Avazzia and BEST Technology

What is it for?

The Avazzia Electro-Stimulation Technology devices are FDA-cleared non-invasive, non-pharmacological neuromodulation devices for mitigating pain. These devices were developed to provide pain relief without surgery and without taking medicine. Effectiveness depends on factors including source of pain, history of pain, other health issues, adherence to treatment schedule and more. Even fatigue and hydration may impact outcomes. There are no known side effects. The technology does not impact efficacy of other medicine or injections received for pain management. Ask your doctor to determine if Avazzia’s line of pain-management products might be suited for you.

What are the benefits of Avazzia microcurrent devices?

The Avazzia devices have been certified by the European Union, HealthCanada, and the U.S. FDA as safe and effective. Since these devices do not introduce drugs, medicine or toxins to your body, there are no side effects.  

Patients have used Avazzia for the following reasons:

  • They want to alleviate pain either before surgery or after surgery.
  • They have found that traditional remedies for pain (drugs, surgery, physical therapy) are not helping or not helping enough.
  • They have long-term pain (from sports injuries, trauma such as car accidents, or work-related pain such as carpal tunnel syndrome) that is hard to eliminate.
  • They have pain related to other health conditions, such as diabetic neuropathy.

Does it work? 
Many people report impressive results – significantly reduced pain and, frequently, pain completely eliminated. Healthcare practitioners, including medical doctors, dentists, chiropractors, physical therapists and athletic trainers, use Avazzia units for their own pain. A growing body of research shows that electro-stimulation effectively manages pain and thus speeds healing. Avazzia’s premier engineering ensures its units offer outstanding performance. Electro-stimulation is used by NASA, the U.S. military and hospitals, as well as rehab clinics, physical therapists and athletic trainers, to improve outcomes after injury and surgery.

What is electro-stimulation?

Electro-stimulation is the application of electrical impulses to the body. There are many types of electro-stimulation and several U.S. FDA classifications, such as:

  • Heart stimulator (pacemakers)
  • Implantable stimulators (frequently used for pain)
  • Bone growth stimulators
  • Transcranial stimulators
  • Electrical muscle stimulators
  • Transcutaneous (skin) electro-neurological stimulators (TENS): Avazzia falls into this category, and unlike many in this category, also falls into both subcategories of microcurrent and interferential.

How is Avazzia different than other, less-expensive TENS units on the market?

Conventional T.E.N.S. devices DO NOT stimulate the C fibers and they work at a frequency much higher than the body's frequency which "shock" the body into temporarily stopping pain.  The effects don't last.

Microcurrent devices stimulate the nervous system using electrodes connected to the skin, just as TENS devices do.  However, by using microcurrent levels, C fibers are targeted and stimulate the production of neuropeptides and other regulatory peptides, which the body uses to heal itself.  When the body is stimulated to heal itself, there is a more permanent change in the cellular tissues which results in positive, long-lasting change.

  • Technology delivers more advanced output waveform and microcurrent.
  • The interactive features and functions of Avazzia are patented and proprietary.
  • The PRO-SPORT model gives a numeric reading of tissue reaction response data.
  • Flexibility means all Avazzia devices can be used with any of the approved accessories or alone, with the onboard electrodes.

Because of the interactive response, the patient is less likely to develop accommodation or habituation from treatment. (Accommodation reduces the efficacy of almost every other TENS device on the market.) Devices are programmed to control the electrical amplitude (how much power is delivered); the frequency (the rate of electrical output) and other qualities such as burst pulse patterns; modulation; and damping.

How often may I use the device to treat my condition?
Follow your healthcare provider’s directions. It is not unusual to apply Avazzia microcurrent two to three times a day, for up to 20 minutes each time, for a week. After a week, many users find they significantly reduce their treatment time or frequency. Many discontinue daily use all together.

May I use this in addition to other drugs or after physical therapy sessions?
Yes. The only contraindications for using Avazzia technology are cardiac pacemakers and pregnancy. Make sure to read and follow warnings in the Owner’s Manual. And make sure your physical therapist knows you are using Avazzia.

May I take my Avazzia device through airport security?
Go to the Transportation Security Administration website for the latest information regarding batteries and battery-operated devices in carry-ons and checked luggage. No problems in traveling with Avazzia devices have been reported but the Federal Aviation Administration and TSA may change these regulations on very short notice.

Sometimes it seems like I need less power to feel the tingling of the Avazzia unit than others? Is this possible?
Yes. A number of conditions impact your body’s sensitivity to the electro-stimulation from Avazzia’s microcurrent. These can include, but are not limited to: your body’s hydration level; level of fatigue; where you place the electrodes; recent exercise or strenuous physical activity; recent bathing or showering; alcohol consumption; caffeine consumption; recent sun exposure and more. Also after several applications of microcurrent, you may notice that your tissue’s sensitivity to the electro-stimulation has changed.

I feel tingling in only one of the two pads. Is one broken?
No. If you feel tingling in one pad, that indicates the unit’s power is working. Body tissue that is dry, cold, stressed, injured or receives poor blood flow may not be as sensitive. Set the power level to a comfortable setting for the pad through which you feel tingling, but no higher. Eventually, the sensation may be felt in the second pad as well. This may take more than one application. There is nothing wrong with only feeling the sensation in one pad.

I can’t feel anything on my feet, even at the highest setting. Is the unit broken?
Not necessarily. Try to determine why you don’t feel anything. Is it because skin tissue is dry, cold or numb or insensitive to stimuli (touch) or if the reason is because the device is not emitting a signal? You may test the microcurrent output on more sensitive skin tissue. Don’t try this at full power setting. Follow these steps:

  • Make sure the device is OFF.
  • Turn the device ON using the slide switch on the device’s side. When the device is turned on, three LEDs will light up and a beep sound during the power-on initialization routine.
  • With the device at its lowest power setting, put the onboard electrodes on sensitive tissue, such as fingertips.
  • Carefully increase the power level by holding down the plus key (+) on the face of the unit. You should begin to feel power.

If the device does not emit the 20-beep LOW-BATTERY Indication, the device should be working normally. If the device emits the 20-beep LOW-BATTERY Indication, change batteries to new, good-quality batteries. If you still don’t feel a microcurrent signal, even on sensitive tissue such as fingertips, the device may require service. The most common reason power is not felt is because of very dry skin, very poor circulation or using electrodes on calloused skin. To increase skin sensitivity, try this: Make a very light saline solution (1 teaspoon of salt dissolved in one cup of water), moisten a washcloth and wipe the skin. Once your skin is dry, test it with the onboard electrode. You will probably feel tingling. Do not apply lotion.


Can I put electrode pads on while I nap or sleep and run the Avazzia unit then?
No. It is against protocol to use the Avazzia unit “while sleeping.” That includes any time the person using the unit is unaware of its functionality.


Frequency Specific Microcurrent

Are Avazzia modes frequency specific?
Yes, all modes on all Avazzia devices use specific frequencies. Some of those frequencies are proprietary information and are not public information. Others are listed in the owner’s manuals of the different Avazzia products.

Do Avazzia devices use sine waves?
Yes. Avazzia devices generate a pulsed high-voltage damped biphasic sinusoidal waveform.

Do Avazzia devices have paired frequencies? 
Owners may set paired frequencies using two PRO-SPORT units. In this case, treatment can be using two separate preset modes on each device (eg: set one device at Stimulate, the other device at Relax Assess and place the four pads as preferred) or setting each device at one of the VAZ custom programmable modes and personally selecting desired frequencies. This also would require two sets of two pads, with placement as desired. Also, this could be accomplished using two BEST-RSI devices or BEST-PRO 1 devices, with one device set at one mode, the second device at a different mode.

How do you program a VAZ mode? Is it complicated? 
Custom-programmable VAZ mode is available only in the PRO-SPORT. It is not difficult to use (and save) a preferred frequency. This example gives step-by-step instructions to save desired settings:


  1. To start, turn on device: Press v key to navigate to AVA mode. Press Select to select AVA mode.
  2. Set frequency at 121Hz: Press > key to frequency. Press v key to 121.
  3. Select pulse value of 3: Press < key to pulse. Press v key to value of 3. (This sets 3 pulses per packet.)
  4. Select Z_value to 15: Press > key to Z value. Press v key to value of 15.
  5. Select damping value of 2: Press > key to Damping. Press v key to value of 2.
  6. Select Modulation of 3:1: Press > key to MOD. Press v key to 3:1
  7. To save this program in VAZ 2: Press > key to SAVE VAZ 1. Press v key to SAVE VAZ 2. Press Select.


This is now saved as the VAZ 2 mode. This can be recalled by moving to VAZ 2 and pressing Select (the center button).

This VAZ 2 mode also can be reprogrammed with different settings, in effect “erasing” the first set of characteristics. Note that programming happens in the AVA mode, although AVA will not save those settings.


Purchasing Avazzia BEST Products

Where can I get purchase an Avazzia device?
Some Avazzia devices require a prescription. Most U.S. healthcare providers with prescription writing authority (including dentists, physician assistants, osteopathic doctors and chiropractors in some states, in addition to medical doctors) are able to prescribe Avazzia, which is a TENS unit. If your healthcare provider has not heard of Avazzia or its products, you should print off Avazzia v. TENS comparison chart, and a prescription form. After you have received a signed prescription, you must submit it to: tommie@mbswellnessgroup.com to order the product. Your order cannot be shipped until your prescription is received.

May I purchase Avazzia products if I don’t live in the U.S.?
Yes. Go to the International Customers page for details about products and shipping details.

How do I get a prescription for an Avazzia unit in the U.S.?
MBS Wellness Group has an online prescription form that you may print off and bring to your healthcare provider to fill out and sign. You may then send the prescription to the email address above to have your prescription filled. Alternatively, you may Contact Us to for healthcare providers in your area who use Avazzia in their practice for patients dealing with pain. You might prefer to make an appointment with one of these practitioners in order to get a prescription.

Can I get reimbursed by my insurance company?
Usually insurance covers medical devices that are prescribed and certified as medically necessary. Go to the Prescription Information page for complete instructions on how to file a prescription and file for insurance coverage. 

Will insurance cover all of the units?
Your insurance may cover a device prescribed by your doctor as part of your therapy.  Because all plans vary, you or your doctor will need to verify this with your insurance provider.

Will Medicare cover Avazzia products?
Medicare guidelines and rules change often, so you will need to check with your health care provider.

May I rent a unit to try it out?
Devices are available to rent if you have a prescription from your physician.  Please see our purchase and rental information pages here.

Is there a free trial?
No. However, if your healthcare provider has an Avazzia device in their clinic, they may write you a prescription and try the device under the healthcare provider’s supervision.



How many times may I use the same set of adhesive pads?

It depends upon how careful you are with them and where you store them when not in use. Follow the care directions on the package they come in. Some patients, with care, have used a set of pads twice a day for 7 to 10 days and more.

How do I clean the device?
With the device off, carefully wipe it with a damp cloth. Dampen a cotton ball in isopropyl alcohol and wipe off the onboard electrodes (if those were used) or the electrodes on the end of the brush, pencil or Y-electrode attachments. Do not open up the device, other than to change batteries.

How often do I need to change batteries?
It depends upon many factors: how often you use your unit; how long you use your unit; the batteries’ quality; where you live. There is a great deal of difference between inexpensive batteries and high-quality batteries. In a professional setting, two to three days is an average life-span for the two AA batteries that power the BEST devices. For home users, a set of high-quality batteries could last several weeks. Your device will emit a series of 20 beeps immediately after turning on the device if it detects a low battery (weak) electrical output.

What are contributors to battery life in Avazzia Pro devices?
Battery life is dependent on battery quality and device settings. Higher intensity settings and frequencies will use more battery capacity. For a more in depth understanding of contributors to battery life, click here: BATTERY LIFE presentation.

 Is Avazzia safe to use?
Avazzia is completely safe to use, if used as your doctor prescribes. As with all medical devices, there are certain restrictions. These are:

  • Do not use if you have a pacemaker.
  • Do not use if you have a pacemaker.
  • Do not use on or over your brain.
  • Do not use on or over your heart.
  • Do not use on or over your eyes.
  • Do not use if you might be pregnant or if you are pregnant.
  • Do not use if you are under the influence of drugs and/or alcohol.
  • Do not use if you have epilepsy or another medical condition that might be impacted by an electrical current.
  • Do not use while driving or operating other machinery.


Veterinarian Questions about BEST-VET

Do I need a prescription for the BEST-Vet unit to use with my livestock?
No, you do not. However, this is a medical device, and should be used in accordance with good animal husbandry.

Can I use the BEST-Vet onboard electrodes directly on my livestock/pet for treatment?
Yes, you may but most users find it far easier to use the brush electrode or Y-electrode when treating animals. The adhesive pads can be used but only on short-haired animals (horses and cattle, for instance).

Can I use my personal BEST-RSI unit on my dog?
No. Avazzia devices are engineered for specific tasks. While animals and humans share many physiological characteristics, the Avazzia devices for human pain (BEST-PRO 1, BEST-RSI and BEST PRO-SPORT) and the veterinarian line of products (BEST-Vet and BEST-Vet PRO) are not interchangeable.

How can I help my veterinarian learn more about this technology?
Complete the Contact Us form and indicate you would like research and/or supporting documents about microcurrent use in animal husbandry. This technology has helped everything from laminitis in a horse to reviving a struggling calf after birth. BEST-Vet is referred to frequently in MicroCurrent for Horses by Deborah Powell (2008, Matrix Publishing Company).