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Transcranial magnetic stimulation (rTMS)

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Article written by: ALEX MUNTEANU, Kinetoterapeut
Actualizat: 20-05-2026 / Publicat: 05-10-2021


Most people looking for modern solutions for medical recovery and neurological treatment seek clear, up-to-date, and scientifically validated information. In the following sections, we discuss what transcranial magnetic stimulation involves, when it is recommended, and how it integrates into a personalized treatment plan. You will learn details about effectiveness, precautions, stages of medical evaluation, and how you can benefit from professional services provided by experienced medical teams.

What is transcranial magnetic stimulation (rTMS)?

Repetitive transcranial magnetic stimulation (rTMS) is a technique that uses magnetic impulses to influence neuronal activity in specific areas of the brain. The rTMS device places a coil on the scalp and delivers short impulses at a controlled frequency. These impulses stimulate or inhibit cortical activity depending on the frequency used.

Unlike other methods, rTMS does not require anesthesia and does not involve invasive procedures. Most patients remain fully conscious during the session [1].

Clinical indications for transcranial magnetic stimulation

rTMS is recommended for:

  • Moderate or severe depression resistant to treatment;
  • Chronic fatigue in neurological or autoimmune diseases;
  • Recovery after stroke;
  • Anxiety disorders, neuropathic pain, migraines (upon medical recommendation);
  • Support in neurological and motor rehabilitation programs.

For example, after a stroke, a patient may receive rTMS sessions to improve recovery of motor function in the affected limbs [1][2].

Contraindications and safety measures

Transcranial magnetic stimulation is not recommended for:

  • People with pacemakers or other metallic medical implants in the head area;
  • Patients with a history of uncontrolled epilepsy;
  • Pregnant women (without specialized medical recommendation);
  • People diagnosed with brain tumors.

Risks may include:

  • Temporary scalp discomfort;
  • Headaches and, rarely, seizures in high-risk individuals;
  • In rare cases, temporary vision or hearing changes (due to impulse intensity).

Always consult a specialist doctor before starting this type of therapy [1][2][3].

Benefits of medical evaluation and a personalized therapeutic plan


A proper evaluation ensures that rTMS treatment suits your medical condition. During the evaluation:

  • The neurologist reviews your medical history, previous treatments, and imaging investigations;
  • Determines the indications or contraindications for rTMS;
  • Explains in detail the benefits, risks, and realistic expectations of therapy.

A thorough evaluation prevents risks and optimizes the chances of treatment success. Choose clinics experienced in developing personalized treatment plans. A well-trained medical team can guide you throughout the treatment process and adapt the protocol according to your progress [1][2].

How a transcranial magnetic stimulation session takes place

A session lasts between 20 and 40 minutes, depending on the established protocol. The basic steps include:

  • The patient remains seated comfortably in a relaxed position;
  • The doctor places the stimulation coil on the scalp, directly above the targeted area;
  • The device delivers controlled magnetic field impulses for the established duration;
  • After the session, the patient can usually return quickly to normal daily activities.

Treatment generally involves 20–30 sessions, performed 3–5 times per week, depending on the condition and medical recommendations [1][2].

Practical examples of use

  • Personalized post-operative recovery: a person who underwent hip orthopedic surgery may include rTMS in the rehabilitation plan to stimulate nervous system adaptation and restore mobility;
  • Depressive disorders: patients diagnosed with major depression uncontrolled by medication may undergo rTMS therapy and often report significant improvements in mood and energy levels after several weeks [1][2][3].

Magnetic stimulation, modern medical recovery, and medical expertise

The integration of magnetic stimulation into modern medical recovery programs is part of increasingly complex treatment protocols. Specialized teams follow international recommendations and use certified equipment.

At Centrokinetic, every case is approached through detailed evaluation and adaptation to the patient’s real needs. Depending on the case, programs may include:

  • rTMS sessions for neurological or psychiatric conditions;
  • Physical rehabilitation assisted by physiotherapists and kinesiotherapists;
  • Medical monitoring and therapy adjustment based on the patient’s response.

See here the main types of transcranial electrical stimulation.

The connection between magnetic stimulation, physiokinetotherapy, and integrated recovery

Clinicians often recommend combining magnetic stimulation with physiokinetotherapy to increase the chances of recovering functions lost due to accidents, injuries, or chronic conditions.

For example, an amateur athlete diagnosed with shoulder pain and partial loss of functionality may undergo both rTMS sessions and specialized physiokinetotherapy sessions within the same clinic. Learn more about the services available at Centrokinetic!

Available options and recommended services

Within our clinics, you can schedule:

  • Specialized neurological evaluation;
  • Consultation regarding the inclusion of rTMS in your recovery plan;
  • Rehabilitation programs for chronic fatigue and orthopedic conditions;
  • Personalized interventions depending on age and severity (including children and elderly patients).

Personalized approach and the benefits of early intervention

Study results show that when therapy is accessed early and the recommendations of a specialist team are followed, the chances of regaining mobility and quality of life increase. Early evaluation supports treatment plan adaptation and reduces the risk of complications.

The medical team carefully analyzes each case, determines the most effective treatment options, whether physiokinetotherapy or rTMS, and continuously monitors your progress.

Therefore, transcranial magnetic stimulation offers many benefits in neurological and orthopedic recovery, but it must be adapted according to the specialist doctor’s evaluation. Early medical intervention increases the chances of restoring lost functions and prevents worsening of conditions. Schedule a specialist consultation now. The Centrokinetic expert team develops personalized treatment plans for each patient and closely monitors treatment progress.

Frequently asked questions

What side effects may occur after transcranial magnetic stimulation?

Mild headaches or scalp discomfort may occur, but they usually disappear quickly. Rare adverse reactions include seizures in high-risk individuals. Risks are carefully analyzed during the medical evaluation and can be discussed with your treating physician.

How long do the beneficial effects of rTMS treatment last?

The effects may vary depending on the condition and the number of sessions. Many patients report improvements after a few weeks, but treatment may need to be repeated periodically or combined with other therapies to maintain results.

Do I need to stop medication if I start rTMS?

Do not stop any medication without your doctor’s approval. rTMS may be used as a complementary therapy and does not replace medication unless your doctor decides otherwise.

This article is for informational purposes only and does not replace a specialist medical consultation. Always consult your doctor before starting any neurological or orthopedic treatment.

Sources

  • [1] “Transcranial Magnetic Stimulation - Mayo Clinic.” Mayoclinic.org, 2025, www.mayoclinic.org/tests-procedures/transcranial-magnetic-stimulation/about/pac-20384625. Accessed on Feb. 11, 2026.
  • [2] Mann, Sukhmanjeet Kaur, and Narpinder K Malhi. “Repetitive Transcranial Magnetic Stimulation.” Nih.gov, StatPearls Publishing, Mar. 6, 2023, www.ncbi.nlm.nih.gov/books/NBK568715/. Accessed on Feb. 11, 2026.
  • [3] “Repetitive Transcranial Magnetic Stimulation”, Oxford Health NHS Foundation Trust, https://www.oxfordhealth.nhs.uk/wp-content/uploads/2020/03/OH-253.20-rtms-patient-leaflet-long-version.pdf, Accessed on Feb. 11, 2026.

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