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Doctor insights on: Trans Cranial Direct Current Stimulation

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What is the difference between Transcranial Magnetic Stimulation and Cranial Electrotherapy Stimulation, is there a dr in new york that offer ces?

What is the difference between Transcranial Magnetic Stimulation and Cranial Electrotherapy Stimulation, is there a dr in new york that offer ces?

TMS vs CES: Transcranial magnetic stimulation (TMS) uses magnetic fields to stimulate brain nerve cells to treat depression. Cranial Electrotherapy Stimulation (CES) uses a pulsed electric current across the head to treat depression, anxiety & insomnia. I can't give you leads on a provider. Take care. ...Read more

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Could gene therapy or transcranial Direct Current Stimulation (tDCS) or any other method help a patient with Williams syndrome?

Could gene therapy or transcranial Direct Current Stimulation (tDCS) or any other method help a patient with Williams syndrome?

Unlikely: There are no gene therapies I know of for this condition. I have also not seen any research on tDCS use for this condition (mostly depression, parkinson's, gen. anxiety) but very small studies only. I did review Johns Hopkins Psychiatry and Behavioral Science website as they do some of this research. It is very limited and no mention of treatment of Williams syndrome. I am sorry. ...Read more

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Who benefits the most from transcutaneous electric nerve stimulation?

Who benefits the most from transcutaneous electric nerve stimulation?

TENS: Although it has been used to treat other types of pain, transcutaneous electric nerve stimulation (tens) is often used to treat pain related to muscle, joint, or bony problems. ...Read more

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Is the method of transcranial magnetic stimulation any good in treating depression?

Is the method of transcranial magnetic stimulation any good in treating depression?

Looks promising : Refractory depression is often hard to treat. Tms offers a safe but expensive treatment which can be offered following failure to just one antidepressant. The treatments are usually 5 days a week and go on for 4-5 weeks in the parts of dallas I am familiar with.I wish insurance would cover this more often. ...Read more

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Is there any peer reviewed research supporting cranial electrotherapy stimulation as an effective treatment for generalized anxiety disorder?

Is there any peer reviewed research supporting cranial electrotherapy stimulation as an effective treatment for generalized anxiety disorder?

Yes: There have been over 140 human studies done on ces, many of these on anxiety and many in the peer-reviewed literature. One of the best summaries of this research with references is here: https://en.Wikipedia.Org/wiki/cranial_electrotherapy_stimulation this site has information on a meta-analysis done by the harvard school of public health: http://www.Cesultra.Com/ces-research.Htm. ...Read more

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Need help interpeting my husbands MRI results disc protrusion with stenosis c4-c5above fusion increased signal enhancing expansile spinal cord c5-c5 and minimal extra medullary intradural/dural enhanc?

Need help interpeting my husbands MRI results disc protrusion with stenosis c4-c5above fusion increased signal enhancing expansile spinal cord c5-c5 and minimal extra medullary intradural/dural enhanc?

Need intervention: You detail an issue with the cervical spinal canal and spinal cord, and one might wonder as to whether there is ongoing spinal cord compression, but the outer enhancement may represent an area of arachnoiditis or scarring. Based on description cannot easily exclude area of infection or even epidural arteriovenous malformation, but location is atypical. Seek experienced neurosurgeon. ...Read more

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Are any headaches curable by via brainwave entrainment?

Are any headaches curable by via brainwave entrainment?

Usually not helpful: To the extent brainwave entrainment and eeg biofeedback teaches you to relax and reduce worry and stress, it helps prevent muscle tension headache or avoid triggering of a migraine headache. In general good sleep, finding outlets to lessen and cope with stress, and moderate exercise help headaches. Recently some patients have had relief using the supplement butterbur root 50 or 75 mg twice a day. ...Read more

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Need MRI interperation. Increased signal enhancing expansile spinal cord at c5/c6 and minimal extra medullara intradural/dural enhancement left ventralspinal canal c3/c4

Need MRI interperation.  Increased signal enhancing expansile spinal cord at c5/c6 and minimal extra medullara intradural/dural enhancement left ventralspinal canal c3/c4

Need iimages: Very difficult to interpret the meaning of that report without seeing the images, and without knowing why the study was obtained. Depending on severity, could be artifact (not significant). Transverse myelitis (inflammation of the cord) can also have such findings, but that would correlate with serious neurologic symptoms. Other conditions of the spinal cord also could cause such MRI findings. ...Read more

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Is genito femoral nerve any way associated wid testosterone production?can partial damage 2 internal wiring of this nerve cause low testosterone level

Is genito femoral nerve any way associated wid testosterone production?can partial damage 2 internal wiring of this nerve cause low testosterone level

No.: Nothing whatsoever. For more information, consult a textbook on human physiology. It's really a shame how poorly we educate most Americans about their own bodies. That's what's responsible for the billions of dollars wasted out of gullibility to ignorant or dishonest "authorities" and on useless nostrums. ...Read more

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Will a lumbosacral plexus mr neurography provide the images and information needed to confidently characterize an intradural enhancing lesion at l4?

Will a lumbosacral plexus mr neurography provide the images and information needed to confidently characterize an intradural enhancing lesion at l4?

Not necessarily: From what you described, MRI of the lumbar spine would be better. Intradural means within the dura- which is within the spinal canal. Check with the physician managing your case to see if there is any reason to image the plexus. ...Read more

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Focal disc protrusion with cranial migration @ T4-5.mass effect upon the anterior T cord.Bulge @ T5-6. Yes Thoracic.what is the possible treatment?

Focal disc protrusion with cranial migration @ T4-5.mass effect upon the anterior T cord.Bulge @ T5-6. Yes Thoracic.what is the possible treatment?

Disc herniation: Potential treatments are possible epidural steroid injection's versus surgical intervention if necessary but injections may be the best option at least initially ...Read more

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Does ultrasound therapy followed by interferiantial current (electrodes) breakdown my belly fat?

Doubtful: There are centers who advertise this therapy for weight loss, but there haven't been any scientific evaluations proving their effectiveness. Most are run by chiropractors as a franchise. ...Read more

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Pancreatic cancer t2n0 ?Stage 1b; unresectable due to age (78), surgical history. Is there any benefit to radiation and chemo beyond added time?

Pancreatic cancer t2n0  ?Stage 1b;  unresectable due to age (78),  surgical history.  Is there any benefit to radiation and chemo beyond added time?

Personal choice: Unfortunately no , then it is choosing the quality of life vs life.Should be left to patient , if chooses to leave it alone , should provide all love and comforts till the end ...Read more

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Low-level ionizing radiation from noninvasive cardiac imaging: can we extrapolate estimated risks from epidemiologic data to the clinical setting?

Low-level ionizing radiation from noninvasive cardiac imaging: can we extrapolate estimated risks from epidemiologic data to the clinical setting?

extrapolation: Your question remains a subject of controversy today. We assume that total exposure to ionizing radiation is a correlate of risk of complications from all kinds of testing exposures. This is why we try and limit radiation testing procedures to use when the data is really needed in decision making. ...Read more

Dr. James Fox Dr. Fox
4 doctors agreed:
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Can you explain the method of transcranial magnetic stimulation in treating depression?

Dr. James Fox Dr. Fox
4 doctors agreed:

Brain Connectivity: Think of the brain consisting of an inner core where our most basic emotions and impulses lie and an outer layer consisting of rational thought that can modulate emotion.These layers are connected.Rtms stimulates the outer layer which is most directly connected with the inner core associated w/ depressed mood.Tms can stimulate to enhance mood or inhibit to reduce depressed mood via the connection. ...Read more

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