Eber Medical Group

TMS / rTMS — Transcranial Magnetic Stimulation

Non-invasive, radiation-free brain stimulation. Regulates cortical excitability to treat depression, anxiety, post-stroke motor recovery, Parkinson's, MS, CP, ADHD, insomnia, and tinnitus. No surgery, no anesthesia.

Non-invasiveNo radiationNo surgeryNo anesthesiaOutpatient / Inpatient

What is TMS / rTMS?

TMS — Transcranial Magnetic Stimulation — uses brief, powerful magnetic pulses generated by a handheld coil placed over the scalp to induce small electrical currents in targeted brain areas. rTMS (repetitive TMS) delivers trains of pulses to either increase (high-frequency: 5–20Hz) or decrease (low-frequency: 1Hz) the excitability of targeted cortical regions.

TMS is unique in that it can modulate brain function non-invasively — without surgery, needles, anesthesia, or radiation. It can both diagnose (motor threshold, cortical mapping) and treat (rTMS therapy courses) neurological and psychiatric conditions.

Applications of TMS at Eber Medical Group

Condition TMS Protocol Evidence Level
Depression High-freq rTMS over left DLPFC Level A (FDA-cleared)
Anxiety / PTSD rTMS bilateral prefrontal Level B
Insomnia Low-freq rTMS, frontal regions Level B
Post-Stroke Motor Rehab Low-freq rTMS contralateral M1 + high-freq ipsilesional Level A
Post-Stroke Aphasia Low-freq rTMS right Broca area Level B
Parkinson's Disease High-freq rTMS M1 for motor; DLPFC for cognition/depression Level B
Multiple Sclerosis Rehab rTMS for fatigue, cognitive dysfunction Level B
Cerebral Palsy rTMS for spasticity, motor development Level B
ADHD (children) rTMS frontal regions Level B
Tinnitus / Migraine Low-freq rTMS temporal/occipital Level B

TMS in the Context of MS Treatment at Eber

For multiple sclerosis (MS) rehabilitation, Eber uses both standard rTMS and the more advanced tDCS (Transcranial Direct Current Stimulation) and Temporal Interference (TI) stimulation — a cutting-edge non-invasive deep brain stimulation technology. TI delivers high-frequency currents through multiple electrodes to create interference fields in deep brain structures (e.g., thalamus), enabling non-invasive stimulation of regions previously only accessible by surgery. This shows particular promise for neuroprotection, remyelination stimulation, and motor coordination in MS.

TMS / rTMS — FAQs

Is TMS (rTMS) painful or invasive?
No. TMS — Transcranial Magnetic Stimulation — is completely non-invasive and generally painless. The device generates a magnetic field outside the skull; no needles, surgery, anesthesia, or implants are involved. There is no radiation. Sessions last 20–40 minutes. Side effects are minimal (mild scalp discomfort, rarely headache).
What conditions does TMS treat at Eber Medical Group?
TMS at Eber treats: depression, anxiety, insomnia, PTSD, post-stroke rehabilitation (motor, speech, swallowing), Parkinson's disease (gait, mood, cognition), multiple sclerosis rehabilitation, cerebral palsy, ADHD and behavioral disorders in children, tinnitus, migraine, and dizziness.
How many TMS sessions are needed?
A typical TMS course is 10–20 sessions over 2–4 weeks (5 sessions/week). For neurological rehabilitation (stroke, Parkinson's, MS), courses are often integrated into longer inpatient programs. Follow-up maintenance courses may be recommended at 3–6 month intervals.
What is the difference between TMS and rTMS?
TMS refers to single-pulse or paired-pulse stimulation used for diagnostic mapping (e.g., motor threshold measurement). rTMS — repetitive TMS — delivers trains of pulses at defined frequencies (low-frequency 1Hz for inhibition; high-frequency 5–20Hz for excitation) used therapeutically. At Eber, we use rTMS for all therapeutic indications.