily treatment schedule of 30 minutes for at least 6 weeks
Because electrical stimulation isn't safe for everyone, it’s important to speak with a pediatric health professional first. At Bedwetting Australia, we offer consultations to help guide parents through treatment options—including the use of TNS.
Tibial nerve stimulation can be a promising next step for families seeking a non-drug, home-based solution. It may be particularly helpful for children with co-existing bladder dysfunction, such as daytime urgency or frequency, where the bladder nerves may need extra support to regulate their signals.
If this sounds like your child’s situation, you’re not alone—and support is available.
You can now find TENS machines suitable for tibial nerve stimulation in the Bedwetting Australia shop, making it easier for families to trial this gentle therapy from home, with professional guidance.
Disclaimer:
The information in this blog is intended for general educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your doctor, pediatrician, or qualified health provider with any questions you may have regarding your child’s health or a medical condition. Never disregard professional advice or delay seeking it because of something you have read here.
Lisa Moffatt
Physiotherapist - Paediatric Pelvic Health
Lisa is a passionate paediatric pelvic health physiotherapist with a special interest in helping children and teens overcome bedwetting and toileting challenges. She takes a warm, evidence-based approach, working closely with families to uncover the root causes and create practical, achievable treatment plans. Lisa believes in empowering both children and their caregivers with knowledge, support, and a sense of confidence.
