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What problems is rTMS (TMS) used for?

Transcranial magnetic stimulation (tMS) is a widely studied technique. In some indications, such as treatment-resistant depression or obsessive-compulsive disorder (OCD), its usefulness is strongly supported by scientific evidence and regulatory approvals. In other conditions, its use may be considered off-label or within specific protocols, always following an individualized medical assessment. Among the most frequent indications are:

  • Depression.
  • Obsessive-compulsive disorder (OCD).
  • Anxiety disorders (generalized anxiety, panic, phobias, social anxiety) and anxiety associated with depression.
  • Post-traumatic stress disorder (PTSD), in selected cases.
  • Addictions and craving control (including gambling addiction), as a complement to a comprehensive approach.
  • Stroke: support for post-stroke recovery (motor function, hand, gait and balance), in rehabilitation programs.
  • Aphasia and other post-stroke language disorders in rehabilitation protocols.
  • Movement disorders: Parkinson’s disease (motor and non-motor symptoms in selected protocols), and other movement disorders (assessed on a case-by-case basis).
  • Ataxias (under evaluation depending on the case).
  • Tinnitus (under evaluation in certain profiles).
  • Migraine (specific protocols in specialized units).
  • Chronic neuropathic pain (central or peripheral).
  • Central post-stroke pain, in selected cases.
  • Other chronic pain syndromes with a neuropathic component (under evaluation depending on the case).
  • Insomnia and sleep disturbances, especially when associated with anxiety, depression or pain (in selected protocols).
  • Cognitive support (memory, attention and executive functions) and cognitive impairment in early stages, usually combined with cognitive stimulation (in selected protocols).

Clinical neurophysiology and neuromodulation

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