TMS (Transcranial Magnetic Stimulation)

TMS (Transcranial Magnetic Stimulation) is a non-invasive procedure used in neurology and psychiatry to stimulate specific areas of the brain. Here’s an overview of the TMS process:

  1. Preparation: The patient is seated comfortably and given ear protection (due to the clicking sound during the procedure).
  2. Coil Placement: A magnetic coil is placed on the scalp, typically over the area of interest (e.g., motor cortex, prefrontal cortex).
  3. Stimulation: A brief, high-intensity magnetic pulse is generated, creating an electric current in the brain.
  4. Pulse Frequency: The frequency of pulses varies depending on the specific application (e.g., single pulses for diagnostic purposes, repetitive pulses for therapeutic effects).
  5. Stimulation Duration: The procedure typically lasts 10-40 minutes, depending on the specific protocol.

TMS is used in various neurological and Psychiatric  applications, including:

Diagnostic testing (e.g., motor mapping , Central motor conduction time)

Therapeutic treatments (e.g., depression, anxiety, chronic pain, OCD, Stroke ,Parkinson’s disease, Paralysis , Tinnitus , Fibromyalgia , Dementia etc. )

Research studies

Please note that TMS should only be performed by a trained professional in a clinical setting.

Conversion Total Hip Replacement

59 years old gentleman presented with complaints of pain in left hip and inability to bear full weight over left lower limb for the past 6 months. Patient had undergone fixation of the left hip fracture with dynamic hip screw and plate 1 year ago.  On Clinical examination there was shortening of 3 cm with local skin condition was normal.

Infection markers were negative. Preoperative x-ray showed failed previous implant with avascular femoral head. We removed the previous implant and converted this hip into Total Hip Replacement.

Post operative x-ray shows uncemented THR. Now this patient is comfortable and the shortening of the leg has been corrected.

Conversion Total Hip Replacement