How do I know if it is working

You’ll feel a tingling feeling much like a low voltage shock..

where is it manufactured?

This unit is made in China. It appears to be well made and does what it is designed for. The only fault I can see is that it is designed for snap on electrodes what limits its usage as pin types electrodes are plentiful and reasonably priced. The manufacturer could easily supply suitable lead wires so it could be used for both types of electrodes. In my case I had to reconfigure the snap on connector with a pin type connector using some small diameter brazing rod along with as soldering iron. I would think that supplying this unit with both type of connectors what would not cost much would very much increase its appeal as well as sales.

Anyone have problems with the intensity buttons not working?

You need to place the pads first, otherwise, intensity won't increase for safety reasons.

Neocarbon Tens Unit Muscle Stimulator Electronic Pms Pulse Massager Gray

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Fully operational. Shipping worldwide, on schedule.Customs & duties included in the price

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Description

⚡ Recharge your recovery, not your meds!

DRUG FREE RECOVERY - Experience natural, medication-free pain management for back, shoulder, arthritis, and more.
USER FRIENDLY DESIGN - Large backlit LCD with intuitive icons ensures effortless operation anytime, anywhere.
PRECISION PAIN CONTROL - Independently customize each channel with 24 modes and 20 intensity levels for tailored muscle therapy.
ALL IN ONE RECOVERY KIT - Comes complete with 12 electrode pads, pad holder, and travel case—your portable therapy solution.
RAPID RECHARGE LONG RELIEF - USB-C fast charging powers up in 40 minutes for up to 20 hours of uninterrupted pain relief.

The TENS Unit Muscle Stimulator offers advanced, drug-free pain relief with 24 customizable modes and 20 intensity levels per channel. Featuring a fast USB-C charge delivering up to 20 hours of use, it includes 12 electrode pads for precise muscle targeting. Designed for professionals on-the-go, this portable device combines effective therapy with user-friendly controls and a complete travel kit.

Specifications

ASIN	B0B8KS44BG
Batteries	1 Lithium Ion batteries required. (included)
Best Sellers Rank	#374,831 in Health & Household ( See Top 100 in Health & Household ) #792 in Muscle Stimulators & Accessories
Customer Reviews	4.5 4.5 out of 5 stars (949)
Date First Available	October 11, 2022
Item model number	SM9126
Manufacturer	Hong Qiangxing (Shen Zhen) Electronics Limited
Package Dimensions	6.93 x 5 x 2.32 inches; 13.4 ounces

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NEOCARBON TENS Unit Muscle Stimulator, Electronic PMS Pulse Massager, Gray

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