For those patients who are interested in non-pharmacological treatment approaches that utilize the best of what modern technology has to offer or simply looking to supplement their ongoing therapy with proven non-pharmacological modalities, we have something exciting to offer - noninvasive neuromodulation. Four revolutionary devices have been approved to treat migraine and one of them also approved to treat cluster headaches.
Let’s take a look at them more closely:
Cefaly - is an easy to use portable, noninvasive, external trigeminal nerve stimulation device that patients place on the forehead and that sends electrical impulses through the skin stimulating supraorbital and supratrochlear branches of the trigeminal nerve. Depending on the stimulation type Cefaly can provide acute pain relief (acute therapy) or work as a prophylactic therapy which may reduce migraine frequency.
GammaCore: is an easy to use, portable noninvasive vagus nerve stimulator that patients apply to the side of the neck to gently stimulate the vagus nerve which communicates between the brain and many other parts of the body and plays an important role in pain regulation. Stimulation with GammaCore takes only a few minutes and is indicated to provide fast relief of migraine and cluster headache symptoms and/or to provide prophylactic therapy for patients with migraine and cluster headaches.
Nerivio - is a novel portable, wireless remote electrical neuromodulation device that sends electrical stimulation through the skin of your arm activating pain pathways and modulating pain regulation center located in the brainstem that in turn may help to control migraine attacks. Patients apply Nerivio to the upper arm at the onset of a migraine attack. Stimulation is simply controlled via a smartphone app.
sTMS mini: is a portable, noninvasive transcranial magnetic stimulation device that sends a single electromagnetic impulse through the back of the head generating mild electrical current at the back of the brain that may interrupt brain processes associated with migraine. Patients apply sTMS mini at the back of their head and the treatment takes less than a minute. sTMS mini is indicated for acute and prophylactic treatment of migraine headaches.
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