TPS-Therapy – Treatment process

TPS-Therapy - a Safe and Outpatient Treatment Method by Prof. Musa Citak, M.D.

TPS - Treatment Process

TPS is an outpatient and safe treatment method

Before the treatment

TPS-Therapie - Vor der Behandlung - Anamnese - MRI - Prof. Dr. med. Musa Citak
Before starting the therapy with Transcranial Pulse Stimulation there is a detailed consultation and anamnesis by Prof. Dr. med. Citak personally. For this purpose, the patient should come to the practice accompanied by a relative or other carer.

Please bring all neurological documents, any other findings relating to other diseases (e.g. laboratory values) and, ideally, any existing MRI data (magnetic resonance imaging). You can read which data we require for this here: .

Based on this data and through the personal conversation, we can determine the current status of the disease and also find out whether and which other indications around the treatment should be considered or taken into account.

Once the patient, the relatives and Prof. Dr. med. Musa Citak have decided that Transcranial Pulse Stimulation is indicated and can be performed, the actual treatment begins.

TPS - Treatment Start

TPS-Therapy - Treatment - 3D Camera - Prof. Dr. med. Musa Citak
At the beginning of the “TPS-Therapy” the patient sits down in a comfortable treatment chair. He/she can move freely at any time, so there is no fixation or the like, and relatives or other accompanying persons can of course be in the room during the therapy. Then we feed the patient’s TPS data into the system with which the transcranial pulse stimulation is carried out.

The patient then puts on special lightweight glasses to quickly and easily calibrate the head shape via a 3-D camera and bring it into congruence with the MRI data. This allows each applied pulse to be visualized and documented in real time. During the treatment process, we can thus continuously monitor on the screen which area of the brain has already been treated and is currently being treated.

Once all data has been completely recorded in the system, we apply an ultrasound gel to the hair or scalp (note: hair does not have to be cut or even shaved off!). We need the ultrasound gel to ensure optimal transmission of the impulses.

TPS - Treatment Execution

Then we take the handpiece, a small applicator connected to the device, and begin to gently and evenly transmit the shock wave impulses to all areas of the brain according to Prof. Citak’s parameters. The sound waves penetrate through the skin and the top of the skull without causing any injuries there or in the internal tissues. Each time the position of the handpiece is changed, the current representation of the target regions automatically adapts to the MRI images of the patient visible on the screen. The injected energy is displayed in color so that the placement of the shock waves inside the brain can be seen.

During the entire treatment, which usually involves the delivery of around 6,000 individual pulses, everyone in the room hears the short, slightly hissing sounds of the shock waves, because they are sound waves. You only hear them, you hardly feel them. Except for the stroking of the handpiece and the slight wetness and coolness of the ultrasound gel, the patient does not feel anything from the impulses and thus the treatment is painless according to all our patients to this day.

During the therapy, which lasts about 30 minutes, the patient, the attending physician and the relatives or companions can talk to each other or the patient can enjoy the treatment silently or even sleep. Drinks can also be taken. If the patient wishes to take a break, this is possible at any time.

TPS treatment end: After the TPS treatment is completed, the hair is cleaned, washed and/or blow-dried, or the scalp is cleansed, as appropriate. The patient can get up immediately and go about his/her normal daily routine without any restrictions. He/she can eat and drink what he/she wants, there is no need to rest or observe any other measures after the therapy.

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