Neuromuscular electrical stimulation (NMES) uses a low level electrical current that decreases swelling and allows muscle contraction and recruitment after orthopedic or neurological injury. Frequency, pulse duration, amplitude, waveform, on/off time, ramp and polarity of electrodes are all parameters that can be adjusted when using NMES in our patients.  Indications for use of NMES are neurological atrophy, muscle disuse atrophy, improper muscle firing sequences and joint effusion, to name a few.