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Background: Pain, itch, and tickle all share a common receptor in our bodies. There are numerous studies on the use of transcutaneous electrical nerve stimulation (TENS) for those who suffer from acute and chronic pain as well as for those who suffer from chronic itch but there are no cases where TENS is used to reduce the tickle sensation in those who are receiving manual therapy to the more sensitive areas of their body. Thus, the purpose of this case report is to demonstrate the use of TENS to develop an intervention approach for patients who report extreme discomfort during manual treatment or palpation in ticklish areas of their body. Case Description: Patient is a 42-year-old male with chronic lower back pain and requests manual therapy to hip flexor region. He noted decrease in pain with improved flexibility/tissue extensibility in the past but his sensitivity to tickle sensation had prevented him from receiving effective manual therapy interventions. Outcomes: Outcome measurements utilized consisted of visual analogue scale (VAS), patient’s guarding response, and length of time for hands-on treatment. Discussion: Positive outcomes were observed in patient, but it is uncertain if this has solely to do with the intervention or if other factors were in effect.