What is IFT Physiotherapy? Uses, Benefits & How It Works for Pain Relief

Last updated on July 3rd, 2025 at 05:57 pm

Close-up of IFT machine electrodes placed on patient's lower back for pain relief treatment
  • ✅ IFT uses electrical currents to reduce pain and inflammation.
  • ⏱️ Sessions take 10–20 minutes with immediate soothing effects.
  • 🔍 Works best for back pain, arthritis, and muscle spasms.

IFT physiotherapy simply means physiotherapy treatment given through an IFT machine. The IFT stands for Interferential Therapy, which uses electrical stimulation to cure musculoskeletal pain such as cervical spondylosis, low back pain, knee pain, tennis elbow pain.

IFT uses two medium-frequency currents that interfere to produce a beat frequency.

It gives a soothing and pain-relieving effect when applied. It is typically applied for a 10-20 minute duration. In this article, we will try to understand what interferential therapy is. How it is applied and how it helps to relieve pain.

IFT vs TENS Therapy: Which Is Better for Pain Relief?

Interferential therapy is a very integral part treatment process in physiotherapy. It is one of the several electrotherapy modes of treatment where an electric current is used to get the desired result.

The other electrotherapy modes include ultrasonic therapy, shortwave diathermy, infrared lamp therapy etc.

The therapist often uses TENS therapy to help their patients. This therapy uses low-frequency alternating or direct current that is applied continuously.

However, it is important to note that TENS therapy is most effective when it stimulates the nerves near the surface of the skin and does not penetrate deeper tissues.

This is because direct current and low-frequency alternating current above 1kHz face high resistance in the outer layer of the skin. As a result, treating deeper structures can be quite painful because a large cutaneous current is required for adequate current to flow deeply.

On the other hand, an alternating current of medium to high frequency (ranging from 1kHz to 10kHz) meets little resistance and can easily penetrate the tissue1.

However, there was one problem with the direct use of medium and high-frequency alternating currents. It oscillates too rapidly to directly stimulate the tissue which causes discomfort1.

During the 1950s, a solution was discovered for the issue with medium frequency alternating current. This solution involved utilising the crossing of two medium frequency currents to produce an Interferential current.

Which reduced sensory stimulus while still stimulating motor nerves for muscle contraction and offered deeper penetration in targeted areas. Additionally, it was found to be effective for pain treatment2.

How Does Interferential Therapy (IFT) Work? (Simple Explanation)

As the name implies, Interferential Therapy (IFT) requires two currents that interfere with each other, producing a beat frequency. Specifically, two medium-frequency currents intersect to create IFT.

When two alternating currents with the exact same frequency and rising and falling at the exact same time, they are said to be in phase. But, when the frequency differs slightly, they become out of phase as a falling segment of one wave coincides with a rising segment.

So, the waves in phase interfere constructively to produce resultant waves with an amplitude greater than either of the original. And, waves out of phase interfere destructively to cancel each other out.

How interferential therapy (IFT) works: diagram showing two intersecting medium-frequency currents creating a therapeutic beat frequency
Science behind IFT: Two medium-frequency currents interfere to produce pain-relieving waves

Let me further simplify it so that anyone can understand it and explain it with diagrams. Observe the diagram below, two medium frequency currents with slightly different frequencies interfere to produce a resulting beat frequency current.

These two medium frequency currents are of slightly different frequencies, so that when they interfere, they form a constructive phase and a destructive phase.

This beat frequency is termed as Interferential current, and the treatment process through this current is called Interferential Therapy.

Also read: Difference between faradic and galvanic current

Step-by-Step Guide: How to Apply IFT Therapy at Home

Professional computerized IFT machine with 65 programs for physiotherapy clinics

IFT machine comes in two forms, one for professional use and another is a portable one which can be used by any layperson with little training. Both have a similar design but vary in features.

Professional IFT consists of a machine with a control button and a display panel from which the intensity controls the supply of current. It comes with four external wires with a colour code.

One pair (two wires) is of black colour, which forms one channel, and another pair is of red colour, which forms the other channel. One end of the wire has a connection to the machine and another end to the electrodes.

Step-by-step guide to placing IFT electrodes on knee for osteoarthritis pain treatment

Electrodes are part of the machine that are directly connected to the treated body part. Electrodes can be made of metal or carbon rubber (nowadays, vacuum electrodes are gaining popularity).

To apply electrodes over the body, the electrodes are covered with a wet lint pad (a special piece of cotton cloth made for this use). Many prefer gel rather than lint pads for placing the electrodes (note: the gel is used only for rubber electrodes).

Where to Place IFT Electrodes for Back, Knee & Shoulder Pain

You can easily learn to use a professional IFT device. First, locate the painful spot; it may be the knee, shoulder, low back, or anything else. Apply the electrode with a lint pad/ gel as applicable around the spot.  

Illustration of optimal IFT electrode positioning for shoulder, back, and knee pain relief

The placement of the two channels (as described above) should be such that they cross each other. The intersecting area should target the pain spot. The following figure will describe it.

This is where the term “Inter-ferential’ justifies itself. Note how two medium-frequency currents interfere with each other.

I have covered the IFT electrode placement for various joint pains in my YouTube videos. Here I’m sharing a video on how to use IFT for low back pain. For videos on other joint pain, please follow the links below.

5 Proven Benefits of IFT Therapy for Pain & Healing

Interferential therapy helps improve blood flow by stimulating the pumping action of the muscle. Improved blood circulation helps to heal the swelling and inflammation and thereby reducing the pain.

Pain also reduces after the application of the IFT machine by a mechanism called pain gait theory. Here are the bullet points of its effects:

  1. Pain relief- It gives instantaneous pain relief and a soothing effect.
  2. Muscle spasm relief- The continuous contraction & relaxation of muscles creates a muscle pump effect, thereby improving the blood circulation. Its massage effect relaxes the spasmodic muscle.
  3. Wound healing: Improved blood circulation helps in soft tissue repair.
  4. Swelling reduction: The muscle pump effect helps drastically in improving the swelling.
  5. Muscle relaxation.    

What Conditions Can IFT Physiotherapy Treat?

IFT helps in the improvement of many painful conditions.

  1. Back pain.
  2. Neck pain, like cervical spondylosis, and neck muscle spasm.
  3. Knee pain, like osteoarthritis of the knee.
  4. Frozen shoulder, shoulder pain.  

When Should You Avoid IFT Treatment? (Safety Guide)

These are the conditions where using IFT must be avoided.

  1. Bleeding area.
  2. Body part with metal implants.
  3. Loss of sensation, like in paralysis case.
  4. Recent fracture.  

Keep reading: Motor points of face for electrical stimulation of bell’s palsy

The author is a physiotherapist who has been practising for the last 17 years. He holds a Bachelor's in Physiotherapy (BPT) from SVNIRTAR (Swami Vivekananda National Institute of Rehabilitation and Research), one of the prestigious physiotherapy schools in India.

Whatever he learns dealing with his patient, he shares it with the world through blogs and e-books. He also owns a YouTube channel, "Sunit Physiotherapist" with over 8 lakh active subscribers. Here, he shares everything he gets to learn serving the patient.

Reference
1 Goats G. C. (1990). Interferential current therapy. British journal of sports medicine, 24(2), 87–92. Visit
2 J.M. Ganne, INTERFERENTIAL THERAPY1 1From a paper presented to the Physiotherapy Society of South Australia, April, 1975., Australian Journal of Physiotherapy, Volume 22, Issue 3, 1976, Pages 101-110, ISSN 0004-9514 Visit

18 thoughts on “What is IFT Physiotherapy? Uses, Benefits & How It Works for Pain Relief”

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  7. You can treat through a metal implant. The power output from an IFT machine is a sixth the power from putting you hand on the part. It is only pacemakers that you have to worry about.

  8. Someone asked me a question regarding use of IFT (since nor email was provided, I'm replying here).
    Question was:
    METAL ROD FIXED ON RT LEG.
    BUT I HAVE PAIN AT LEFT SHOLDER ,ARM AND ALSO SUFFER BY SPONDY,CAN I GO FOR IFT TREATMENT FOR NECK PAIN,PL ADVICE.

    Answer:
    Since metal implant is fixed on the leg, you can easily have IFT treatment over any other body part except where implant is applied. So, there is no risk applying IFT over the other part of the body.

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