When a dog loses muscle function due to surgery, nerve damage, or a prolonged period of inactivity, getting that function back takes more than rest. Neuromuscular electrical stimulation (NMES) is a rehabilitation therapy that uses gentle electrical impulses to activate muscle tissue, retrain the nervous system, and rebuild strength that conventional exercise alone can't always reach.
At StayPet, NMES is one of several rehabilitation tools our vet care team uses to help dogs recover faster, move better, and get back to being themselves.

Neuromuscular electrical stimulation, commonly called NMES, is a therapeutic technique that delivers small, controlled electrical currents to targeted muscles through electrodes placed on the skin. These impulses mimic the signals the nervous system sends to trigger muscle contractions, which helps maintain and rebuild muscle tissue when a dog is unable to exercise normally.
NMES is often used alongside other rehabilitation therapies like the underwater treadmill or acupuncture as part of a broader recovery protocol. It's non-invasive, well-tolerated by most dogs, and can be adapted for a wide range of conditions and recovery stages.
You may also hear this type of therapy referred to as TENS (transcutaneous electrical nerve stimulation) or e-stim. While these terms are related, NMES specifically targets muscle activation and strengthening, making it especially useful in rehabilitation settings. Our team will explain exactly what approach is right for your dog.
Canine neuromuscular stimulation is used across a growing number of veterinary rehabilitation programs, and for good reason. Here's what it can do for dogs recovering from injury, surgery, or neurological conditions throughout Anne Arundel County and greater Baltimore:
When a dog is immobilized after surgery or injury, muscle tissue begins to waste quickly. NMES activates the muscle fibers directly, slowing atrophy and helping rebuild strength even before a dog can bear full weight or exercise on their own.
For dogs recovering from spinal injuries, nerve damage, or conditions like IVDD and degenerative myelopathy, NMES helps re-establish the communication between the nervous system and the muscles it controls. This can support earlier and more complete functional recovery.
At lower frequencies, electrical stimulation can help modulate pain signals and reduce local inflammation, providing comfort alongside functional improvement. This is especially useful in the early stages of recovery when pain management is a priority.
After orthopedic surgeries like TPLO, FHO, or spinal procedures, NMES is frequently used to maintain muscle mass in the affected limb while the joint or tissue heals. It gets the muscles working again before full weight-bearing is possible.
By strengthening specific muscle groups and reinforcing proper movement patterns, NMES can help dogs regain a more normal gait after injury or neurological compromise.
NMES works well in combination with the underwater treadmill, acupuncture, and manual therapy. At StayPet, we design multi-modal protocols so your dog gets the full benefit of everything we offer.
Our veterinary team at StayPet will evaluate your dog before recommending NMES. It is commonly used for dogs experiencing:
Not sure if NMES is the right fit for your dog? Schedule a rehabilitation consultation with the StayPet vet care team. We'll assess your dog's condition and put together a protocol that makes sense for where they are in their recovery.
If you've never seen NMES used on an animal before, here's what a typical neuromuscular stimulation session at StayPet looks like:
Treatment frequency varies. Early in recovery, sessions may be scheduled multiple times per week. As your dog improves, the protocol is scaled back and eventually transitioned to maintenance or discontinued when goals are met.
At StayPet, neuromuscular stimulation is rarely used alone. We build integrated recovery programs that combine the therapies most likely to get your dog where they need to be, as efficiently as possible.
Your dog's rehab plan at StayPet might include:
And because StayPet is also a resort, your dog can board or spend time in daycare between appointments, with our team keeping a close eye on their progress throughout.
We call it VetCare + StayCare, and there's nothing else quite like it in Maryland.
No. The electrical impulses used in NMES are low-level and carefully calibrated. Most dogs tolerate the sensation with little to no reaction. At most, they may feel a mild tingling or notice their muscles contracting. If a dog shows any sign of discomfort, our team adjusts the settings immediately.
TENS (transcutaneous electrical nerve stimulation) primarily targets pain relief by interrupting nerve pain signals. NMES goes further by triggering actual muscle contractions, making it the preferred option when the goal is to rebuild or maintain muscle tissue and retrain movement. Both are used in veterinary rehabilitation and both are safe. Your dog's care team will recommend the right approach based on their specific needs.
In many cases, NMES can begin within the first week post-surgery, depending on the procedure and your dog's overall condition. Early intervention often produces the best outcomes for preventing muscle atrophy. Your StayPet vet will determine the appropriate start time based on your dog's surgical and recovery status.
It depends on the condition and how your dog responds. Some dogs see meaningful improvement within 4 to 6 sessions. Others with more significant neurological involvement may benefit from longer ongoing protocols. We reassess regularly and adjust the plan as your dog progresses.
Yes, and it often works best that way. NMES is frequently combined with underwater treadmill therapy, acupuncture, and other rehabilitation modalities. We'll make sure everything in your dog's care plan works together and that there are no conflicts with any medications or other treatments they're receiving.
Pricing depends on session length and the complexity of your dog's protocol. Contact our team directly for current pricing. We're happy to walk you through what a full rehabilitation plan might look like and what to expect at each stage.
StayPet is located at 1209 Old Dorsey Rd, Harmans, MD 21077, just minutes from BWI Airport and easily accessible from: