A Practical Algorithm for Using rTMS to Treat Patients with Chronic Pain

TITLE
A Practical Algorithm for Using rTMS to Treat Patients with Chronic Pain

SOURCE
Neurophysiologie Clinique. 49(4):301-307, 2019 Sep.

AUTHORS
Lefaucheur JP; Nguyen JP.

ABSTRACT
High-frequency repetitive transcranial magnetic stimulation (rTMS) of the primary motor cortex has a good level of evidence of efficacy as a method for providing analgesic effects in patients with chronic pain. However, there is still no consensus regarding the parameters of stimulation to use and the detailed protocol to apply for therapeutic practice. In this article, we review the main technical points to address, and we propose a practical algorithm of how to use rTMS for chronic pain treatment in daily clinical practice.