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Cranial Electrotherapy Stimulation

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1. Health Care ATANG CES

Cranial Electrotherapy Stimulation

Main Technical Parameter:                                                                        
  • Cranial electrotherapy stimulation (CES)
  • Pulse duration:150ms±10ms
  • Power range: 6 levels adjustable
  • Treatment time: 15min, 30min ,45min ,60min
Application:
  • Insomnia
  • Migraine
  • Depression
  • Anxiety
  • Chronic pain /pain related disorders neurosism

How It Works for Pain (Chronic pain / Migraine):
The sensation of pain is transmitted through your body along billions of nerve cells that are specifically designed to transmit pain messages through electrochemical signals.
Our electrotherapy device uses a microcurrent  waveform effectively modulates the signals within the cell to provide significant pain relief and pain management without medication.

Official website: Health Care ATANG CES

2. CES - LASPOT

Cranial Electrotherapy Stimulation


CES - LASPOT - Device Specification:

Pulse modulation frequency:                0Hz~15Hz
Pulse duration:                                        100ms±10ms
Single pulse width:                                  2ms±0.4ms
Pulse repetition rate:                               250Hz±50Hz
Lithium battery voltage:                          110v~240v
Treatment Time:                                       15mins 30mins 45mins 60mins
Power range:                                             6 levels adjustable


Application:

  • Difficulty to fall asleep 
  • Sleep lightly(caused by nightmare) 
  • Energy can’t be recovery after sleep 
  • Easily awakened, be sensitive to voice or light 
  • Insomnia caused by body disease 
  • Caused by mental or emotional disease 
  • Caused by alcohol, irritant or other things 
  • Depression, anxiety, fatigue, absent-minded 
  • CES Cranial Electrotherapy Stimulation helps you out of these sufferings.

Official website: CES - LASPOT

In general, the above CES types are basically the same in terms of operational principles and utility.
Check them at the official website to find the type of CES that works best for you.
A deep understanding of CES will help you find the best, cheapest option for you. So, you can learn more about CES on my Blog:


CES is now very famous for treating insomnia. Perhaps many people prefer to use CES to treat insomnia.
The most important FDA research paper on CES has been deleted by themselves.
Perhaps so, the methods of using CES in the treatment of smoking cessation, opium, migraine, depression, etc. all of them are not recommended by the doctor and no clear documentation.

If you are looking for a document (program) to treat insomnia: Natural Insomnia Program


Cranial Electrotherapy Stimulation: A Comparison of Commercially Available Technologies

Despite a rather exhaustive search of the literature and Internet, there is a scarcity of information comparing Cranial Electrotherapy Stimulator (CES) devices to one another in terms of mechanism of action or efficacy. While Cranial Electrotherapy devices may have markedly different waveforms, they all seem to have similar benefits for as of yet scientifically unclear reasons.

Cranial Electrotherapy Stimulation (CES) essentially consists of applying a very low current that is usually pulsed at 0.5 to 500 Hz to the temples, mastoid processes, or the earlobes. It is thought to modulate neurotransmitter systems in the brain including the serotonergic system. There are a few devices on the market which the FDA allows to promote for the treatment of anxiety, depression, and insomnia. The FDA approval essentially was secondary to a "grandfather" clause that allowed them in based on evidence of efficacy as the regulations were becoming much more stringent for newer devices (and medication approval). CES devices require a prescription in the United States. While some individuals sense an immediate benefit, generally the devices must be used about 20 to 40 minutes per day, at least a few times per week, for about a month to really appreciate efficacy.

While Cranial Electrotherapy has been around for many years and several devices have "FDA Approval" there is a marked difference between the operating frequencies, duty cycles, and consequently waveforms among the various devices. For example, the Fisher Wallace Stimulator has a 15,000 Hz square wave carrier modulated at 15 Hz and 500 Hz. The Alpha-Stim SCS is modulated at 0.5 Hz, and the CES Ultra operates at 100 Hz. In addition there are several devices which do not have or have not sought FDA approval such as the Sota Bio-Tuner which similarly connects to the mastoid area or clips to the ear lobes like the CES devices, and provides 6 different output modes with a base frequency of 1,000 Hz, pulse modulated at 111.11 Hz, but also with options to be further modulated at 0.5Hz or 7.83 Hz. The Bio-Tuner has more power output than some of the FDA approved units, and if the Fourier frequency spectrum is analyzed, actually overlaps in power and frequency with the FDA approved devices.

The research I have seen concerning the efficacy of CES is relatively good, and my clinical experience has also been good (I have also seen good results with the Bio-Tuner). Cranial Electotherapy seems to be relatively safe, however CES may be contraindicated if one has a pacemaker, is pregnant, or has a seizure disorder. It may also cause some dizziness and nausea among other side effects but is generally well tolerated.

The FDA approved devices all seem to have adequate scientific evidence to back up their claims of having efficacy for anxiety, depression, and insomnia. This is well documented in the literature and also via links on the websites which market and sell the respective devices.

Because devices like the Bio-Tuner are not FDA approved, like nutritional supplements they can not be marketed to claim that they are intended to cure or treat any disease. They can be described as being used for wellness, health, well-being, and relaxation however. And in fact, while there are many testimonials as to the benefits of the Bio-Tuner and other such devices, there is only limited scientific research backing it up for those particular devices.

Thus, despite a rather exhaustive search of the literature and Internet, there is a scarcity of information on the rational for why any of these devices should work differently from one another at any of the frequencies, while researchers might speculate that there is a similar mechanism of action, despite markedly different waveforms. Nevertheless, there is compelling evidence that applying current to the head as these units do, is of some benefit.

Cranial Electrotherapy Stimulation: Science and Evidence

Cranial Electrotherapy Stimulation: Science and Evidence

Cranial Electrotherapy Stimulation (CES) is a non-drug treatment used primarily for anxiety, depression, and insomnia. It can be used as a single modality, or in combination with psychotropic medications, psychotherpy, biofeedback, and other therapies. It essentially consists of applying a very low current that is usually pulsed at 0.5 to 500 Hz to the temples, mastoid processes, or the earlobes. It is not clear at this time if any of the CES devices have a superior waveform however. There are a few devices on the market which the FDA allows to promote for the treatment of anxiety, depression, and insomnia. These devices have also been used "off label" for pain and addictive disorders. CES devices require a prescription in the United States and should only be used under the care of a licensed professional. 

Generally the devices must be used about 20 to 40 minutes per day, at least a few times per week, for about a month to really appreciate efficacy. Some individuals sense an immediate benefit however, especially when used for anxiety disorders, where the user might feel relaxed but also alert entering into an "alpha state" as demonstrated by the presence of alpha waves on an EEG. CES has been around for many years. 

The research I have seen concerning its efficacy is relatively good, and my clinical experience has also been good. It seems to be relatively safe, however CES may be contraindicated if you have a pacemaker, are pregnant, nursing, or have a seizure disorder. It may also cause some dizziness and nausea among other side effects but is generally well tolerated.

Cranial Electrotherapy Stimulation (CES) - Science:

CES is actually one of many brain electo-stimulation treatments in psychiatry which also include electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), and deep brain stimulation (DBS). Like all of these modalities, the exact mechanism of CES is uncertain, however it is postulated to modulate the neurotransmitter systems inducing neurons to produce serotonin, dopamine, neurohormones e.g. DHEA, and endorphins. Specifically, CES is thought to primarily act on the brain's hypothalamic region, bringing the brain back to pre-pathological homeostasis. By comparison to the other modalities, CES is relatively noninvasive, safe, and inexpensive. 

All of the treatments, like CES may take from days to weeks to achieve their maximum therapeutic benefit and may be used in combination with psychotropic medications and other treatments. Unlike the other electro-stimulation modalities, CES may be used as a first line treatment, while the others are typically reserved for refractory and severe cases.

Cranial Electrotherapy Stimulation (CES) - Evidence:

While Cranial Electrotherapy Stimulation has been in use for decades, it is currently gaining in popularity, perhaps due to advances in electro-stimulation treatments in general. It was first researched in the Soviet Union in the 1950s, though the idea of using low current stimulation to the brain to induce sleep dates back to 1902. There are a multitude of studies supporting the use of CES for anxiety, depression, insomnia, addictive and pain disorders. The FDA specifically approves the use of CES for anxiety, depression, and insomnia, as several devices were "grandfathered in." The FDA "grandfathered" these devices based on their demonstrated efficacy, though, they never had to go through the rigorous requirements that the FDA has required for new technologies, or medications that are currently subject to review. 

Nevertheless, there are well over a hundred studies which support this technology, primarily for anxiety, depression, and insomnia. Many of the studies have been sponsored in some way by the wholesalers or manufacturers of the devices as their devices were needed for the research. These companies in my opinion have done a very good and objective job publishing these studies along with other studies on their respective websites, and I recommend the interested reader to refer to their websites at alph-stim.com for Electromedical Products International, fisherwallace.com for Fisher Wallace, and cesultra.com for Neuro Fitness LLC.

You are learning about CES, chances are you will also learn about TENS: 

24 comments:

  1. Once you have an order or prescription, you can buy an Alpha-Stim on our online store, by calling 1-800-FOR-PAIN, by faxing a retail order form to 940-328-0888. Outside of the United States, you do not need a prescription or order from your healthcare practitioner

    ReplyDelete
    Replies
    1. I am very pleased and surprised by the results as I have tried virtually everything else and nothing has even come close to working this well.

      Delete
    2. Side effects from these medications prescribed for insomnia include:

      Burning or tingling in the hands, arms, feet, or legs
      Changes in appetite
      Constipation
      Diarrhea
      Difficulty keeping balance
      Dizziness
      Daytime drowsiness
      Dry mouth or throat
      Gas
      Headache
      Heartburn
      Impairment the next day
      Mental slowing or problems with attention or memory
      Stomach pain or tenderness
      Uncontrollable shaking of a part of the body
      Unusual dreams weakness
      Insomnia medication is often associated with a “hangover” type effect. There is no such effect with Alpha-Stim, allowing you to get more and better sleep, without any regrets the next morning. Patients usually see improvement after the initial treatment, but results may take up to 3 weeks.

      Delete
    3. Cranial electrotherapy stimulation (CES) is a U.S. Food and Drug Administration (FDA)-approved treatment for insomnia, depression, and anxiety consisting of pulsed, low-intensity current applied to the earlobes or scalp. Despite empirical evidence of clinical efficacy, its mechanism of action is largely unknown.

      Delete
  2. Cranial electrotherapy stimulation (CES) is a US Food and Drug Administration–approved, prescriptive, noninvasive electromedical treatment that has been shown to decrease anxiety, insomnia, and depression significantly

    ReplyDelete
  3. This is the first cranial electrotherapy stimulator (CES) with proprietary conductive treatment electrodes integrated into ear pads of over-ear noise-canceling Bluetooth-enabled headphones, which can be used during treatment. The device features an internal rechargeable battery that provides a low-level and consistent current to the cranium. Cervella is the first CES managed through an app via a smart device. It allows for automatic storage of treatment history, reminders, and analytics and gives patients the option to share treatment data with healthcare providers to better manage the treatment plan and improve patient outcomes.

    ReplyDelete
  4. Funding provided by a grant from the Saban Family Foundation (Bystritsky). This work was also supported by a grant from the National Institute of Mental Health (5K23 MH079212—Feusner). The authors would like to thank M. Burock for his input on the study design, and E. Pierce, J. Alger, and J. Kaplan for their assistance with safety and artifact testing in the MR scanner.

    by https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3381625/

    ReplyDelete
    Replies
    1. Absolutely nothing relieves stress, anxiety, depression, insomnia, and pain like the Alpha-Stim. Its therapeutic abilities have been acclaimed by healthcare professionals and patients worldwide and effectiveness has been repeatedly verified through more clinical studies than with any other device in its class.

      Delete
    2. I thought cranial electrostimulation (CES), the application of a tiny electric current to the brain, must be overhyped nonsense, but I hadn’t really looked into it. ... The machines are FDA cleared for the treatment of anxiety, insomnia, depression, and some pain syndromes.

      Delete
  5. In over 35 years of clinical studies involving 8,800 people, only minor side effects such as headaches and skin irritation at electrode sites have been reported by a tiny fraction of users.

    ReplyDelete
  6. Alpha-Stim is the ideal adjunct therapy to complement your medications. It sends gentle electrical signals to the brain, so it has no harmful interactions with drugs. You may be able to decrease your dosage or go off medications entirely, depending on your condition and what your practitioner thinks is the best treatment plan.

    ReplyDelete
  7. All medical device manufacturers who seek to market devices in the United States must register with the FDA through one of two ways—the section 510(k) process, where a device is “cleared” for distribution, or the Pre-Market Approval process, where a device is “approved” by the FDA

    ReplyDelete
  8. Does cranial electrotherapy stimulation work?

    ReplyDelete
    Replies
    1. As with a number of medicines, the mechanism of action (how it works) of CES is not fully understood. Research has led to the hypothesis that it has a mild effect on the hypothalmic area of the brain. Researchers also have noticed rapid increases in serotonin, also associated with relaxation and calmness, and decreases in cortisol, one of the primary stress-related biochemicals. Interestingly, CES also increases levels of norepinephrine and dopamine, both associated with alertness and feelings of pleasure. This may be why so many CES users report feeling both relaxed and alert.

      Delete
  9. Do you need a prescription for Alpha Stim?

    ReplyDelete
    Replies
    1. In Canada, Alpha-Stim is available over-the-counter for insomnia and pain and a prescription is not needed. For treating pain, you’ll need to purchase an Alpha-Stim M. For treating insomnia, you’ll want to purchase the Alpha-Stim AID.

      Delete
  10. Replies
    1. Maybe science hasn’t asked the right questions yet. Despite the messy evidence, Vance et al. believe that “TENS has been shown to provide analgesia specifically when applied at a strong, non-painful intensity.”

      And: I do think we are heading into an era of using … both electrical & magnetic stimulation as a therapeutic tool.

      Dr. Steven Novella, Nerve Stimulation for Relaxation

      Delete
  11. Is Alpha Stim covered by Medicare?

    ReplyDelete
    Replies
    1. Insurance coverage varies by policy. Durable medical equipment coverage is often required to obtain some level of reimbursement for Alpha-Stim devices

      Delete
  12. How can depression be treated without taking anti-depression pills? I’m in my early 30s and my depression is getting worse. I want to learn how to deal with it or take something natural.

    ReplyDelete
  13. Low intensity electrical stimulation is believed to have originated in the studies of galvanic currents in humans and animals as conducted by Giovanni Aldini, Alessandro Volta and others in the 18th century. Aldini had experimented with galvanic head current as early as 1794 (upon himself) and reported the successful treatment of patients suffering from melancholia using direct low-intensity currents in 1804..

    CES was initially studied for insomnia and called electrosleep therapy; it is also known as cranial-electro stimulation and transcranial electrotherapy

    ReplyDelete
  14. Hi there,

    Recently i bought a CES device to help with my anxiety and depression.
    The device i bought is from Atang (a chinese manufacturer) and i believe the device itself does work. But after my purchase it turns out it is not FDA cleared for the purpose of treating anxiety, insomnia and depression. I did some research on this device and it looks trustworthy, it has quite good reviews from customers, CE and ISO marking, the company itself looks legit also. It doesn't have FDA approval but it does have CFDA approval which is the Chinese Food and Drug Administration. So i think the device must be safe and effective. Don't know if CFDA is as strict as the FDA but until now there are not really any red flags i can find to not use this device. I mean some CES devices on this site are also not FDA cleared, so that says something that it doesn't matter to much i think. Correct me if im wrong?

    If you look on alibaba you can see that this company (Atang Health) has been inspected by a third party, it has different certificates, their transparant in what there doing and what they want to achieve, they stand by their product and promote it all over the world, you can easily contact them, statistics show that their products sell good (mainly in east asia) and their reputation on trading platform alibaba is very good. So i think this is a real CES device, there is nothing i can find that rings any alarm bells!

    I'm not 100% sure that's why i want your opinion but if all these trustworthy information is not enough i can't imagine why a company would bring a device on the market that is harmful, they would be out of bussiness pretty soon. So that would be a dumb thing to do!

    What do you think about this device? Can i safely use it without harm?

    Kind regards,
    Rick Beijer

    ReplyDelete

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