The Firefly is a modified NMES that stimulates a nerve vs. a muscle, it is not a muscle stim or TENS unit. Stimulating the peroneal nerve causes muscles to contract and to increase blood flow. Stimulating a muscle (with traditional NMES) for extended periods of time can cause muscle fatigue. The Firefly safely avoids muscle fatigue that can be caused by TENS. Click here for a modality comparison.