Discover the Power of Transcranial Magnetic Stimulation (TMS) in an Exclusive Interview on Health Talk FM.102's Happy & Healthy Program

Transcranial Magnetic Stimulation (TMS)

           Individuals living with paralysis caused by cerebrovascular disease often face disabilities and challenges related to speech, swallowing, and self-care. Traditionally, physical therapy has been the primary approach for muscle rehabilitation, aiming to restore some functionality, albeit not to the level experienced before. However, over the past two decades, a team of doctors and researchers in the United States has made significant advancements in the field. They have developed a technique known as Repetitive Transcranial Magnetic Stimulation (rTMS) for the treatment of brain disorders. This technique involves using magnetic waves to stimulate the brain, effectively adjusting its function from a distorted state to a more stable one. By inducing nerve impulses using magnetic waves, this method is non-invasive and safe for patients.

         Advancements in treating brain disorders through the use of magnetic fields continue to evolve. In more recent developments, individuals may be familiar with brain-stimulating batteries being implanted to address conditions like Parkinson's disease. However, the current technology allows for the treatment of brain abnormalities without the need for invasive procedures like craniotomy. This non-invasive approach, known as Non-Invasive Brain Stimulation (NIBS), not only reduces the risk of complications but also offers significant cost savings.

        Magnetic therapy, known as magnetic resonance therapy, involves the conversion of electric current into magnetic waves. In the field of medicine, this treatment is referred to as Transcranial Magnetic Stimulation (TMS). It offers potential benefits for various conditions, particularly those affecting the brain system, such as paralysis, paresis, Parkinson's disease, and psychiatric disorders, including depression.

        One significant advantage of magnetic brain stimulation is its high safety profile, as it does not involve the use of electricity. Consequently, the risk of side effects is minimized. The procedure relies solely on magnetic waves and is conducted under the close supervision of specialist doctors, utilizing computer-controlled high-precision techniques. Prior to treatment, a medical professional carefully diagnoses the patient and reviews their medical history. It is important to avoid magnetic therapy in patients with metal implants in the brain, individuals with electronic implants, and those with a history of epilepsy.

         Before undergoing magnetic brain stimulation treatment, certain preparations may be necessary. The doctor may conduct a preliminary examination on the same day or schedule an appointment for a later time. Typically, there is no need to fast or restrict food and water intake, but ensuring an adequate amount of sleep is recommended. It is important for the patient's relatives and caregivers to be aware of the nature of the patient's condition and how best to support them. The treatment duration for magnetic brain stimulation is typically around 20 minutes per session. During the procedure, the doctor may provide advice or inquire about any symptoms experienced. Possible side effects, such as lightheadedness or dizziness, may occur but usually resolve after a brief period of sitting. Patients are usually able to return home afterward and do not require overnight hospital stays.

         The magnetic brain stimulation procedure begins with the patient wearing a hat. The doctor positions the magnetic stimulator and performs a test on the patient's arms and legs to ensure proper functioning of the equipment. Then, the treatment process commences by applying the device to the head area and emitting magnetic waves. The number of sessions and frequency of treatment depend on the specific condition of the patient. Treatment can be conducted daily, or if more convenient, it can be scheduled for two or three times a week. However, the total duration of treatment typically consists of ten sessions.

Brain magnetic stimulation (TMS) is an exceptionally safe treatment method with minimal side effects. Consistency in receiving the treatment is crucial for achieving optimal results. If the patient or their relatives have any concerns or doubts, it is encouraged to have a detailed discussion with the doctor. The doctor will provide a thorough explanation to assure that undergoing the treatment is safe and can contribute to improving the patient's condition.

by Samart Nithinan, M.D.

Neuropathic physician