Calmare- Who Should NOT proceed

Calmare is an advanced electrical stimulation treatment. Therefore the following should not receive Calmare Therapy:

  • pacemaker or automatic defibrillator
  • spinal cord stimulator or other implanted pain stimulator operational or non operational
  • aneurysm clip, vena cava clips, or skull plates (metal implants ofr orthopedic repair such as pins, plates and joint replacements are allowed)
  • pregnant and/or breastfeeding
  • history of epilepsy, brain damage, use of anti-convulsants other than pain control
  • prior celiac plexus block, or other neurolytic pain control treatment within 4 weeks
  • wounds or skin irritation in areas where the electrodes are to be placed
  • history of, or have been treated for myocardial infarction or ischemic heart disease within the past six months
  • severe arrhythmia or any form off equivalent heart disease
  • implanted drug delivery system
  • active withdrawal from drugs and/or alcohol
  • previous intolerance to transcutaneous electronic nerve stimulation
  • you are on neuroleptic medications (examples: carbamazepine, pregabalin, gabapentin) which appear to interfere with treatment efficacy and decrease longevity of no-pain post treatment protocol (these must be weaned prior)

The following conditions should be considered as Precautions to receiving Calmare Therapy:

  • You have pain originating in the central nervous system
  • stimulation over the neck (laryngeal and pharyngeal) due to muscle contraction may be strong enough to close the airway or cause difficulty breathing
  • because this device is capable of delivering a charge per pulse of 25 coulombs or greater, electrodes should not be placed in a trans-thoracic position (may cause arrhythmia)
  • you are prone to skin irritation (isolated cases have occurred)
  • you have no clear diagnosis of neuropathic pain
  • you are connected to other electronic monitoring equipment (ECG monitor). Calmare may not operate properly with the medical device in use