TMS stands for Transcranial Magnetic Stimulation. TMS is a non-invasive brain stimulation technique that uses a treatment coil placed over the patients head to administer brief magnetic pulses to a specific location in the brain.
TMS produces changes in the activity of neurons in regions of the brain thought to be associated with mood or pain regulation, such as the prefrontal cortex. The magnetic pulses that pass through the skull and into the brain induce brief activity of nerve cells inside the magnetic field beneath the treatment coil. The frequency TMS pulse delivery influences whether brain activity is increased or decreased after therapy.
TMS might be used as an alternative treatment, or to augment pharmacotherapy or psychotherapy. Patients who have failed to achieve an adequate response from pharmacotherapy, or who are unable to tolerate medications, might consider TMS.
Side effects are generally mild to moderate and improve shortly after an individual session and decrease over time with additional sessions. They may include:
Your doctor can adjust the level of stimulation to reduce symptoms or may recommend that you take an over-the-counter pain medication before the procedure.
The most serious risk of TMS is seizures. However, the risk of a seizure is exceedingly low. In patients not predisposed to seizure either through epilepsy or medication, the risk of seizure is less than 0.5%.
Most TMS providers find that TMS has a success rate at between 70% to 95%, for different psychiatric and neurological conditions, meaning that the vast majority of individuals find significant relief after treatment.
Patients with any type of non-removable metal in their heads (with the exception of braces or dental fillings), should not receive TMS.
Patients must avoid all alcohol consumption during TMS treatment. Alcohol consumption greatly raises the risk of seizure. Caffeine should be avoided but a consistent, modest intake is OK
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TMS has been cleared by the FDA in the treatment of drug-resistant depression, it may also be used off-label for other neurological and psychiatric disorders.
FDA has labeled only ‘drug-resistant’ depression as ‘on-label’. Other conditions are considered ‘off-label’. Treatments are considered ‘on-label’ when the FDA approves treatment of a specific diagnosis. ‘Off-label’ indication by FDA means that the particular diagnosis in question has not been officially established by the FDA for treatment. For example, even though aspirin is used ‘off-label’ for treatment of many disorders such as heart disease, aspirin is not in fact officially approved as ‘on-label’ for treating heart disease despite its safety and efficacy.
Duration and frequency of treatments vary for each individual and can be as short as 10 days or as long as 30 days and each session usually 30 – 40 minutes long.
The treatment is always administered by Dr. Din himself and he is always present to monitor the patient during the treatment.
TMS does not require any sedation or general anesthesia, so patients are fully awake and aware during the treatment. There is no “recovery time”, so patients can drive home afterwards and return to their usual activities.
In Brain Spa, we treat patients 4+ years old.