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DR-HO'S Circulation Promoter XP is a professional TENS and EMS device that also utilizes Dr. Michael Ho's Proprietary Auto-Modulating Pulse (AMP) technology to deliver effective, constantly-changing pain-relieving stimulation to the feet and lower limbs. The device emits a wide variety of safe, gentle pain-relieving waves to the foot therapy pads for symptomatic relief and effective pain management. Use of this device provides similar effects to TENS and EMS devices used by Chiropractors, Physical Therapists and Doctors. It also comes with additional self-adhesive pads that you can use to relieve pain in the lower back, arms, joints, neck and shoulders.