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Spring TMS Migraine Treatment Now Available

Spring TMS is non-drug treatment that uses a technology called transcranial magnetic stimulation to abort migraine attacks. Research has documented few possible side effects from using the device. FDA approved Spring TMS as an acute treatment for people who have migraine with aura, but it is also being prescribed for people who have migraine without aura. Published research has only looked at it as an acute treatment, but anecdotally, some people are finding that it seems to develop a preventive effect over time.

This article contains a bit of information on how TMS works, but is primarily about how to get a device and how much it costs. See Spring TMS Transcranial Magnetic Stimulation Device for Migraine Receives FDA Approval for information on efficacy and research.

How does transcranial magnetic stimulation work?

TMS sends brief pulse of energy to the brain using a very short magnetic field. It passes through the skull and induces very mild electrical currents in the brain. These currents are thought to interrupt abnormal electrical activity caused by migraine, thus aborting the migraine.

How do you use SpringTMS? Does it hurt?

To use the TMS, you hold it to the back of your head and press a button. It makes a quick clicking sound that reminds me of a single click of an MRI. It’s over in less that a second, though your doctor will probably recommend you do more than one treatment (each one a single click) at a time. There’s a bit of kickback, but it’s a mild sensation. I find it startling more than anything, though a couple people have told me they found it uncomfortable.

How does a patient find a doctor to prescribe Spring TMS?

Spring TMS is available by prescription at a number of headache clinics around the country. To find a clinic near you where it’s available, contact the manufacturer’s customer services at customercare@eNeura.com or (408) 245-6400. Your regular doctor can prescribe the device, but they need to email or call that number to talk with a representative from eNeura first.

How does a patient learn to use the device?

Spring TMS is easy to use and has a fully automated guide to walk you through the procedure. (I’ve used it and it’s really simple.) A nurse (called a clinical education consultant) will call you when you first receive the device to explain how to use it. The nurse will be available to answer questions, help you track your migraine frequency, and talk with your doctor about your progress for the first few months you use the SpringTMS.

How much does the Spring TMS cost?

Spring TMS is rented in three-month increments. At list price, it costs $250 per month. You can select to rent it for 12 months at a time, which will average $175 per month. New patients receive a $300 discount on their first prescription, which brings the cost down to $150 a month for the first three months.

How is a prescription renewed?

If you would like to continue using Spring TMS, your doctor can submit a renewal prescription to eNeura. eNeura will then email you an invoice for the next three months. After you pay, they will send you a new SIM card to replace the original in the machine. If you do not replace the SIM card, the unit will stop working when your three months are over.

Is Spring TMS covered by insurance?

Insurance coverage varies from one company to the next and usually requires a letter of medical necessity from your doctor. The company does not bill insurance directly, but you can submit the invoice to your insurance for potential reimbursement. eNeura has specially trained staff to help with insurance reimbursement. You can contact them through customer service.

Is the unit shipped to the patient or the doctor’s office?

Your doctor will send a prescription to eNeura and eNeura will send the device directly to your home. The prescription is for three months of use.

What if a patient stops using the device?

If you decide to discontinue using the device, you will need to ship it back to eNeura in the original packaging. Contact eNeura customer service for a prepaid return shipping label. You will not be charged for return shipping.

Where did this information come from?

I did an email interview with an eNeura executive through the company’s PR company. The information is current as of June 16, 2016.

Pricing information update August 24, 2016 with new details from eNeura customer service.

This article represents the opinions, thoughts, and experiences of the author; none of this content has been paid for by any advertiser. The Migraine.com team does not recommend or endorse any products or treatments discussed herein. Learn more about how we maintain editorial integrity here.

Comments

  • beachbum298
    6 months ago

    Hi,
    I started using the enuera for my migranes, and it has really helped. I also have tingling in my arms and leg, and when I did it when the tingling was at a peak, it got better. The tingling cause is not really known, but I have had it for the last 3 months. Do you know what it means if the eneura helped the tingling?

  • maureen52
    2 years ago

    Hi–This is not exactly a “pet peeve” since this is an open forum and I see that this is an old thread. A headache doc prescribed Spring TMS to me from Stanford Medical Center and I just picked it up, started to use it with migraine “due (I get them every other evening) and thought I had pushed back a big pain into a smaller pain. About 1AM, I needed advil, then tylenol and 24 hours after headache started, it is still with me–this is unusual but not unheard of in my chronic migraines. I spoke to the rep and she cited the studies at 65 pro/35 no, and said since there are no safety issues she had not heard of people experiencing longer headaches with the sTMS. Then looking at a blog tonight, I see the blogger had a bad experience and her mail had 4 or 5 bad experiences to 1 or 2 good experiences.

  • maureen52
    2 years ago

    I lost the post before I aired my peeve. This means either 1) People only like to say how lousy they feel on the internet–this may be true–wehen I just had 6 migraines/month I was not obsessively trolling the internet either! and worse 2) It could be causing a bias in the actual surveys. I would love to hear from some of the authors)I know Dr/ Goadsby’s name was on several articles–A survey always starts with xxx number of people. In the course of the survey, people drop out. So when the survey is concluded, the votes tallied are not xxx but xxxy, a lesser number. We dont know what happened to those that failed to finish, but if it was a positive experience, it seems they would have finished the study–free device, etc

  • James Weil
    2 years ago

    This unit is only available by a medical prescription. It was proscribed to me by Stanford Neurology in Palo Alto, Ca. I have been using this for a month. It is substantially reducing the intensity of my daily chronic migraines, shorting the duration around 25%, but not changing the frequency which is daily. The biggest issue I have against it is the cost.

    The unit cannot be purchased. It must be leased and you need to lease it for as long as it continues to work and as long as you have migraines, which for me is the rest of my life.

    The price, depending on the lease period, which can be between 3 months to a year, is around $3000 a year on a quarterly lease down to around $2100 for an annual rental. They charge $450 for the first trial quarter. Add another $50 for shipping costs if you can’t pick it up from their office. One other catch: If the unit stops working for you at anytime during the lease period, you forfeit the rest of the lease period. There are no refunds for unused time.

    Additionally Medicare does not cover any part of the cost. You need to check with your health insurance coverage first as many will also not cover it. However if your out-of pocket medical expenses qualify for a tax deduction, you will likely be able to deduct it as a medical equipment expense.

    Each pulse requires around 40 sec of charge up time before you can trigger the pulse.That can seem to be a long time when you are having a migraine and watching the progress of the charge bar on the display.

    I expect that for many the out-of-pocket cost of the unit will prohibit its use for many. Hopefully some competitors will be available soon as competition might reduce the cost. Perhaps one day Medicare will cover it as well thereby by making it a financially viable option to many other migraine sufferers.

    Right now given, what in my opinion is that this is predatory pricing, I would prefer to abandon this product for another proven migraine treatment that will mitigate my daily migraines. However given that this is working for me, when other options have failed, I am coerced into having to accept such practices as a trade off for being able to achieve a reasonable level of a meaningful life. Hopefully there will some alternatives on the horizon.

  • TiggerGirl44
    3 years ago

    I spoke with the customer service at eNeura the other day. Unfortunately, the cost to the rent the machine is $250 a month not $150.n But they still offer a $300 coupon for new patients.

  • Kerrie Smyres moderator author
    3 years ago

    You’re correct. The PR person quoted the price for only the first three months. Here’s the latest information:

    “We rent the device in 3-month increments. At list price, the cost per month is $250. A patient who selects the 12-month option will average $175 per month for SpringTMS. We also offer new patients a $300 discount on their first prescription, which would bring the cost per month down from $250 to $150 for that first prescription.”

    Take care,
    Kerrie

  • Kerrie Smyres moderator author
    3 years ago

    Thanks for the information. I was definitely told $150. Maybe that was a typo? I’m looking into it and will let you know what I learn.

    Take care,
    Kerrie

  • Reyk
    3 years ago

    I tried Spring TMS for 3 months. My insurance didn’t pay, so I paid $750. Unfortunately that was another disappointment in my migraines journey…My headaces got worse, I returned the device when the rent time is over…

  • Laura
    3 years ago

    If you use it and find it helpful, can you buy the machine? And, if so, how much does it cost?

  • Kerrie Smyres moderator author
    3 years ago

    Laura, no, they’re only available to rent.

  • LAnnSmith
    3 years ago

    I’m interested, but leery. It would be nice to get off pills, but I want to know more before spending that much money. My insurance probably won’t pay until it becomes mainstream and cheaper.

    Do you know of a place where patient feedback has been gathered? Thanks so much for all you do helping us migraineurs.

  • Kerrie Smyres moderator author
    3 years ago

    LAnn, I don’t know of a place where feedback has been gathered. I have heard from some people who have had wonderful results—two have gone from chronic migraine to episodic migraine—and others who haven’t done well with it. My experience wasn’t good, but I still think it’s worth trying. Here’s my experience: http://www.thedailyheadache.com/2016/06/spring-tms-patient-experience.html. You can see more patient experiences in the comments on that link.

    Take care,
    Kerrie

  • Timothy Bauer
    3 years ago

    Here is some additional info from Leslie Fitzgerald
    of Enura:

    Dear Mr. Bauer –

    Thank you for your inquiry regarding eNeura’s SpringTMS migraine treatment device…

    The device is available through clinicians who have been trained in the patient selection/prescribing process and safe use of SpringTMS. Dr. XXX (my docs name) is not yet trained, but may request training by contacting Customer Care via phone or email and providing us with his contact information. We would forward his request to the Clinical Education team for follow-up. Due the number of sites requesting training, it may take several months before he is trained. There are two clinicians trained at Sutter Medical Group in Auburn, CA if you would like to immediately pursue a prescription:”

  • Timothy Bauer
    3 years ago

    Kerrie:

    Once again thanks with all the info-
    on ENeura device.

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