TMS Treatment for Migraine Now Available at AIM Neuromodulation
Innovative, drug-free, therapy for migraine sufferers.
Introduction to rTMS for Migraine
Offering outpatient & residential procedures
AIM Neuromodulation is now offering a promising treatment for migraine sufferers using Transcranial Magnetic Stimulation (TMS). Utilising the Magventure machine and a specialised protocol involving a different type of coil, AIM Neuromodulation is equipped to provide this innovative, drug-free, non-invasive therapy, offering a new option for patients.
Background and Mechanism of rTMS
rTMS has been explored in research and clinical settings for several years as a potential treatment for migraines. In 2014 the UK’s National Institute for Health and Care Excellence (NICE) has noted the safety of the procedure but highlighted a need for more evidence on long-term effects and efficacy before it could be approved for widespread use within the NHS. rTMS typically uses a "figure-of-eight" coil to treat various conditions such as depression, the results for migraine treatment with this type of coil have been variable.
The unique aspect of the migraine treatment protocol developed by Magventure and used by AIM neuromodulation is the use of a circular or parabolic coil instead of the traditional figure-of-eight coil. This coil is designed to cover a larger area of the brain and is moved across the head, unlike the fixed-position approach used in other rTMS treatments. The process involves sweeping the coil across the brain and applying higher energy bursts, concluding with stimulation of neck and shoulder muscles to promote relaxation.
The Mechanism Behind rTMS for Migraine
Neuromodulation, including rTMS, has been regarded as an important innovation in neuropsychiatric diseases and chronic pain (including migraine) treatment in recent years.
TMS applies a magnetic field to the surface of the scalp, inducing and electrical current in the cortex underlying the coil. rTMS can excite or depolarise neurons through a fast-alternating magnetic field, and the resulting electrical changes in the brain modulate neuronal activity, reducing neuronal hyperexcitability. Patients with migraine tend to show hyperexcitability of neurons, and chronic migraine patients may suffer from an even higher level of central excitability.
HELLO WORLD
Benefits of rTMS for Migraine
Non-invasive with minimal side effects
No surgical procedures or injections. rTMS has minimal side effects, with most patients only experiencing mild discomfort during treatment sessions.
Proven efficacy
Clinical studies have shown that rTMS can significantly reduce the number and severity of migraine attacks, improving the quality of life for patients.
No medication required:
rTMS offers a drug-free alternative for migraine sufferers. This can be particularly beneficial for patients who experience side effects from traditional migraine medications or prefer non-pharmacological treatments.
Long-lasting effects
The positive effects of rTMS on migraine frequency and intensity can last for extended periods, reducing the need for frequent treatments and offering sustained relief.
Complementary to other treatments
rTMS can be used to augment other types of migraine treatment, potentially enhancing overall migraine
Scientific
Evidence
Several studies support the efficacy of rTMS in treating migraines.
Leahu et al. (2021), published in Brain Stimulation (https://doi.org/10.1016/j.brs.2021.10.383) conducted a double-blind randomised control study involving 65 patients with episodic migraines. The study used a Magventure machine and compared real rTMS treatments using a circular coil to sham treatments. The protocol involved six sessions over two weeks, with the coil moved across the surface of the head in sweeps and spot burst stimulations. The real treatment group showed a significant reduction in migraine days from 7.6 to 4.3 days per month, with a 42% reduction in migraine attack frequency.
Importantly, no serious adverse events were reported, and minor side effects like headache and dizziness were comparable between the treatment and sham groups.
Another study by Milnik et al. (2013) in Germany (https://doi.org/10.1016/j.neulab.2012.10.002) used a similar high-frequency stimulation protocol. This non-blinded trial demonstrated that rTMS could be both a preventive and acute treatment for migraines, significantly extending the migraine-free interval and alleviating symptoms.
What to Expect During Treatment
Patients typically undergo rTMS treatment twice a week over three weeks, totalling six sessions. The frequency of follow-up treatments depends on individual progress. Magventure advises that for most people, returning in just under a year for another batch of six treatments is appropriate. Some patients may require "top-up" treatments. Patients can continue with their usual medications as there is no interaction with other types of treatment.
Treatment protocol includes :
Initial Consultation and Assessment
A comprehensive evaluation with consultant assessing safety and suitability.
Treatment Sessions:
A complete treatment session typically lasts 20 mins and consists of several components:
1. The coil is moved across the brain in sweeps.
2. Higher energy is applied in bursts across the entire brain surface.
3. The treatment episode concludes with the coil being used to stimulate (and then relax) neck and shoulder muscles.
Follow-up and Monitoring
Regular check-ins to monitor progress during treatment with a further assessment at the end of treatment.
Why Choose AIM Neuromodulation?
Dr Airey, a founding member of AIM neuromodulation, has a personal interest in migraine treatment, motivated by the experiences of close family members. This passion has driven the acquisition of specialised equipment and training from Magventure, enabling the clinic to offer this treatment in the UK.
AIM neuromodulation offers :
Innovative Treatments
AIM neuromodulation specialises in treatments that combine clinical expertise with innovative neuromodulation techniques.
Expertise and Experience
Led by a team of experienced Consultants with extensive backgrounds in various psychiatric specialties, neuromodulation, research, and medical education.
Personalised Care
Offers tailored treatment plans to meet the unique needs of each patient.
Commitment to Quality
Dedicated to improving access to neuromodulation treatments not easily available in the UK, regulated by CQC to ensure safe, effective, and well-led services
Transforming Lives
Success Stories
"I have seen an improvement in the intensity, severity and frequency of visual auras."
"Since the treatment I have been getting less headaches and even when I have one, they have not been as severe."
" I have only taken medication, paracetamol/ibuprofen, twice in the last 3-4 weeks whereas before I was using them every day."
case 01
reported a two-thirds reduction in aura frequency and a one-third reduction in full migraines.
case 02
experienced significant reduction in painkiller use and improved sleep quality.
case 03
did not experience their usual menstrual cycle-related migraine after completing treatment.
All patients have tolerated the treatment well.
Pricing
Initial assessment
£200
Looking at suitability and safety, recommending a treatment pathway and answering any questions you may have. If you decide to proceed then the cost of this will be deducted from the treatment cost
rTMS Migraine Treatment
£1800
6 rTMS treatment sessions as per Migraine Protocol. Further assessment at the end, looking at effectiveness & planning the next steps.
Frequently Asked Questions (FAQs)
What is rTMS?
repetitive Transcranial Magnetic Stimulation (rTMS) is a non-invasive procedure that uses magnetic fields to stimulate nerve cells in the brain. which can help alleviate symptoms of various conditions, including migraines.
How does rTMS work for migraine treatment?
TMS is believed to work by modulating the excitability of neurons in the brain. Migraine sufferers often have hyperexcitable neurons, and rTMS may help regulate this, potentially reducing the frequency and intensity of migraines.
Is rTMS safe?
Yes, rTMS is considered safe, with minimal side effects reported in clinical studies. In rare cases seizures may occur, but the risk is very low (less than 0.1% per patient). rTMS cannot be used in patients with non–removable magnetic-sensitive metals or metallic devices in or around the head and neck.
How long does a session last?
Each session lasts approximately 20 minutes.
How many treatments are needed?
The standard treatment course consists of six sessions, typically administered twice a week over a three-week period. Follow-up treatments may be needed based on individual progress, typically on an annual basis.
Are there any side effects?
Side effects are minimal and may include mild headaches, dizziness, and local discomfort at the site of stimulation.
Can I continue my regular migraine medications while receiving rTMS?
Yes, rTMS does not interact with other types of treatments, so patients can continue with their usual medications while receiving rTMS therapy.
How often do I need to repeat the treatment?
This depends on individual response. Many people return for another course of treatments after about a year, while some may need "top-up" treatments after a few months.
Is TMS approved for migraine treatment?
TMS has been approved by the FDA in the United States for migraine treatment, in the UK, the National Institute for Health and Care Excellence (NICE) has not yet approved it. However, it is widely used in several European countries.
How do I prepare for an rTMS session?
Little preparation is needed. It is recommended to eat a light meal before your session and avoid any caffeine or alcohol.
