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Basic Guidelines About the Frequency of Treatment with the Stimpod NMS460

First post and replies | Last post by Michelle Strydom, 2 months ago

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3 treatments usually demonstrate changes in most conditions. You should treat 5 to 10 minutes on each treatment area. If changes are slight but positive, you should continue for 6 to 12 treatments. Treatments can be 1x, 2x or 3x weekly but preferably 1x or 2x weekly. If success is obtained and pain resolves (100% pain relief or resolution), the treatment can be terminated. If success is obtained and pain resolves (30-50%) then continue 1x weekly for 6 to 12 weeks until resolution or until the patient feels that they no longer require treatment If you see improvement but it remains between 10 and 30%, stop treatment for 1 month. If there are some visible positive changes after 1 month has passed, then resume with initial treatments. If there are no visible positive changes, use a different treatment site or stimulate a different nerve.

By Michelle … 2 months ago

First post and replies | Last post by Phyllis Berger, 3 weeks ago

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Have a patient who has foot drop after an acute disc herniation at L2-L3 and had cauda equina syndrome. Had emergency surgery and is gaining some strength but still weak bilateral tibialis anterior, right foot drop, and weak quad and gluts Stim pod viable to assist in rehab?

By Matthew Z… 4 weeks ago
Hi Matthew The Stimpod is an excellent modality foot drop and disc herniation. There are 2 areas to treat resultant from the acute disc herniation at L2-L3. Spinally Initially treat alongside the facet joint from L3-4, L4-5, L5-S1 bilaterally for 5 mins at each level. It is often difficult to activate those nerves (that are situated below large musculature in the back) at the facet joints and if this proves sluggish persevere as with time this may eventually respond. The patient may indicate that referral from the above stimulation extends into the legs. Peripherally Then proceed to the sciatic nerve in the gluteus (L4-5, L5-S1), femoral nerve (groin) and particularly the peroneal nerve (lateral upper calf), bilaterally. The tibial nerve can also be activated in tibialis anterior (mid anterior calf) if necessary to improve foot drop. The tibial nerve in the medial calf and the pudendal nerve may also require stimulation if there is incontinence You can treat the above mentioned treatment areas for 5 minutes each. Treatment time Time is always a factor in treatment and one tends to treat the worst or most affected areas initially. Treating the periphery always impacts on the DRG at the spinal level. If it is decided to treat less areas then treat for 10mins on each specific nerve. Initially I would treat 3 times weekly over 3 to 4 weeks. Less treatments per week may be required once improvement is observed. Assessing the condition will provide the best treatment effects – if weakness exists more profoundly in specific nerve regions then that should be the initial target. This will not only provide relief and improvement but will give encouragement to the patient and a determination to continue.

By Phyllis B… 3 weeks ago

Diabetic Neuropathy

First post and replies | Last post by Lourie, 2 months ago

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Does the Stimpod help at all with diabetic neuropathy?

By Greg Scra… 2 months ago
The area of pain is the undersurface of the foot. Do you have a protocol for this?

By Greg Scra… 2 months ago
Here you go Dr. Greg Diabetic-Neuropathy-Treatment-Protocol-Stimpod-NMS460.png

By Michelle … 2 months ago
For the neuropathic pain of the foot, the protocol says 5mA, which is very low. Is that just a starting point? Is there any merit in increasing the current to patient tolerance?

By Greg Scra… 2 months ago
The course of action with the Stimpod is always to turn the current up as high as the patient can tolerate for the duration of the treatment. With severely damaged nerves, the patient will be able to endure a very high stimulation current. Some patients report a comfortable sensation, even at 30mA at 0.2ms – the highest setting available. In the follow-up sessions, you will see that tolerance decrease as the nerve starts to recover.

By Lourie 2 months ago
view all posts

Trigeminal Neuralgia

First post and replies | Last post by Lourie, 2 months ago

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Does the Stimpod help with Trigeminal Neuralgia? If so, do you have any literature on this? Thank you

By Suzanne R… 2 months ago
Hi Suzanne! It certainly does. I will share our protocol. Please follow us on Facebook and Instagram for up to date news and testimonials. Links: Facebook Instagram

By Michelle … 2 months ago
Trigeminal Neuralgia Treatment Protocol Trigeminal-Neuralgia-Treatment-Protocol-Stimpod-NMS460.png

By Michelle … 2 months ago
The latest clinical trial for the treatment of Trigeminal Neuralgia with the Stimpod was published a few months ago. There was a significant reduction in pain scores observed on the Barrow neurological institute (BNI) and Brief Pain Inventory (BPI) pain intensity score (p value of <0.05) before and after pulsed radiofrequency (PRF) application. The duration of pain relief after the application of PRF was up to 180 days in 15 patients, 181-300 days in 8 patients and 300 to 600 days in 7 patients. 2 patients had a prolonged pain relief lasting for 601-720 days. Study-of-the-outcome-of-patients-undergoing-pulsed-radiofrequency-for-the-treatment-of-Trigeminal-Neuralgia-Stimpod-NMS460.pdf

By Lourie 2 months ago

Treating Shingles while there are still lesions

First post and replies | Last post by Phyllis Berger, 2 months ago

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Can one treat Shingles while there are still lesions? Or the neuralgia after they have cleared up?

By Diana Bol… 2 months ago
I have had good experience treating pot-herpetic neuralgia with one of the modalities uses being the Stimpod. I would wait for the lesions to dry first.

By Berdene S… 2 months ago
Hi. I would sterilise the treatment probe and work on the spinal supply to the area involved and avoid the lesions. You can work inferiorly or superiorly.

By Phyllis B… 2 months ago

Treating Tinnitus

First post and replies | Last post by Phyllis Berger, 2 months ago

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Good morning. How do I do Vagus nerve stimulation on a patient with Tinnitus?

By Dr. Louis… 2 months ago
Morning. I have a tinnitus patient. I did vagus stims, 5 min on each side. Set it up for a small pulse only. The patient's tinnitus is much worse since the second treatment that was 4 days apart. Any suggestions?

By Elize Str… 2 months ago
Hi Elize Here is a study that is of interest in your case. It would be beneficial to carry on with Stimpod treatment. Has his symptoms improved after the flare-up?

By Michelle … 2 months ago
Very slightly after I treated cervical. But still worse than before stimpod.

By Elize Str… 2 months ago
I would suggest to try 3 treatments altogether with the Stimpod. Then do cervical and acupuncture if possible and see if the tinnitus has settled.

By Phyllis B… 2 months ago
view all posts

Locating the femoral nerve on overweight patient

First post and replies | Last post by Phyllis Berger, 2 months ago

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I am struggling to locate the femoral nerve on my overweight patient. I have tried to find the saphenous nerve but I don't get a contraction.Any suggestions?

By Elize Str… 2 months ago
For saphenous nerve treatment, you can also go lower down the leg, just medial to the knee. Have a look at this treatment protocol which shows the treatment area.

By Michelle … 2 months ago
I managed to get it today. I think it actually might have been some recovery of the nerve from the last 2 sessions as nothing changed about my application👏

By Elize Str… 2 months ago
Wonderful!

By Michelle … 2 months ago
Just a comment – if you know the anatomy and yet you don’t see any activity in the nerve – just keep going – it will come back!

By Phyllis B… 2 months ago
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Can the Stimpod be used successfully on Morton’s neuroma?

First post and replies | Last post by Michelle Strydom, 2 months ago

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I have a patient who is suffering from Morton's Neuroma. Will the Stimpod work for this?

By Stimpod U… 2 months ago
Yes it will work great!

By Phyllis B… 2 months ago
Is there any literature or research articles about this? Or videos on treatments?

By Stimpod U… 2 months ago
There is no research on treating Morton's neuroma with the Stimpod specifically, but since it's caused by pressure or injury to nerves in the foot, the Stimpod will bring great relief. You can treat the nerves that innervate the foot and the toes, specifically the common peroneal nerve beyond the posterior knee crease. You can refer to our treatment protocol for sciatica because this makes use of the same treatment location. sciatica-protocol-1.png

By Michelle … 2 months ago
There is no research on treating Morton’s neuroma with the Stimpod specifically, but since it’s caused by pressure or injury to nerves in the foot, the Stimpod will bring great relief. You can treat the nerves that innervate the foot and the toes, specifically the common peroneal nerve beyond the posterior knee crease. You can refer to our treatment protocol for sciatica because this makes use of the same treatment location.

By Michelle … 2 months ago

Stimpod and Multiple Sclerosis?

First post and replies | Last post by Lourie, 2 months ago

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I have a patient that was diagnosed with MS 15 years ago. She has recently relapsed and is now struggling with foot drop. Is the Stimpod safe to use on MS patients?

By Stimpod U… 2 months ago
I would always use the Stimpod on MS or any similar disorder as it will strengthen those muscles (through nerve stimulation) that have become weakened through disuse and will improve gait and arm/hand strength. The foot drop will certainly respond if you treat the peroneal or common tibial nerve. I cannot provide research on MS, but one of my patients who had a Ca brain tumour in the area of the left hemisphere for the upper limb has responded incredibly well with a reduction of numbness and increasing strength. This lead to Donovan Shultz, a clinical neurophysiologist, who demonstrated nerve growth from Stimpod treatments.

By Phyllis B… 2 months ago
The Stimpod works great for patients with MS and secondary conditions like trigeminal neuralgia and foot drop.

By Lourie 2 months ago

First post and replies | Last post by Phyllis Berger, 2 months ago

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Hi everyone Will the Stimpod help for hyperhidrosis?

By Fiona Lam… 2 months ago
An associate of mine has recently treated a patient for this. She did notice a difference after the first treatment (vagus nerve), but she has not returned for followup treatments yet.

By Michelle … 2 months ago
Stimulating the vagus nerve with the Stimpod does a great deal for the whole system.

By Phyllis B… 2 months ago

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