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Transcranial Magnetic Stimulation to Treat Insomnia

TMS for Other Disorders
What is Insomnia?
Causes of Insomnia
Conventional Treatment
A Safe Alternative

 

All antidepressant medications are the previous treatment for depression but the instances of patients not responding in this way are growing. But with the development of Transcranial Magnetic Stimulation (TMS) as a non-invasive brain stimulation method has been guaranteed and approved by many specialists in treating different common illnesses.

FDA approved, TMS offers a safe and non-invasive technique for motor cortex stimulation. Today, many research and studies surrounding TMS show significant positive results in treating neurological and psychiatric disorders like mood and movement disorders.

 

TMS for Other Disorders

On the other hand, TMS is also useful in other cases like different mood disorders and can also be recommended to treat chronic neuropathic pain.  The modifications in neuronal structure will also cause for instant relief of mechanism in cortical stimulation. Most of the patients suffering major depression will cause a morbidity associated with most serious pain. But with TMS procedure at hand, a modern-day solution is a now available solution that will bring a positive cure as well in cases of insomnia that most patients suffer chronic lower back pain. TMS method can no effectively and safely treat cases of depression and insomnia

People suffering from insomnia often associated with chronic lower back pain can benefit well in TMS treatment.  TMS can help patients suffering from insomnia by using low frequency in inhibitory influence on the hyper cortical state.

 

What is Insomnia?

Insomnia is one of the most common sleep disorders in the world. Many people suffer from the difficulty of sleeping which affects their overall health condition. Sleep deprivation may lead to serious mood disorders, fatigue, lethargic, anemic, decrease performances, empty brain, etc.


It’s a common disorder that mostly affects women than men and it can happen to all ages. Adults are prone to experience insomnia than younger people, according to the National Institutes of Health.

The Center for Disease Control considers insomnia as a serious public health problem. A good cycle of sleep pattern is vital in daily living. The common effects are seen in various circumstances such as vehicular accidents, occupational disturbances.  

Insomnia has its own structural patterns and has its own manifestations. Some of the following conditions include abnormal sleep, unconscious activity like walking, disturbances in sleep, less hour of sleep, fatigue, low energy, decrease interest in work, and poor performance at school.

 

Chronic Insomnia

Serious insomnia makes you suffer for consecutive nights a week for a longer period of time. It’s important to know the early signs of insomnia to initiate proper medical treatment. Delaying medical attention can trigger other serious health problems.  It is a condition of body weakness, abnormal sleep or switching of time of sleep instead of night, irritable moods, and memory loss or problem.

 

Causes of Insomnia

The exact cause of insomnia is not known to medical science. There are many factors that can trigger insomnia which varies in each person, makes it harder to diagnose and treat the disorder. However, there are several common factors that can trigger insomnia such as an irregular pattern of sleep and no regular time of sleep schedule. Other environment possibilities include family problems, unemployment, physical aspects, like pain and some diseases, emotional problems like stress, anger, and many more.

In cases of chronic insomnia, some triggering factors include body illness, deep emotional problems like depression and may lead to physical collapse and leads to death.

 

Conventional Treatments Methods

Doctors usually treat insomnia using prescribed medications. Other options include educating a good sleep order, taking vitamins or sleeping tablets for establishing sleep order. However, these conventional treatments can lead to drug dependence even drug addiction in the long term.

 

The Safe Alternative Treatment Option

Within the past decades, medical professionals use different medications to promote better sleep hoping to treat insomnia. However, these medications are commonly not well tolerated. Fortunately, TMS research studies show significant progress in treating insomnia.

Recent studies in patients undergoing TMS for major depression show significant improvement in their sleep patterns after each session. This makes it a good candidate treatment for curing chronic insomnia.

TMS uses magnetic stimulation to work directly on the nerve brain cells associated with chronic insomnia. As a non-invasive procedure, it does not provide any major side effects to patients. It does not need any medications, which makes it safe for all. TMS is a simple procedure done inside a doctor’s office that doesn’t take long and is an outpatient procedure. Contact us today to learn more. 

Potential of TMS
How TMS May Help
How TMS Works 

Tinnitus is a sensation or ringing in the ears. It’s a common problem to all and it affects 1 in every 5 people. Tinnitus is not a disorder itself, but a symptom of a more serious health condition like ear injury, circulatory system disorder or hearing loss.

Symptoms of tinnitus are often associated with ringing, buzzing, roaring, clicking or hissing. For many suffering from this condition, it makes their lives bothersome. Treatment methods for tinnitus often mask the noise or lessen the sensation to make it less noticeable.

TMS as a Possible Way to Cure Tinnitus

Transcranial magnetic stimulation proved as a potential alternative treatment for tinnitus. It induces electrical stimulation of cortical neutrons and it focused magnetic field over the surface of the brain. The magnetic pulses are delivered repeated and a process called repetitive TMS. The low frequency of r TMS shown to alleviate tinnitus perception and it will inhibit the cortical activity in the tinnitus. Its effectiveness of neuro navigated and its effects on the patients with chronic tinnitus using this method of treatment employing an optimization technique in the laboratory.

 

How TMS Can Help

One particular placebo-controlled study shows how TMS can effectively treat tinnitus. The magnetic field as in microseconds relatively weak and diminishes with distance from the coil. The pulse waves can be delivered at low frequencies that tend to decrease or increase neural activity under the coil. This aim the direct the stimulation of the superficial cortex in a deeper brain structure and its structure in the opposite cerebral hemisphere may be affected by TMS through connecting neural pathways.

Several studies also show how TMS can treat tinnitus patients using low-frequency magnetic pulses applied in the temporal lobe. The session usually lasts for about 30 minutes once a day for 3 to 10 consecutive days.

Some use functional imaging with neuronavigation for choosing the place of treatment based on asymmetrical cortical activation. It targets the left superior temporal lobe in all cases or the other side for the tinnitus. The targeting technique is beneficial for the results that obtained 50% of patients who receive this cure.  The effects have been reported to persist 6 months in some other cases and most treatments have demonstrated tinnitus suppression effects last only a few days to a few weeks depending on the response of the patients.

There are several studies showing that tinnitus disorder may have been proposed in a spontaneous otoacoustic emission, thalamocortical dysthymia and maladaptive cortical reorganization due to peripheral injury.

 

How TMS Works

The repetitive TMS induces electrical stimulation of cortical neurons facing the magnetic pulses in the surface of the brain through a stimulating coil. The usefulness of TMS treatment depends on the materials, physiologic and anatomic variables and stimulating parameters. Health care professionals meticulously calculate the intensity, frequency, duration and time in each session to efficiently directing the excitation of the inhibitory neuron.

Immediate results of TMS treatments depend on the frequency and inhibitory effects on the cortex. The motor cortex shows low-frequency stimulation to gives excitement intermediate effects, and its long duration did monthly. The less duration of the neurobiological mechanisms is involved the low frequency is given in the temporal cortex commonly treat the tinnitus.

This low frequency is applied over the parts to reduce tinnitus by inhibiting activity under the stimulating coil. The imaging techniques will navigate the stimulating coil over the parts within the temporal cortex that will increase metabolic activity. The rational give rise to empirical observations. The treatment of tinnitus used in the combinations of increase and decrease frequency stimulation that goes in the frontal and temporal cortex. The burst frequency will be applied to the cured of tinnitus patients and the burst frequency also applied in the tinnitus patients that may activate brain cell neurons more actively.

A single treatment of this procedure tends to reduce tinnitus disorder for a short period of time. However, treatment efficiency also improves the more a patient undergoes TMS treatment.  All the tinnitus patients who undergo TMS treatment show an improved response in the 3 days session of therapy. TMS may provide an effective treatment in normalizing the oscillatory activity or altering the balance activity in brain system that is connected to auditory areas.

Conventional Autism Treatments
TMS – A Safe Alternative
Ongoing Researh
TMS for ASD

Autism Spectrum Disorder or ASD refers to a very wide range of behavioral symptoms which health providers categorize in different ways. ASD affects a person’s communication skills, social interaction, behavior, and interests. According to the Centers for Disease Control and Prevention ASD affects 1 in every 59 8-year-old children in 2014. The disorder is four times more common in boys than in girls and can happen to anyone regardless of racial or ethnic groups.

Conventional Treatment Methods

There are a number of currently available treatments for people with ASD but mostly involve prescription medications for symptoms of depression, anxiety, sleeplessness, and inattentiveness. Some may include classes that help those people learn social skills, adaptive coping, problem-solving which all focuses on how they can manage their daily living routines.

Conventional treatment methods may offer relief for some patients but many are left unsatisfied with the results. These medications may not work for everyone with ASD and using prescription medications often lead to far worse health conditions.

 

TMS: A Safe Alternative Treatment

Two of the most common ASD symptoms include difficulties in social interaction and repetitive behaviors both verbal and non-verbal. People with ASD along with their loved ones spend a lot of time seeking out various treatments for alleviating the symptoms.

Many neuroscientists are now exploring different possibilities to treat ASD symptoms without the danger of various health complications. Experts are now looking for the possibility of using Transcranial Magnetic Stimulation (TMS) to address the problem.

TMS used safe and painless electromagnetic waves that can stimulate certain brain areas to produce neurotransmitters necessary for normal brain activity.

Medical professionals place a coil near the prefrontal cortex of the patient stimulating the region in the brain that regulates mood and behaviors.  It’s a proven technique to treat major depressive disorders which the Food and Drug Administration approved in 2008. There are no known severe adverse effects of TMS which many health care providers considered as safe and effective.

 

Ongoing TMS research

For the past few decades since its development, scientists have been studying the use of TMS as a possible treatment option for different neurological and psychiatric disorders. Today, the FDA gave its official nod for TMS as an alternative treatment method for depression in adults who failed to respond to conventional medications. Having an FDA approval signifies its importance of having a safe procedure which can help with other conducted clinical trials.

With various studies supporting TMS efficacy in modulating mood and behaviors, neuroscientists are now considering this technique to address the two main challenges associated with ASD – social interaction and repetitive behaviors.

The Harvard University, Beth Israel Deaconess Medical Center, and Boston Children’s Hospital and at the University of Louisville published the medical research findings in using TMS in ASD-related symptoms. Today, there are more than 100 patients with ASD that had been published in several professional scientific journals worldwide.

 

TMS as an Alternative Treatment for ASD

Currently, there are several research studies on TMS as a treatment method for ASD. Even though it’s still at its infancy stage, TMS is seen to help relieve symptoms such as repetitive behaviors, and irritability. According to experts, TMS can help improve other autism-related disabilities like eye-hand coordination and social skills.

A lot of patients with ASD in these pilot studies have shown significant improvements in their social skills and other executive functioning.

Patients who participated in these early studies become more aware and able to project conventional demeanor. They are observed to have a better social functioning, ability to read nonverbal cues, and were able to interact with another person. As they improved their social skills, experts noticed that they also show decreased rigidity and repetitive behaviors.

With its positive initial results, there are three known clinical trials using TMS as a treatment for ASD-related symptoms. A research study in Canada focuses on how TMS can help with executive functioning.  Another study in Israel is looking at the effects of TMS in children and adolescents with ASD and intellectual disability. Lastly, a French study is finding ways at the possible changes in social cognition in adults with ASD using TMS.

 

Theory
Getting FDA Approval
TMS Side Effects

More than 100 years in the making, we take a brief glance back at its origin and the concepts behind developing Transcranial Magnetic Stimulation

The idea of using electromagnetic currents to stimulate different body parts particularly the human brain in an attempt to treat various diseases can be traced back more than 100 years ago. It was the time where medical science began exploring the possibilities of electromagnetic efficacy. Unfortunately, technology at that time cannot keep up with the changing times and these studies are not approved by scientific data.

 

Theory Behind TMS

Anthony Barker and his colleagues first introduced the modern Transcranial Magnetic Stimulation (TMS) device what we know today in 1985. However, the physics behind the TMS machine originated from Michael Faraday and Ampere’s law.

Faraday’s theory used electromagnetic induction and that voltage can be measured and changed when generated across a length of wire – if the wire was left exposed to a perpendicular magnetic field flux of alternating intensity. Also, Ampere’s law state that the magnetic field can be managed around an electric current is proportional to the electric current.

TMS uses electromagnetic pulses to stimulate an area of the brain associated with depression. This activates neurons to rewire making emotions and mood behavior more manageable. When these electromagnetic pulses passed through a coil going to the head, the brain will be permeated easily. These activated the neurons directly without any serious adverse effects.

When these electromagnetic pulses intensified or rapidly changed, it generates a depolarizing effect in the brain nerve cells thus releasing neurotransmitters that regulate brain functions.

During the mid-1900’s researchers from the field of Psychiatry began exploring the effect of Repetitive Transcranial Magnetic Stimulation or rTMS in treating depressive disorders. After its initial start, more studies followed suit, focusing on the use of rTMS as a safe and alternative treatment for various mental disorders aside from depression.

Within a decade, around 90 clinical trials and several meta-analyses recommend the use and effects of rTMS in treating major depression.

 

Getting FDA Approval

Following the success of these different clinical trials, and based on the study of O’Reardon et al of using rTMS in the treatment-resistant major depression of 301 patients, the US Food and Drug Administration approved its use. TMS got its FDA approval in treating patients with the major depressive disorder.

The study shows how TMS can significantly improve the overall patient’s mood in comparison to conventional medications. Using TMS as part of depression management treatment proved as a safer and better alternative. Several years later, FDA finally announced in 2008 their approval of using rTMS machine as a major depression treatment.

Having a positive feedback from the FDA proved as a good starting point for rTMS in the management of Treatment-Resistant Depression. TMS efficacy in treating patients suffering from Treatment Resistant Depression is a major breakthrough in medical science. This devastating mental disease incapacitates millions of people, taking away their vitality and enthusiasm to live a normal life. Thus, the discovery of TMS and its usage is a great leap in providing these people another take on life.

 

Another pivotal study

Today, another version of TMS called deep rTMS or dTMS study which targets deeper brain structures had already started.

Launched in 2009, Dr. Xia’s research team at UC Davis started the endeavor of using dTMS for major depression. The study yielded very satisfactory findings. The remission rate of dTMS decreases for people with major depression by almost 50%. Enrolled patients comprised of highly treatment-resistant people who failed on their 2 or more medications in current index depression episode.

 

Great Feedback

Because of its success and significant findings, the FDA approved the clinical use of dTMS immediately. As the study included patients who failed several times in their medication or already acquired intolerance to conventional treatment methods.

Right after this study, TMS became even more popular and widely accepted alternative treatment. More clinics started to accept its concept. Along with this, TMS convinced medical professionals and insurance coverage of its long-term benefits over other medications as well as ECT.

 

TMS Side Effects

Unlike other medications such as antidepressants, TMS does not have any systemic effects including sexual dysfunction, weight gain, nausea, tremors, diarrhea, headaches, constipation, sweating, anxiety, or sleepiness.

TMS does not produce any cognitive impairment as what ECT treatment produces. Patients who received ECT treatment usually suffer from memory impairment due to anesthesia or any muscle relaxant medications.

During TMS session, patients remain fully awake and alert on their environment. As TMS does not produce any major side effects, patients can immediately resume their daily activity. To this date, there are no reports that TMS had produced any long-term or life-threatening side effects.

 

Conventional MS Treatments
Co-occurring MS & Depression
Two Types of Multiple Sclerosis
TMS Therapy for MS

Multiple Sclerosis (MS) is a condition found in the central nervous system and known as an autoimmune disease that has an inflammatory condition.  Unfortunately, there is no known cure or prevention method for the disease. Multiple Sclerosis affects the whole nervous system and as of 2008, an estimated 2 million people suffer from this condition worldwide.


Over the course of years, different brain stimulation techniques had been tested to treat multiple sclerosis. Many clinical researchers and scientists believed in the potentials of Transcranial Magnetic Stimulation (TMS) to help patients with multiple sclerosis to live a better life.

 

Conventional Treatment Methods

Different studies developed several modifying drugs that can reduce the attacks and avoid relapse within the past decades.  Although the drugs reduce the pain associated with the disease, the treatment is not widely available. Certain conventional treatment methods focus on the number of attacks and in the recovery of multiple sclerosis patients.

Since there is no cure available, Multiple Sclerosis treatments usually focus on slowing down the progression of the disease and managing its symptoms. The main goal of treatments is to lessen ameliorate symptoms affecting the functional capability of the patients which hinders them from getting the most out of their lives.

Many of the conventional treatment available to manage Multiple Sclerosis symptoms are still “off-label” in most countries. Even though many of these medications are properly investigated but yet approved by local health authorities.

Because of the dire need to have a proper medical management treatment for Multiple Sclerosis, many researchers are trying to develop a newer and safer alternative treatment for Multiple Sclerosis.

 

Depression Co-occurring with Multiple Sclerosis

About 50% of Multiple Sclerosis patients also suffer from depressive symptoms and in need of immediate medical care, especially if they have a high risk of attempted suicides. Depression hinders the ability of the patient to seek proper medical treatment. It is important to treat depression to ensure a quality treatment to better manage Multiple Sclerosis. Many prescription drugs like serotonin reuptake inhibitors (SSRI) can lessen depressive symptoms but it has severe implications and side effects. Antidepressant medications often lead to drug addiction, worsening the situation.

The most common depressive symptoms which can co-exist with Multiple Sclerosis include fatigue and cognitive disturbance. According to the 29th Congress of the European Committee for Treatment and Research in Multiple Sclerosis (ECTRIMS), Repetitive Transcranial Magnetic Stimulation (rTMS) may lessen depressive symptoms particularly fatigue related to Multiple Sclerosis.

 

TMS Success for Treating Depression in Multiple Sclerosis Patients

The efficacy of TMS stimulation to the left prefrontal cortex can last for about six weeks. The method is seen as an effective treatment for decreasing pain-related symptoms in Multiple Sclerosis patients. Stimulating this area of the brain can lessen depressive symptoms, over fatigue, and paresthesia in lower limbs for patients with little side effects, as seen in studies of at the University Hospital Zurich.

TMS produces electromagnetic pulses passed through the brain associated with mood regulation. It emits electric currents that stimulate brain cells to induce normal brain activity. Done inside a doctor’s office as an outpatient procedure, it does not interrupt with the daily normal activity of the patient.

Experts studies TMS on different Multiple Sclerosis symptoms within the past decades. TMS can effectively reduce fatigue, chronic pain, oxidative stress, and regulates mood. This newly developed technique can also be used for moderating blood-brain barrier, a significant factor in treating several autoimmune diseases.

 

Two types of Multiple Sclerosis

Experts claimed that TMS can be helpful in both Multiple Sclerosis-related dexterities and dysphagia problems. These are the most common symptoms of Multiple Sclerosis which impairs the vocal and cognitive functions. Today, there are ongoing studies about TMS that can help with spasticity in people with Multiple Sclerosis.

 

TMS in Treating Multiple Sclerosis

Many studies support the efficiency and success rate of TMS, particularly in deep cranial magnetic stimulation. Using this method, it can reach deeper into the brain, stimulating nerve cells producing more neurotransmitters which regulate brain chemicals. With the use of magnetic pulses, TMS can stimulate brain structures promoting better neuro connectivity and producing significant improvements to Multiple Sclerosis patients.

Because it’s a simple procedure that does not need any medical surgeries or systemic medications, it can be done as an outpatient inside a doctor’s office.  There are no known severe adverse effects of TMS, unlike other conventional treatment methods. Several studies show that TMS can significantly improve body weakness and any depressive conditions signs in a consecutive 6 weeks of treatments over the motor cortex.

 

Obsession & Compulsions
Available OCD Treatments
Alternative Treatments
Side Effects of TMS

 

What is OCD?

Medical professional describe Obsessive Compulsive Disorder (OCD) as a mental health problem that affects people of all ages. It often occurs when a person gets stuck between a cycle of obsession and compulsion behavior.

Obsessions are characterized by unwanted and intrusive thoughts or urge following severe and distressing feelings. Meanwhile, the behavior is often followed by compulsions in which a person engages in behaviors to alleviate to decrease the feelings of distress.

Most people experience obsessive thoughts and/or compulsive behaviors at some point during their lifetime. However, it does not mean it’s a part of an OCD problem. In order to have OCD, the cycle of obsession and compulsions becomes so extreme that it interferes with the normal daily activity. The obsessive and compulsive behaviors consume a lot of time that it left the person almost immobilize.  

 

What are Obsessions and Compulsions?

Medical experts characterize obsessions as thoughts, impulses and even images that occur repeatedly outside the person’s control. People suffering from OCD consider these thoughts as disturbing and in most cases, these thoughts do not have valid reasons. Usually accompanied by uncomfortable and intense feelings, people with these obsessions feel those things ‘have to be done in a very particular way.’ For people suffering from OCD, these obsessions are time-consuming and take most of their time away from other important activities in their lives.

 

Available Treatments for OCD

Conventional treatment for OCD typically comprises medications and psychotherapy. Unfortunately, prolonged ingestions of prescription drugs often lead to drug tolerance or worse drug addictions. With the discovery of Transcranial Magnetic Stimulation technique efficacy for depression, it offers a safe alternative treatment for other mental disorder.

 

An Alternative Treatment for OCD

TMS is a non-invasive method of producing great results which are very well tolerated by many patients. First developed during the mid-1980s, TMS has become the focus of many neuroscience studies and clinical applications.  The Food and Drug Administration first approved the use of TMS for treating depression in 2008. Several years after FDA also approved the use of ‘deep TMS’ for depression and two additional devices. Many of these studies show positive results and scientists are now delving into the possibility that TMS can also be an effective treatment for patients with OCD.  

TMS is a simple procedure that involves placing a small device directly on top of the head. Medical professional targets the prefrontal cortex of the brain which often associated with mood regulation. TMS machine produces electromagnetic pulses that passed through the scalp targeting certain areas in the brain. It stimulates the inactive brain areas while suppressing the overactive region which results to better mood and behavior.

The flow of the electromagnetic pulses through the device stimulated neurons in the brain-altering its activity levels.  Scientists linked these neurons activity to mental disorders including OCD. There are several indications that repetitive TMS or rTMS can improve the psychological well-being of patients with OCD as the procedure can lessen depressive symptoms that often go along with OCD.

 

Deep Transcranial Magnetic Stimulation

Scientists are also looking in the efficacy of deep TMS as another method of treating OCD. Deep TMS uses an H-coil which creates magnetic field penetrating more deeply into the brain. As it can affect greater brain region and stimulates more brain neurons, it shows a lot of great potential in treating mental disorders like OCD.

The FDA both approved the use of rTMS and dTMS for treating major depressive disorders. More studies are being conducted to prove its efficacy for OCD and other mental illnesses. Getting these procedures requires proper and thorough medical assessment from medical health professionals. Depending on the severity of the disorder, they can recommend the best possible method for the patient. Either way, both TMS technique offers safe, reliable, and effective treatment for OCD without severe adverse effects often associated with prescription medications.

 

TMS Side Effects

There are no known severe adverse effects of TMS. Medical health professionals consider the method as safe when used in accordance with its established guidelines. TMS machines emit electromagnetic pulses like those in MRI, and there are certain limitations for using the device. People with implanted metallic objects, like pacemakers, bullet fragments near the head, deep brain stimulators, aneurysms coils, facial tattoos, and other objects implanted near the head are prohibited using TMS.

TMS is typically done inside the doctor’s office as an outpatient procedure. Patients can immediately resume their daily activity right after undergoing TMS. They may feel a slight tingling in the head, sleepiness, and headaches which usually improved after each treatment session.  Doctors usually advise patients to undergo series of treatment sessions. Treatment sessions vary from one patient to another, but usually, have 5 sessions a week within the duration of 4 to 6 weeks.

 

Hereditary Epilepsy
Epilepsy Identification
Seizure Triggers
TMS is Safe

Around 65 millions of people around the world suffer from the neurological disorder known as epilepsy. In the United States alone, it affects about 3 millions of Americans.

 

Hereditary Epilepsy

Epilepsy relates to our 500 genes and hereditary has some factor in developing the disorder. The low threshold is more vulnerable to triggering seizures in adverse reaction or in high threshold has a low capacity to seizures. A higher threshold means a person will less likely to have seizures.

The probability someone has epilepsy is fairly low; which generally means that epileptic parents will not give birth to epileptic children. An estimation of acquiring epilepsy by 20 years old is about 1% or 1 in every 100 people. In case of genetics, people who have epileptic parents may have an increased risk of 2% to 5% of developing the disease.

 

Epilepsy Identification

Epilepsy can be a recurrent activity of the brain seizures and experts characterized it as a chronic disorder or it can be a sudden electrical movement in the brain. Two types of seizures are seen first, general seizures the whole brain activity affected. Second, partial seizures or a part of the brain is affected which can last for a few seconds without realizing it happening.

Seizures that are characterized as mild will not be recognized for it usually last just a few seconds. Some can distinguish with several effects such as spasm, muscle twitches in a longer period of times. While strong seizures can cause loss of consciousness of this has great effects like memory loss.

 

Seizure Triggers

Several factors come into play in triggering seizures including having a high fever, trauma such as an accident that affects the head or brain, hyperglycosuria or low sugar level or even alcohol withdrawal.

 

What triggers an epileptic seizure?

Situations and some conditions in life and other factors such as sleeping disorder, diseases like fever, over fatigue or stress, taking alcohol, some drugs that can trigger seizures, overeating or lack of eating or some food ingredients that can have chemicals to triggers seizures.

Developing epilepsy or identifying the exact triggers is hard to distinguish. It may be a combination of different factors. A good way to identifying such triggers needs undivided attention of keeping in touch in different activities of the patients, concerning what are the situations happened, or through the smells, unusual sights, factors that accumulate stress, eating habits, sleeping habits and how the overwork manifested in the whole day.

You can also use your seizure journal to determine if your medications are working. Note how you felt just before and just after your seizure, and any side effects.

Through keeping records, it may help to determine what kind of medicines are going to take, as well as document to effects on the patient before and after. It may be useful in adjusting your medications or exploring other treatments.

As a common neurological disorder, epilepsy comes in various forms. Treatments include many antiepileptic medications that can control seizures well. However, these medications are not for everyone, some people suffer frequently from the adverse effects of these drugs. Some medical professionals often recommend surgery for patients with uncontrollable seizures. But surgeries is an invasive procedure and not suitable for all people. Today, the medical community knows too well the need to develop a safer alternative treatment for epilepsy.

 

TMS is Safer

With the success of TMS in treating the major depressive disorder, many believed that it can be a safer alternative treatment for epilepsy. Transcranial magnetic stimulation (TMS) is now advisable and in demand procedure in treating seizures and offers a safe way and non-surgical way of methods of treatment. Research studies that it can be effective down to the brain for possible treatment; it reduced magnetic currents to modulate the brain activity to lessen seizures.

TMS for epilepsy will reduce seizures frequency compared to other treatment. It gives a good quality of life and enhances one brain capabilities in seizures into normal life condition. Brain electrographic tests give a brain a tendency an antiepileptic medication for all types of seizures and against its side effects.

Even Experimental Tests are Safer

Experiments of TMS can lessen the seizures compared to other available conventional treatments. As of the present, there are 4 of trials regarding TMS. Researchers are able to attest that TMS doesn’t have life-threatening side effects compared to other medications or procedure. The only notable side effect is a headache which eventually eases out. During the course of experimental research, TMS proved a safer and affordable way of making a good quality of life. TMS gives another light of hope for people suffering from epilepsy.

 

How it Works
Why is TMS Effective?
When to get TMS
Who Benefits?
How Long for TMS to Work

Transcranial Magnetic Stimulation or simply known as TMS is a non-invasive, non-systemic procedure that stimulates brain nerve cells to treat Major Depressive Disorders. Generating magnetic waves similar to an MRI, TMS therapy is safe to use for everyone. This painless electromagnetic pulsed emits magnetic fields in specific parts of the brain associated with mood and behaviors.

Magnetic waves can reach into deeper parts of the brain without the use of pharmaceuticals or surgeries. TMS therapy is usually done inside the doctor’s office for about 30 to 45 minutes over a period of 4 to 6 weeks of treatment sessions. Since it does not require any surgeries, anesthesia, and hospitalization, patients can immediately go back to their daily lives following each treatment sessions.

The US Food and Drug Administration approved the use of TMS as a safe and effective treatment for depressive disorders in 2008. This painless procedure was given a nod to treat patients with resistant depression symptoms when all antidepressant treatments have failed.

 

How Does TMS Work?

Majority of people suffering from depression failed to respond with the conventional medications and psychotherapies. Experts believed the region in the brain near the dorsolateral prefrontal cortex tends to be underactive while some parts of the brain remain overactive. This creates chemical imbalances within the brain structures causing some of the most common depressive symptoms. The electromagnetic pulses that TMS machine produce can penetrate deep into the brain that activates inactive brain cells while suppressing other brain regions without the use of medications and surgeries. TMS therapy is a safe and effective treatment option to stimulate the dorsolateral prefrontal cortex and treat depressive symptoms.

During a TMS procedure, health care providers placed an insulated magnetic coil over the head of the patient. It then emits magnetic pulses that stimulate brain neurons; it’s painless yet effective method of treating depression. As a non-invasive and non-systemic method, patients can immediately go on with their daily activities following the treatment session.

 

Why is TMS so effective?

TMS consistently produce positive changes in neuronal activity in regions of the brain often linked in mood regulation. As the magnetic waves pass through the skull painlessly and into the brain, this triggers the brief activity of brain cells directly underneath the treatment coil. Health care providers monitor the frequency and the threshold of magnetic waves as it directly influences brain activity during TMS treatment sessions. Some recent studies suggest that stimulating the left or the right sides of the brain can have opposite effects on mood regulation. That is why all patients needing TMS treatment undergoes strict and thorough medical assessment to fully identify their particular need.

 

When is TMS therapy recommended?

Antidepressant medications and psychotherapy remain as the first line of treatments for Major Depressive Disorders. Unfortunately, the majority of patients failed to respond accordingly to these conventional treatment methods. If patients failed several times using pharmaceuticals, then doctors may recommend TMS therapy or to combine antidepressant medications and psychotherapy. Also, patients to who cannot tolerate medications might also consider undergoing TMS therapy.

But not everyone can undergo TMS therapy, as the machine functions like an MRI, patients with metallic implants, pacemakers, bullet fragments and the likes are prohibited from using TMS. This can interfere with such metals and may cause adverse side effects.

 

Who will benefit the most from TMS therapy?

Numerous research and clinical data show that patients with resistant to conventional medications respond better to TMS than others. Since TMS is a simple procedure, it does not involve the use of any pharmaceuticals that are known to have severe side effects like weight gain, irritability, sleep problems, digestive problems, and sexual dysfunctions. Patients undergo TMS therapy in a very comfortable clinical setup without the stress of having these problems.

 

How long does it take to see results from TMS?

Each person has their own genetic make-up, the response time from TMS therapy varies from one patient to another. Some patients reported to feel a lot better than the others; they claim to experience relief within the first week of a therapy session. In some instances, patients will notice a big difference in their symptoms within the 4th week of treatment. This huge improvement has a lasting effect on the patient, the majority of patients claim that they can function better without worrying about relapses.

 

However, if TMS works slowly for others it does not mean it’s not effective, some people just take a little more time to readjust the brain and create new neural pathways. But the effects are the same; it relieves depression even for patients with treatment-resistant disorders.

 

Treatment Session
Side Effects of TMS
Risks of TMS

 

Millions of people worldwide suffer from Major Depressive Disorder (MDD) and the unpleasant side effects of conventional antidepressant medications make the experience even more excruciating. Some of the most common adverse effects of these medications include irritability, sleep disturbance, nausea, fatigue, constipation, and sexual dysfunction. Even though these drugs come in strict and high dosages, they fail to relieve depression symptoms in more than half of the patients.

Fortunately, with the invention of Transcranial Magnetic Stimulation, people suffering from the disorder can have better options for treatment. More and more people are switching to TMS therapy as their main treatment to fight MDD.  

The US Food and Drug Administration approved the use of TMS in 2008 as an alternative treatment option for MDD. This state of the art depression treatment consistently shows excellent results in treating depressive disorders even for severe cases.

TMS is a type of brain stimulation therapy using electromagnetic wave pulses which targets specific brain region (left prefrontal cortex) associated with depressive disorder. The technique stimulates underactive neurons while suppressing the overactive regions, thus rebalances the brain chemistry. As a result, it regulates mood that helps improve sleep quality and behavior with minimal side effects.

 

Treatment Session

Once the patient undergoes TMS treatment, sessions will usually last for about four to six weeks in a series of five sessions per week. Each treatment session usually last for about 40 minutes and the patient is kept fully awake and alert in a very comfortable setup. Healthcare professional place a coil on top of the patient’s head near the forehead as the electromagnetic pulses targets the prefrontal cortex of the brain. The painless yet effective magnetic waves travel into the brain with a standard depth of 2.5 centimeters. Usually, patients feel nothing during the TMS session, but there are some cases patients can feel a slight tapping on the scalp.

Since TMS does not involve any medications or surgeries, patients can watch TV or listen to music during the treatment sessions. Patients can immediately resume their daily activity following the treatment session.

 

Side Effects of TMS

This advanced technology targets a specific area of the brain for optimal results without increasing risks. As a non-invasive and non-systemic treatment method, TMS does not have any adverse effects and side effects are minimal. Many clinical studies supported this notion; TMS side effect is all well tolerated with only a few minimal side effects that tend to dissipate and transient as the session continues.

 

Some of the known side effects of TMS include:

  •    Discomfort where the magnet was placed – some patients reported having scalp irritation with mild to a moderate intensity where the coil was placed during the TMS treatment
  •    Dizziness – during the first few treatment session, patients may feel dizziness but reported to subsides as soon as the session ends.
  •    Lightheadedness – In rare occasions, patients may feel lightheadedness along with a dizziness and mild headache but soon dissipates after the first few sessions.
  •    Mild to a moderate headache – perhaps the most common side effects of TMS, but just like the other side effects, patients reported having improved after TMS treatment.
  •    Slight tingling sensation – few patients reported feeling slight tingling sensation in the head near where the coil was placed. But this gradually subsides after the first to two weeks of sessions.

 

Risks of TMS

As great as the TMS treatment for patients suffering from MDD especially to those who failed several times in the conventional treatment method, TMS isn’t for everyone.

There are some contradictions in using TMS. The machine uses electromagnetic waves similar to what an MRI produce and there are certain limitations. Patients with ferromagnetic, conductive, and other magnetic sensitive implants in their heads and other non-removable metallic implants cannot undergo TMS treatment. As well as patients with pacemakers, implanted electrodes/stimulators, bullet fragments, aneurysm clips or coils, and cochlear implants can have serious injury or death if they undergo treatment.

It is important to have a thorough medical assessment and other appropriate cautionary measures should be taken before considering TMS treatment.  Some patients may have increased risk of seizure based on medical or genetic history. Patients should always follow strict guidelines and medical advice during the entire treatment sessions. Taking any medications should be first consulted with the health care provider as some can cause tinnitus and may increase the risk of seizure. Up to now, there are no reported incidences of TMS causing tumors or any type of cancer. It does not interfere with memory or concentration.

Depression is lethal disease, depriving a person to fully experience the joy of living. Even with antidepressant medications and psychotherapy, many people still live in the shadows of deep despair. Undergoing TMS therapy can bring back the joy of living and having those missed opportunities of precious moments with loved ones back.

For a consultation or to set up an appointment for TMS therapy in near Palm Beach Gardens, contact us right away.

 

What are Eating Disorders?
Types of Eating Disorders
Factors
Conventional Treatment
TMS to Treat Eating Disorders

 

Eating habits are vital to having a healthy body and mind but some people have difficulty maintaining a good balance of proper eating habits. Many suffer from eating disorders as a part of stages or routines in their daily lives but cannot be classified as a serious illness.

It can influence one’s entire social life and even affect them mentally, with an addition of physical weakness which puts lives in danger. Several types of research show that it can be treated as a Diagnostic and Statistical Manual of Mental Disorders (DSM) textbook mental disorder. An estimated 20 million women and 10 million men in the USA are recorded to have an eating disorder.

 

What Are Eating Disorders

Eating disorders can be classified as abnormal eating habits resulting in a condition of disorders that greatly affects the person’s normal lifestyle. An eating disorder like overeating may lead to body weakness and even death.

It can be manifested in different signs and symptoms, some in over-restriction of food or pursuit of inappropriate food, or behaviors such as vomiting and overactivity. Everyone is vulnerable; it affects all ages and gender but mostly in the age of adolescence, especially in young women. Many who reported were as young as 13 years old, a whole 13 percent of the total youth population.

 

Different types of eating disorder

The most common and popular type of eating disorder, Anorexia Nervosa affects mostly young adolescence and it greatly affects more women than men. People suffering from anorexia nervosa tend to either overweight or critically underweight. Some noticeable behaviors include constantly monitoring their weight, severely restricting their calorie intake, or avoiding certain food groups.

Bulimia Nervosa

Bulimia nervosa is another well-known eating disorder. Like anorexia, it develops during adolescence period up to early adulthood.  It is developed during adolescence age and its population is not merely women. It can have a manifestation of a large amount of food intake in a short period of time. A person who suffers from the disorder has no control over their eating habit and does not stop until they are satisfied fully.

 

Binge Eating Disorder

Over the past few years, binge eating increasingly grows to become one of the most common eating disorder in the US. People suffering from binge eating disorder have similar symptoms that of bulimia or anorexia. They usually eat large amounts of food in a relatively short period of time and typically lost self-control during binges.

People suffering from binge eating disorder do no restrict their calories intake or have any purging behaviors like to the two previous disorders.

 

Pica

The medical community recently recognized Pica as an eating disorder which involves uncontrollable ingestion of dirt, soil, chalk, hair, paper cloth, pebbles and even laundry detergents. Pica occurs in an adult, particularly in adolescents. Pica is most commonly observed in pregnant women and people with mental disabilities. Unlike other eating disorders, people with Pica conditions are prone to high risk of poisoning, infections and nutritional deficiencies leading to fatal health conditions.

 

Avoidant Restrictive Food Intake Disorder

It occurs in infancy or in early childhood days especially the younger one under 7 years old below. It manifestation include loss the interest in eating or unable to taste different kinds of food in way of smell, and in other important things in a sense regarding in food influence. Avoidant or restrictive food in the taking disorder (ARFID) was the previous name for this old disorder.

 

Factors that trigger eating disorders

There are no exact causes of anorexia but there are various factors to consider in the development of disorders such as the following;

  •    Mental factor – the emotional situation can cause of this like depression that affect mental ability.
  •    Environmental factor – family background may pose a risk of developing eating disorders if a family member already acquired an eating disorder.
  •    Hereditary factor – certain genes or hormones carry a hereditary factor that might trigger an eating disorder.  

 

Conventional Treatments

All eating disorders should be treated as early as possible. This is to lessen the number of different physical health risks for people suffering from eating disorders. Also, early intervention showed better outcomes of recovery.

Common eating disorder treatments include antidepressant medications and cognitive behavior therapy. However, it is still difficult to treat eating disorders with no definite guarantee of success.

 

TMS poses a new way of treating eating disorders

An estimated 8 million Americans suffer from chronic eating disorders like bulimia and anorexia. Medical professionals commonly treat eating disorders with prescription drugs and behavioral therapy, but it does not help everyone.

New research shows that Repetitive Transcranial Magnetic Stimulation or rTMS poses a possible significant medical breakthrough in treating people suffering from eating disorders. In a case study done in 2011, a patient who was diagnosed with both bulimia and depression underwent rTMS for 2 weeks and had an almost complete recovery from both conditions.

Scientists believe that eating disorders are a characteristic derived from the brain circuits associated with the dorsolateral prefrontal cortex in the brain. rTMS is known to stimulate an inactive region of the brain while suppressing the hyperactive part. Another study shows that patients with eating disorders symptoms received significant recovery after 6 months of rTMS treatment. Using rTMS as an alternative treatment for eating disorders can normalize brain activity associated with mood regulations.

 

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TMS of the Palm Beaches

4205 W. Atlantic Avenue, Ste. C301,
Delray Beach, FL 33445

Phone:
(561) 332-3285

Fax:
(561) 332-3279

Serving:

Palm Beach, FL
Palm Beach County
Broward County
St. Lucie County
Martin County
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