I also am a physical therapist as well as a certified athletic trainer (DPT, ATC). TENS units can be really beneficial for patients with pain in the back, shoulder, knees, hips, etc. I only say use caution with this unit. TENS units work on the priniciple of the GATE control theory of pain (i.e. the stimulation blocks pain signals from reaching the brain causing an analgesic effect. If anyone is really bored and wants to know about 1a-afferent nerves, etc....just let me know). This helps with pain relief but also helps to limit the brain from sending spasm signals to the surrounding musculature.
From my general knowledge of these devices, when they are this cheap, they are typically not as effective. The better models come with a variety of wave forms, ability to change pulse widths and pulse durations, ability to change Hz (or pulses per second), etc. This is were a PT can really be helpful. They can adjust these setting to make the machine more effective. It also will limit the natural response of the body to adapt to the stimulation. Just like anything else, if you keep using the same thing over and over again, your body will get use to it and it will be significantly less effective. Also, depending on the location of the patients pain, different pad placements and configurations can be used.
But just like any other medical device, it has risks. Pacemakers, transorbital stimulation, etc can all be REALLY bad.
Anyway, hope that helps.