TREATMENTS

See the results of the different NESA® treatments

Chronic Pain Relief: Advances with NESA® Medical Technology

Chronic pain affects 20% of the world's population according to the World Health Organization (WHO). NESA® technology is presented as an advanced solution, using neuromodulation to treat chronic corticalised pain and neuropathic pain by modulating the autonomic nervous system and reorganizing bioelectrical nerve tissue.

Chronic pain, especially neuropathic pain, is associated with dysfunctions in the autonomic nervous system, complicating its management. NESA® technology is presented as an advanced solution, using neuromodulation to treat chronic corticalised pain and neuropathic pain by modulating the autonomic nervous system and reorganizing bioelectrical nerve tissue.

Recent research highlights the importance of the interaction between chronic pain and the autonomic nervous system. A study highlighted by Arslan and Çevik (2022) illustrates how the sympathetic nervous system may play a crucial role in the induction, facilitation, or potentiation of chronic pain, highlighting the modulation of this system as an essential component in pain management.

Improved physical performance and reduced fatigue

Optimal physical performance and effective fatigue management are crucial for athletes and active individuals, with NESA® medical technology representing an innovative solution that offers an advanced neuromodulation method for these purposes. Fatigue, influenced by factors such as metabolic stress and imbalances in the autonomic nervous system, can significantly impact physical performance. Recent studies have demonstrated that NESA® medical technology enhances physiological recovery in athletes, optimizing their performance throughout the season (Garcia et al., 2022).

Furthermore, the application of NESA® neuromodulation has shown positive effects on sleep quality and recovery processes in young professional basketball players (Medina-Ramirez et al., 2024), which are fundamental aspects for physical performance and fatigue reduction.

The relationship between the autonomic nervous system, fatigue, and physical performance has been explored in several investigations. A pivotal study (Meeusen et al., 2020) discusses how the balance between the sympathetic and parasympathetic divisions of the autonomic nervous system affects resilience and physical performance, highlighting the importance of neuromodulation in optimizing these functions.

Optimising Sleep: Key to Recovery

Sleep is not merely an essential component of daily well-being; it is fundamental in the recovery process of patients. With over 66% of individuals experiencing sleep dysfunctions that directly impact their quality of life (WHO), the significance of sleep in both physical and mental recovery cannot be overstated.

Recent research underscores the crucial role of sleep in various aspects of health, ranging from the function of the glymphatic system in the clearance of beta-amyloid, associated with Alzheimer's disease (Zhao et al., 2022), to its influence on pain perception and postoperative recovery (Butris et al., 2023). Sleep deprivation has not only been associated with an elevated risk of heart attacks but also with slower recovery from lymphopenia and an increased necessity for intensive care among hospitalized patients (Zhang et al., 2020).

NESA® medical technology specializes in modulating the autonomic nervous system, enhancing sleep quality through neuromodulation of the retinohypothalamic pathways involved in the regenerative processes of sleep. This gradual enhancement in sleep quality is pivotal to the patient's comprehensive recovery, supported by cutting-edge science in the realm of sleep and recuperation.

Advanced Anxiety Management

Anxiety and stress, widely recognized as mental health challenges in modern society, affect a significant proportion of the global population. NESA® medical technology emerges as a pioneering solution, offering a novel approach to neuromodulation to combat these prevalent challenges.

Factors such as social environment, nutrition, and poor sleep hygiene are known contributors to the development of stress and anxiety, leading to a progressive deterioration of the nervous system. This phenomenon is reflected in increased cortisol levels and altered beta brain waves, markers of wakefulness and stress, affecting approximately 70% of the world's population, who have experienced periods of sustained stress at some point, while 4% suffer from chronic anxiety disorder according to the WHO (World Health Organization). A recent study reveals that the prevalence of anxiety in the general population during the COVID-19 pandemic was 31.9%, with 29.6% reporting elevated levels of stress (Salari et al., 2020).

A recent study reveals that the prevalence of anxiety in the general population during the COVID-19 pandemic was 31.9%, with 29.6% reporting elevated levels of stress (Salari et al., 2020). These tools are crucial to demonstrate objective changes in the patient's psychosomatic state, with measurement of cortisol levels and cardiac variability recommended for a complete assessment.

Regulation of the Autonomic Nervous System: Key to the Management of Constipation

Constipation, a prevalent gastrointestinal disorder, significantly impacts quality of life. Modulation of the autonomic nervous system emerges as a fundamental approach in the effective treatment of constipation, highlighting the importance of innovative interventions such as NESA® medical technology.

The autonomic nervous system, which regulates involuntary bodily functions including gastrointestinal motility, plays a crucial role in the management of constipation. Dysfunctions in this system may be contributing factors to constipation, making its modulation essential to restore balance and improve bowel function.

The application of non-invasive neuromodulation in children with neurodevelopmental disorders has shown improvements in sleep quality and constipation (Báez-Suárez et al., 2023), indicating that regulation of the autonomic nervous system may have beneficial effects on gastrointestinal motility.

A relevant study by Rao and Welcher et al. (2020) examines how autonomic nervous system dysfunction may influence chronic constipation, suggesting that modulation of this system is key to improving symptoms in affected patients.

Management of overactive bladder urinary incontinence: The role of the autonomic nervous system

Urinary incontinence due to an overactive bladder is a condition that significantly affects the quality of life of millions of people, comprising 6% of the world's population according to the WHO. This condition is closely related to the autonomic nervous system. NESA® medical technology emerges as an innovative solution, applying neuromodulation to treat this condition by regulating the autonomic nervous system.

Overactive bladder is characterized by involuntary contractions of the bladder muscle, influenced by dysfunctions in the autonomic nervous system. These dysfunctions can disrupt communication between the brain and the bladder, leading to urinary urgency, frequency, and, in many cases, incontinence.

Research has demonstrated the effectiveness of neuromodulation in the treatment of autonomic nervous system disorders related to overactive bladder. A relevant study by Contreras et al. (2023) showed significant improvements in urinary incontinence symptoms in patients with multiple sclerosis following the application of NESA® neuromodulation, highlighting its therapeutic potential.

Furthermore, studies have shown the effectiveness of NESA® Non-Invasive Neuromodulation in the treatment of autonomic nervous system disorders related to overactive bladder. For example, research by Smith et al. (2023) and Conde et al. (2023), presented at the International Continence Society (ICS) Congress, emphasizes the relationship between overactive bladder and the autonomic nervous system. It underscores how autonomic dysfunctions may influence this condition and its treatment.

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REFERENCES PAPERS

  1. García F, Fernández D, Vázquez-Guerrero J, et al. (2022) Recovery of the physiological status in professional basketball players using NESA neuromodulation treatment during different types of microcycles in season: A preliminary randomized clinical trial.Frontiers in Physiology. 2022;13.https://www.frontiersin.org/articles/10.3389/fphys.2022.1032020
  2. Medina-Ramírez, R., Molina-Cedrés, F., Báez-Suárez, A., & Álamo-Arce, D. (2021). Nesa Non-Invasive Neuromodulation; A New Frontier of Treatment of the Autonomous Nervous System in Physiotherapy. 4.DOI: https://www.cientperiodique.com/article/CPQOS/5/4/97

  3. Teruel-Hernández, E., López-Pina, J. A., Souto-Camba, S., Báez-Suárez, A., Medina-Ramírez, R., & Gómez-Conesa, A. (2023). Improving sleep quality, daytime sleepiness, and cognitive function in patients with dementia by therapeutic exercise and NESA neuromodulation: A multicenter clinical trial. International Journal of Environmental Research and Public Health, 20(21), 7027. https://doi.org/10.3390/ijerph20217027

  4. Báez-Suárez, A., Padrón-Rodríguez, I., Castellano-Moreno, E., González-González, E., Quintana-Montesdeoca, M. P., & Medina-Ramirez, R. I. (2023). Application of non-invasive neuromodulation in children with neurodevelopmental disorders to improve their sleep quality and constipation. BMC Pediatrics, 23(1), 465. https://doi.org/10.1186/s12887-023-04307-4

  5. Contreras, M., Medina-Ramírez, R., Teruel-Hernandez, E., Vilchez-Barrera, M., Báez-Suárez, A., & Álamo Arce, David. (2023). Rehabilitation in Sleep, Pain, and Bladder Symptoms of NESA Neuromodulation Application in Multiple Sclerosis Patients: A Innovative Treatment. CPQ Medicine Journal, 15(1). https://www.cientperiodique.com/article/CPQME-15-1-439.pdf
  6. Medina-Ramírez, R., Mallol Soler, M., García, F., Pla, F., Báez-Suárez, A., Teruel Hernández, E., Álamo-Arce, D. D., & Quintana-Montesdeoca, M. d. P. (2024). Effects in sleep and recovery processes of NESA neuromodulation technique application in young professional basketball players: A preliminary study. Stresses, 4(2), 238-250. https://doi.org/10.3390/stresses4020014

  7. Bonilla-Eizaguirre, M., Martín, M., Hernández-Pérez, A., Vílchez-Barrera, M., Medina-Ramírez, R., & Báez-Suárez, A. (2024). Efficacy of NESA non-invasive neuromodulation in patients with post-traumatic cervicalgia. International Journal of Research and Scientific Innovation (IJRSI), 11(10), 474. https://doi.org/10.51244/IJRSI

  8. Vega-Delgado, N., García-Rodríguez, I., Saldanha, L., Báez-Suárez, A., Vílchez-Barrera, M., Álamo-Arce, D., Hernández-Pérez, A., & Medina-Ramírez, R. (2024). New frontier in sleep disorders: The rising of an innovative non-invasive neuromodulation treatment. International Journal of Research and Scientific Innovation (IJRSI), 11(15), 49. https://doi.org/10.51244/IJRSI.2024.11150049P

  9. Báez-Suárez, A., Báez-Suárez, V., Saldanha, L., Vílchez-Barrera, M., Hernández-Pérez, A., & Medina-Ramírez, R. (2025). Improving Sleep Quality and Well-Being in Institutionalized Older Adults: The Potential of NESA Non-Invasive Neuromodulation Treatment. Geriatrics, 10(1), 4. https://doi.org/10.3390/geriatrics10010004

  10. VASCULAR Front. Physiol Acute sonographic changes in common carotid artery after NESA neuromodulation intervention in healthy adults: a randomized controlled clinical trial doi: 10.3389/fphys.2025.1526236
    https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2025.1526236/abstract

  11. PAIN Azevedo, N., & Medina-Ramírez, R. (2025). Pain and the autonomic nervous system: The role of non-invasive neuromodulation with NESA microcurrents. Frontiers in Pain Research, 6, Article 1410808. https://doi.org/10.3389/fpain.2025.1410808

CONFERENCES

  1. Molina, F., Medina-Ramírez, R., Báez, A. Álamo-Arce, DD. (2020). Recuperación exitosa de un Síndrome Regional Complejo a través de la electroterapia de neuromodulación del Sistema Nervioso Autónomo. 58o Congreso SERMEF. Mallorca, España.http://hdl.handle.net/10553/114084

  2. Medina-Ramírez. (2021). ¿Los deportistas profesionales tienen una óptima calidad del sueño?Aprender a dormir, una asignatura pendiente. XXIX Reunión Anual de la Sociedad Española del Sueño, España.

  3. Medina-Ramírez, RI., Molina, F., Medina-Ramírez, R., Báez, A. Álamo-Arce. Tecnología NESA. Un nuevo tratamiento revolucionario en fisioterapia. Macaronesian Researcher`s night. In Horizonte 2020 Congress. 2020. Las Palmas, Spain.

  4. Lledó-Amat, M., Medina-Ramírez, R., Álamo-Arce, & Arteaga-Ortiz, R. (2021). Efectos de la Neuromodulación no invasiva NESA en el tratamiento de secuelas de Ictus: A propósito de un caso. Congreso Nacional de Fisioterapia de la UMH, España.

  5. Lledó-Amat, M., ancho-Francés, A., Medina-Ramírez, & Álamo-Arce, D. (2021). Tratamiento de la neuralgia del trigémino con Neuromodulación no invasiva NESA: A propósito de un caso. Congreso Nacional de Fisioterapia de la UMH, España.

  6. Medina-Ramírez, R., & Roman, T. (2021). Efectos de la Neuromodulación no invasiva NESA en el tono muscular, el dolor y el sueño, en pacientes bruxistas.Aprender a dormir, una asignatura pendiente. XXI reunión Anual de la Sociedad Española del Sueño, España.

  7. Contreras, M., & Medina-Ramírez, R. I. (2021). Caso clínico de neuromodulación superficial aplicada (NESA) en pacientes con Esclerosis Múltiple. Congreso de fisioterapia nacional UMH, España

  8. Medina-Ramírez, R., Molina-Cedrés, F., & Moreno, A. (2022). Potenciando la fisioterapia invasiva a través del sistema nervioso autónomo. I JORNADA PRESENCIAL Fisioterapia invasiva. Barceona, Spain.

  9. Cano-Uceda, A. Aparicio-Montero, P. Medina-ramírez, R. (2023) Effectiveness of non-invasive neuromodulation in improving sleep quality and stress in physiotherapy students. Multicenter study. In SPRM Congress 2023. Colombia.

  10. Molina-Cedrés, F., González, M., & Medina-Ramírez, R. (2022). Combining physiotherapy techniques: Treatment of plantar fasciitis with NESA neuromodulation and electrolysis. The International Society for Physical Rehabilitation Medicine Conference. The International Society for Physical Rehabilitation Medicine, Lisbon, Portugal.

  11. Contreras, M., Medina-Ramírez, R., & Molina-Cedrés. (2022). Nesa Non-invasive neuromodulation; a chance to approach Sclerosis Multiple symptoms. The International Society for Physical Rehabilitation Medicine Conference. The International Society for Physical Rehabilitation Medicine, Lisbon, Portugal.

  12. Báez-Suárez, A., Medina-Ramírez, R., Molina-Cedrés, Padrón, I., Montesdeoca, M. del P., Castellano, E., & González, E. (2022). Can microcurrents help children with neurodevelopmental disorders with their defecation and sleep quality problems? The International Society for Physical Rehabilitation Medicine Conference. The International Society for Physical Rehabilitation Medicine, Lisbon, Portugal.

  13. Ruíz-lópez, K., González, M., & Medina-Ramírez, R. (2023). NESA Neuromodulation in pelvic floor and uroginecology. I NESAevent Internacional Conference. I NESAevent Internacional Conference, Madrid, Spain.

  14. Medina-Ramírez, R., Molina-Cedrés, F., Báez-Suárez, A., Álamo Arce, D., & Mallol-Soler, M. (2022). Improving sleep quality: The new frontier of physical therapy neuromodulation of the autonomic nervous system. Congreso Internacional de Fisioterapia de Cataluña. Congreso Internacional de Fisioterapia de Cataluña, Barcelona, Spain.

  15. Báez-Suárez, A., Pestana-Miranda,R. Álamo-Arce, D. Martín-Castillo, E., Medina-Ramírez, R.(2020). Effectiveness of non-invasive neuromodulation in children with neurodevelopmental disorders to improve constipation and sleep quality. In SPRM Congress. Belgrade, Serbia.

  16. Zamorano, E., & Medina-Ramírez, R. (2022). Face to Face. Neuromodulación percutánea versus no invasiva (sistemas inductivos de alta intensidad y NESA). V Congreso Internacional de Fisioterapia Invasiva. V Congreso Internacional de Fisioterapia Invasiva, Madrid, Spain.

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