Transcranial Magnetic Stimulation (TMS)

¿What is TMS?

Transcranial Magnetic Stimulation (TMS) is an innovative non-invasive neurostimulation technique. The TMS uses brief and highly focused pulses that are released by an electromagnetic coil, which generates a repetitive magnetic fields on the scalp that create an electric field at the brain level. This way the neurons are stimulated in specific areas of the brain, modulating the activity of neurotransmitters and connecting circuits of the cerebral cortex.

TMS was first developed in 1985, and has made great progress over time in terms of effectiveness and safety, and is now widely used for the treatment of various psychiatric and neurological diseases.

It is an effective treatment proven by numerous international studies and has been approved by the main international drug agencies FDA (Food and Drug Administration) and the European Economic Community and endorsed by the most reliable and rigorous clinical guidelines (NICE, CANMAT, NIMH).

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Welcome to EMT Neurosciences

At TMS Neurosciences, we offer advanced mental health solutions through Transcranial Magnetic Stimulation (TMS), an innovative neurostimulation technique. Our team of doctors specialized in psychiatry and other subspecialties are ready to provide you with high-quality care.

TMS

Approved indications

TMS is approved by both the FDA and the European Community for the following diseases:

  • Major depressive disorder, including that considered resistant to pharmacological treatment.
  • Obsessive-compulsive disorder (OCD).
  • Migraine with aura.
  • Major depression with anxiety symptoms.
  • As a treatment to stop smoking.
  • It also has European certification for the treatment of addictions.

TMS

It is indicated with very good effectiveness in other diseases.

Psychiatry

  • Post-traumatic stress disorder.
  • Generalized anxiety disorder.
  • Auditory hallucinations.
  • Negative symptoms of schizophrenia.
  • Bipolar disorder.
  • Brain trauma.
  • Borderline personality disorder.
  • Anorexia Nervosa.
  • Sleep disorders
  • Restless Leg Syndrome.
  • REM sleep behavior disorder.

Neurology

  • Parkinson’s disease.
  • Major Neurocognitive Disorder (Dementia).
  • Multiple sclerosis.
  • Amyotrophic Lateral Sclerosis.
  • Post stroke rehabilitation.

Pediatrics

  • Autism spectrum disorders.
  • Cerebral palsy.
  • Attention deficit hyperactivity disorder.
  • Tourette syndrome.

Pain

  • Neuropathic pain.
  • Central pain.
  • Phantom pain.
  • Pelvic pain.
  • Complex regional pain syndrome.
  • Postherpetic neuralgia.
  • Neuralgia after brachial plexus injury.
  • Postoperative pain

TMS

Contraindications

The only absolute contraindication is that the patient has implanted or non-removable metal devices in the head (metal plates, cochlear implants, cerebrospinal fluid diversion valves, aneurysm clips or coils).

It also cannot be used in patients with controlled implants such as pacemakers, implantable defibrillators, vagus nerve stimulators, spinal stimulators or drug infusion pumps.

 As relative contraindications (in which the case would have to be studied in depth to make a decision), we find:

  • Epilepsy/seizures in the past.
  • Multiple sclerosis.
  • Pregnant women

Side Effects

They are usually mild and improve shortly after the session and tend to improve as the sessions progress. Among them we have the following:

  • Discomfort in the stimulation area of the scalp.
  • Tingling sensation, spasms, or jerky movements of the facial muscles.
  • Stunning (increased hearing acuity).

TMS

How is the procedure performed?

TMS is performed in the privacy of the office, without the need for prior preparation, anesthesia, sedation, or hospitalization.

The patient undergoing the treatment is fully awake and alert, feeling the magnetic pulses as a light tapping sensation on the scalp while sitting in a comfortable chair, chatting or relaxing.

The scalp is protected with a cloth cap.

At the end of the session, the patient can resume their work and family routine, going home or to work on their own. Therefore, TMS allows you to continue with your personal, family or work life after the treatment sessions.

 

Advantages of TMS

  • It is not invasive.
  • Does not require electrode implantation.
  • Does not require hospitalization.
  • The patient can immediately return to his/her daily activities.
  • It does not require any type of anesthesia or sedation.
  • It does not interfere with other pharmacological treatments.
  • It does not produce systemic or serious side effects.
  • No prior preparation required.

 

How is the protocol for transcranial magnetic stimulation therapy?

There are different protocols, the most common uses five sessions per week, from Monday to Friday, between 20 and 37 minutes, until reaching a total of between 10 and 30 sessions, depending on the disease(s) that is being treated.

Before starting, the doctor must develop the treatment protocol according to the patient’s diagnosis. The area of the brain where the coil should be located, the intensity and frequency of magnetic pulses will be identified.

Once this acute phase has been completed, and depending on the patient’s clinical diagnosis, the administration of maintenance sessions may be recommended, with a weekly, biweekly, monthly or semiannual frequency.

¿About us?

We are a group of doctors specialized in psychiatry, with fellowships in the areas of intervention. With more than 25 years of experience in clinical, teaching and research area and we provide high-quality standards, comparable with international reference centers.

Juan David Velásquez Tirado

  • Physician. Universidad Pontificia Bolivariana (Medellín, Colombia).
  • Specialist in Psychiatry. University of Antioquia (Medellín, Colombia).
  • Fellowship in Liaison Psychiatry. Universidad El Bosque (Bogotá, Colombia).
  • Full Professor and researcher. Universidad Pontificia Bolivariana (Medellín, Colombia).
  • Member of the American Psychiatric Association and the Colombian Psychiatric Association.
  • Liaison psychiatrist Clínica Universitaria Bolivariana (Medellín – Colombia).

Reasons to Choose EMT Neurosciences

We are a group of professionals with more than 25 years of clinical, teaching and research experience. We are committed to offering quality standards comparable to international reference centers.

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