Leading Drug Free Treatment for Depression, Anxiety, Insomnia and ADHD: rTMS

rTMS or Repetitive Transcranial Magnetic Stimulation is a drug free, noninvasive treatment best known for depression and is currently offered at Team Health Care Clinic in Champlin, MN.  rTMS is an FDA cleared device for treatment of depression but has also been shown to be beneficial for ADHD, anxiety, insomnia, and other brain-based disorders.  Since the earliest studies were focused on people with depression, virtually all insurance plans, including Medicare, cover rTMS for resistant depression.

What is rTMS?

rTMS is a medical grade magnet that is used to balance the speed of the frequency of firing of the nerves in the brain.  The magnet sends a signal that can be varied to stimulate or slow down the nerves in specific regions of the brain, depending on the patient’s disorder.

For example, people with depression, concussions and ADHD are found to have a slowing of the frequency of firing of the brain.  People with anxiety and insomnia are often found to have a faster than normal firing of the brain. In our clinic, we use a 19-lead electroencephalogram, or EEG to determine the frequency of firing in the brain.

An EEG measures the electrical firing of the brain much like an EKG measures the heart.  Huge data bases have been developed that have allowed us to make comparative studies of our patient’s EEG versus a normative data base.  We can now objectively determine if a patient’s symptoms are related to abnormal firing of the brain and require a modality such as rTMS to speed up or slow down the firing. No guesswork!

A cautionary warning to all readers considering rTMS:  Not all rTMS providers select their patients based on this objective high-tech EEG testing.  Many are still determining their patient’s candidacy by their symptoms alone.  We find our patients are impressed and feel validated when the objective testing determines that their brain is simply not firing as it should.

rTMS is NOT electroconvulsive therapy.

rTMS should not be confused with electroconvulsive therapy or even medication management where side effects are potentially severe such as cognitive impairment, sexual dysfunction, weight gain and many others.  Our patients resume normal activity following a treatment session as the worst side effect may be a mild headache.  Even this is rare.

As one patient put it, “what do I have to lose?” when she considered her treatment options for anxiety.  rTMS is a low risk, highly success option for qualified candidates.  Here is what one rTMS patient had to say about his results:

If you are interested in learning more about rTMS, call our clinic at 763-323-1492 to schedule an “rTMS consultation and examination” with one of our medical providers.

Joe Bertsch, DC

Joe Bertsch, DC

 

Baseline Concussion Screening and Sports Physicals

At Team Health Care Clinic, we enjoy the opportunity to connect with our community in general but particularly our local athletes. To that end, our chiropractors, medical providers, and physical therapists created a unique sports physical not offered in other clinics.

Any local athlete who enters our clinic receives a baseline concussion tests that will be used to compare in the future should a concussion occur. Our clinic uses the Mayo associated King Devick eye test as well as a high tech medical device that precisely measures an athletes balance. King Devick Test

Mayo is impressed with the King Devick test because it is an objective eye test that athletes can’t manipulate. Since at least 55% of our brain is used for eye movement, many concussions are demonstrated as eye malfunction including difficulty with reading, computer use and screen use in general. The problem is the standard eye exam in a doctor’s clinic simply isn’t able to observe subtle eye deficiency.

The King Devick does this so well that 12 of 30 National Hockey League team trainers have now switched to the King Devick test over other outdated tests. The trainers get the player’s baseline score before the season begins then retest it from the locker room after a suspected concussion. It over rides the zealous athlete who wants to return to play and convinces the trainer before they are ready.

Symptoms of Concussions

In addition to eye movement deficiency, we often see concussed athletes lose their balance and spatial awareness. Think of a boxer who gets punched too hard and staggers to the corner. Sometimes it is that obvious and everyone in the gym can see they are concussed. This is an obvious cerebellum injury and can affect all aspects of brain function even though the imbalance is what catches our eye. But how do we determine when they are fully recovered and it is safe to return?

We use balance plates, a medical device that can measure their baseline balance score and compare after the injury. It also does a comparison to others in the same age group. It is more sensitive and objective than typical balance tests.

Concussion Treatment

Last year a few local athletes did return with suspicion of a concussion. We were able to retest them with the King Devick and balance plates tests to determine if they had a concussion. In those athletes that did, we were able to incorporate our team to determine the best course of therapy.Football player

The options may include vestibular (balance) exercises, eye exercises, light and sound therapy, interactive metronome and anti-inflammatory supplements for the brain to return the athlete to full recovery as soon as possible. In some cases, we will even do an EEG/Brain Map to determine if Neurofeedback or TMS is an option.

If you have an athlete who has not received a baseline test, schedule an appointment for a sports physical and the concussion screening is included. If your child is injured, don’t put them on the sidelines and just hope they get better with time. Consider an exam to determine the precise rehab protocol for the region of the brain injured.

Joe Bertsch, DC

Joe Bertsch, DC

rTMS for Depression, Anxiety, ADHD, Insomnia and Dementia

At Team Health Care Clinic, we are pleased to introduce an innovative, drug free, noninvasive treatment best known for depression: Repetitive Transcranial Magnetic Stimulation (rTMS).  rTMS is an FDA cleared device for treatment of depression but has also been shown to be beneficial for ADHD, anxiety, insomnia, some forms of dementia, and other brain related disorders.

rTMS treatments are not painful and patients can read or watch TV during their treatments.  Patients can resume their normal activities following their treatment as the worst side effect may be a mild headache.  These are even rare.

Depression

This is in sharp contrast to electroconvulsive therapy and medication management where symptoms are potentially significant such as weight gain, sexual dysfunction, cognitive impairment and many others.

How does it work?

rTMS is a medical grade magnet that is used to balance the speed of abnormal operating nerves in the brain.  The magnet sends a signal that can be varied to stimulate or slow down the nerves in specific regions.  For example:

rTMS FOR DEPRESSION

Scientists expect brains to fire at is 15-20 pulses per second (pps) in the left frontal lobe.  Patients with mild depression will fire at 10-12pps and below 10pps in more severe cases.  In these cases, we will stimulate the brain with rTMS to fire at a normal frequency.

rTMS FOR ANXIETY

Normally, the left side of the brain fires at a higher frequency than the right side.  When this pattern reverses and the right brain works at a higher frequency, the individual often exhibits symptoms of anxiety.  In this case, the brain would be balanced by stimulating the speed of the left side of the brain or slowing the speed of the right side.

rTMS FOR OTHER CONDITIONS

rTMS can be used to improve abnormal frequencies in the brain, either stimulating or quieting it, to treat a wide variety of conditions.

In order to get the most precisely directed and successful treatment, you should consider the following:

  1. Request only EEG guided rTMS

Patients should request their provider measure the frequency of firing of the entire brain with a 19-lead electroencephalogram, or EEG.  An EEG measures the function of the brain like and EKG measures the function of the heart.  Without this information, a provider is making recommendations based on a patient’s history alone.  With the information discovered from the EEG, a provider can give precise rTMS treatment to the specific unbalanced region of the brain. No guesswork!

  1. Not all rTMS units are equal

Some rTMS units can only treat at 10pps frequency and are consequently limited in the conditions it can successfully treat.  Find providers that are using a state of the art unit that can vary its frequency of stimulation from 1 to 20pps.  This allows the provider to treat a wide variety of conditions beside depression.

  1. Evaluate Brain Chemistry

Find providers that evaluate brain chemistry including blood glucose, neurotransmitter deficiency, brain-gut connections, gluten sensitivity and many other factors.

 

If you suffer with depression, anxiety, insomnia, ADHD and other brain related disorders, I would encourage you to explore rTMS as a highly successful, low risk solution for qualified candidates.  In our clinic, we determine your candidacy by starting with an examination, including an EEG.

Tiffany Watson, CNP

Tiffany Watson, CNP