Electrical Stimulator to Prevent Migraines Receives FDA Approval

Zapping a cranial nerve for 20 minutes a day may help migraine sufferers

2 min read
Electrical Stimulator to Prevent Migraines Receives FDA Approval

Pharmaceuticals are so 20th century. Medicine's buzzy new trend is electroceuticals: ways to treat ailments with electricity rather than chemicals. Yesterday, the U.S. Food and Drug Administration approved a new entry into this field, when it gave the nod to a device that prevents migraines by electrically stimulating nerves in the cranium. The device is manufactured by the Belgian company STX-Med, and is already approved for commercial sales in Europe, Canada, and Australia.  

Cefaly, a battery-powered device that resembles a tiara or a headband, can be used for daily 20-minute sessions. The FDA says this treatment may help migraine patients who can't tolerate or don't respond to medication.

The device works by stimulating the trigeminal nerve, the largest cranial nerve, which carries sensory information from the face to the brain, and which has also been associated with the pain of migraine headaches. According to the Cefaly website, its mechanism is based on the gate control theory of pain. By providing sensory input to the nerves, the device essentially keeps a neural gate closed to pain input. This theory explains why you rub your elbow after banging it—the sensory stimulus overrides the pain stimulus, which is transmitted to the brain on different nerve fibers. 

The FDA's approval is based on several studies conducted in Europe. One study of 67 migraine patients, published last month in Neurology, found that Cefaly users experienced significantly fewer migraines over the course of a month than patients who used a placebo device. However, in a user satisfaction survey, only 54 percent of patients who rented a trial device said they wanted to purchase the device. As those users who returned the Cefaly were shown to have used the device for only about half the recommended time, it seems possible that migraine patients are still more comfortable with popping a pill than wearing a tiara around the house.  

The product video provides more information, although there's a good bit of jargon to deal with. It may help to know that nociceptors are the receptors on neurons that respond to a pain stimulus. 

Image and video: Cefaly

The Conversation (1)
michelle Diesburg28 Jun, 2022
INDV

I can not find any information out there on electrical stimulation causing headaches. I use to see a chiropractor 10 years ago and they used one on me to help my back they said because it was a better method. It never helped my back and it started giving me bad headaches mid-session when they used it. I stopped going and the headaches disappeared. Today I had an electric nerve test which again caused a bad headache mid-test, I asked the technician conducting the test and he never heard of it. Why am I the only person getting bad headaches from these medical electric devices?

Restoring Hearing With Beams of Light

Gene therapy and optoelectronics could radically upgrade hearing for millions of people

13 min read
A computer graphic shows a gray structure that’s curled like a snail’s shell. A big purple line runs through it. Many clusters of smaller red lines are scattered throughout the curled structure.

Human hearing depends on the cochlea, a snail-shaped structure in the inner ear. A new kind of cochlear implant for people with disabling hearing loss would use beams of light to stimulate the cochlear nerve.

Lakshay Khurana and Daniel Keppeler
Blue

There’s a popular misconception that cochlear implants restore natural hearing. In fact, these marvels of engineering give people a new kind of “electric hearing” that they must learn how to use.

Natural hearing results from vibrations hitting tiny structures called hair cells within the cochlea in the inner ear. A cochlear implant bypasses the damaged or dysfunctional parts of the ear and uses electrodes to directly stimulate the cochlear nerve, which sends signals to the brain. When my hearing-impaired patients have their cochlear implants turned on for the first time, they often report that voices sound flat and robotic and that background noises blur together and drown out voices. Although users can have many sessions with technicians to “tune” and adjust their implants’ settings to make sounds more pleasant and helpful, there’s a limit to what can be achieved with today’s technology.

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