TECHNOLOGY AND APPROACH
Clinical treatment modalities of NESA® non-invasive neuromodulation
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Central Treatment
What is central treatment?
Central treatment is a neuromodulation method targeting the autonomic nervous system, specifically focusing on the brachial plexus and the spinous processes of the cervical vertebrae C7 to C5. This approach aims to optimize the central nervous system by enhancing sleep quality, alleviating chronic pain, reducing stress and anxiety, and promoting slow brain waves associated with the parasympathetic autonomic nervous system.
Clinical applications of central treatment
This method can be used as an adjunct to other therapies for comprehensive nervous system modulation and as a standalone therapy for specific conditions such as stress or sleep problems. Depending on the chronicity of the dysfunction, a minimum of 10 sessions is recommended, with the option to extend the treatment as necessary.
Reason for electrode placement at C7:
The strategic placement of the electrode at C6-C7 enables a global effect without directly targeting any specific structure. This pivotal position enhances treatment intensity and focuses on the target areas, facilitating effective and comprehensive neuromodulation.
Metameric Treatment
Introduction to Metameric Treatment
Metameric treatment with NESA® neuromodulation is a non-invasive approach aimed at optimizing the functionality of body structures by influencing the afferent and efferent nerves of the spinal cord. This treatment targets specific vertebral segments, focusing on structures innervated by selected metamers and applying therapy to the spinous or transverse processes of the corresponding vertebrae.
Main Applications:
- Treatment of neuropathic pain
- Modulation of the autonomic nervous system in metamers associated with nerve branches and organs, as well as viscera innervated by spinal nerves (e.g., L3 and S1-S2 for autonomic bladder branches; C4 for phrenic nerve influence).
This treatment effectively alleviates neuropathic pain, improves symptoms of overactive bladder, and enhances tissue thixotropy, among other applications. It strategically addresses the pathology of specific vertebral segments related to the innervation of the affected structures.
Determination of Therapeutic Applications:
Treatment applications are determined based on detailed clinical rationale and goals, considering the neuroanatomy of the 31 spinal nerves. This approach can be utilized independently or as an adjunct to other therapies, targeting specific structures or viscera within the autonomic nervous system.
Focal Treatment
What is Focal Treatment?
Focal treatment represents an advanced neuromodulation technique aimed at enhancing the modulation of specific structures through the peripheral nerves that innervate them. This method induces a bioelectrical reorganization at the site of application, optimizing mechanotransduction and improving tissue tensegrity. It involves placing the neuromodulation device directly on the peripheral nerve, trigger point, or a specific area of pain.
Main Benefits of Focal Treatment
This treatment offers direct, localized relief of radiating neuropathic pain, improves conditions such as overactive bladder, and enhances tissue thixotropy. By acting directly on the affected area, Focal Treatment not only alleviates pain but also aids in the recovery and strengthening of the treated structures.
Implementation of Focal Treatment
Focal treatment is applied directly to the painful point, trigger point, or affected peripheral nerve. This method is particularly beneficial in relieving pain and improving tissue function by optimizing mechanotransduction and thixotropy in the treated area.
When is Focal Treatment Recommended?
The decision to use focal treatment is based on a detailed clinical analysis and specific treatment goals, considering the neuroanatomy and functionality of the peripheral nerves. It is commonly recommended:
- As a complement in the clinical approach to other therapies, enhancing the specific modulation of peripheral nerves.
- As a standalone therapy in pre-treatment or post-treatment stages, depending on the goals of the primary therapy.
Clinical conclusion
Focal therapy emerges as a potent tool in the arsenal of non-invasive neuromodulation, offering tailored solutions for pain management and functional improvement of specific tissues. Its precise application, informed by an understanding of neuroanatomy and the individual needs of each patient, allows for effective and targeted intervention, paving the way for the treatment and recovery of neurological and musculoskeletal conditions.
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