What is Calmare?

Calmare Pain Therapy Treatment® is a non-invasive, non-pharmaceutical solution for pain control and drug resistant pain. It uses biophysical “scrambler” technology, a type of treatment for nerve pain that uses electrodes placed on the skin. Very low doses of electricity are transmitted from the electrodes through the skin to block the pain. Pain may be a result of chronic conditions including injury, cancer and chemotherapy, diabetic pain, lower back pain, chronic neck pain, post surgical pain, failed back surgery syndrome, phantom limb syndrome, RSD, fibromyalgia, radiating pain and neuropathy.

Why Calmare is revolutionary in the treatment of pain:

 It has been proven successful in the treatment of pain by leading oncologic studies. In 2010, the Journal of Clinical Oncology published a report reporting Calmare scrambler therapy had proven to be effective in helping cancer patients overcome chronic pain http://bit.ly/gQnnNT

  • FDA-cleared 510(k)-cleared and European CE mark-certified
  • Pain free
  • Non-invasive
  • Drug-free
  • No side affects

Calmare History:

The Calmare medical device was developed by Professor Giuseppe Marineo, a researcher and bioengineer and the founder and manager of Delta Research & Development. Delta R&D is the Bioengineering Research Center affiliated with Tor Vergata University in Rome. “Calmare” in Italian means “to soothe or ease.”

Throughout our website, you will see published reports by respected medical organizations documenting patient studies that confirm Calmare therapy is successful in the treatment of many types of pain. For example, a teenager recently turned to Calmare therapy to treat his severe pain after being struck by lightning. Click here http://competitivetech.net/news/101228.html to read his story.

Calmare Technology:

Calmare Pain Therapy Treatment® uses a biophysical (using physical methods to treat biological problems) rather than a biochemical (drugs) approach. The device works to relieve pain directly at the pain site without any reliance on medication. Via small electrodes, a ‘no-pain’ message is transmitted directly to the nerve for a period of 30 – 45 minutes, on average. Regardless of severity, pain symptoms have been proven to be significantly reduced or alleviated during the treatment series process.

How does it work?

Patients are comfortably connected to the Calmare Pain Therapy Treatment® device via small electrodes (similar to those used in EKG and other medical procedures) placed on the patient’s skin at the pain site/s. The device then sends a very low current of electrical stimulation through the skin and nerve fibers, which carries a “no pain” signal to the brain, essentially overriding the previous pain signal.

During the treatment process, the patient’s pain steadily decreases to allow the patient to participate in normal daily activities and resume a better quality of life. In some cases, pain relief has been reported in as few as three treatments, but each patient’s case is unique.

 Since research studies began in 2002, Calmare therapy has no reported side effects after several treatments.

 Call Rutherford Allied Medical Group at (201) 933.4440.

72 responses to “What is Calmare?

  1. Thanks for all the info included here. I think this is a new question: does the Calmare treatment alleviate the severe itching that’s often part of CRPS symptoms? Thanks -

    • Thanks for taking the time to post your question Abigail.

      Response:

      Chronic itching is one of the many parts of the syndrome of RSD/CRPS. The good news is that most –if not all — of these “secondary symptoms” will dissipate once the pain is controlled.

      When our RSD patients volunteer to make video diaries of their experiences, we are trying to show their physical side effects before and after Calmare treatment. In many cases, the improvement is very significant.

      You are always more than welcome to contact us at the office if you have more questions specific to your case.

  2. I am a Vietnam vet who had exposure to Agent Orange. Since then I’ve had numbness in both feet and the other symptoms of peripheral neoropathy. Lately it had gradually included severe leg cramps, especially at night, and periodic and sharp electical pain in those areas of my feet. These electrical -like charges will significantly disable my whole leg and sometimes drop me to my knees in reaction to the charge. Have you had success in treating this type of neorapathy?

    • Dear Mr. Leuck,

      Thank you for reaching out and I am sorry to read about your situation.

      The symptoms you noted are common to those living with RSD and CROPS.

      I would like to get some additional information about your medical history and discuss more about your symptoms. Please give me a call 201.933-4440 .

      Sincerely,
      Dr. Cooney

  3. Had back surgery and due to post-polio my left thigh has 90% weakness and chronic pain 24/7 please help i live in San Antonio Texas.Being a single parent with a social security check my income is limited but i have health insurance please help. Thank you

    • I’m a polio survivor and due to back surgery i have 90% weakness and 24/7 chronic pain on my left thigh and lost the ability o walk please help me and is there anyone in theave San Antonio area that can help my chronic pian

      • Dear Mr. Pumarejo,

        Thank you very much for reaching out to me. Could you call me at the office at 201-933.4440. Would be happy to talk with you.
        Sincerely,
        Dr. Cooney

  4. Susan Ogierman

    I only recently learned about Calmare on an episode of ‘The Doctors’. 25 years ago I suffered an incomplete spinal cord injury at my T8 vetebra resulting in Brown-Sequard Syndrome. I recovered enough function and sensation to be able to walk again. 3 1/2 years ago I fell and tore the catilage in my ‘numb’ but mobile leg and have also been diagnosed wih Chondromalacia. The knee itself didn’t/doesn’t really hurt but over the nearly 3 years it took (here in B.C., Canada) to see a specialist, have an MRI and, finally, get arthroscopic surgery to remove the torn pieces I developed severe neuropathic pain over my entire leg from my toes all the way up my torso to the level of the injury and now, with no cartilage left, I also have arthritis in my knee. We don’t seem to have anyone anywhere here in Canada who is using this treatment yet but I’m hopeful we eventually will and will be speaking to my Physical Medicine & Rehabilitation specialist about this when I see him next. For the time being I’m on Gabapentin and daily morphine, with minimal relief. I’d like to know if Calmare would possibly be effective for my problem? And is it possible for a lay person to buy and learn how to use Calmare on him/herself, like a TENS unit?

    • Hi Susan,

      Thanks so much for reaching out.

      Firstly, I am sorry to hear about you on going battle with pain. In order to give you a better feel about the possibility of success with the Calmare I welcome an opportunity to speak to you directly. Feel free to call me at 201-933-444zero.

      There are no treatment centers utilizing Calmare in Canada. It is still considered experimental and either private or public insurances are not covering it at this time.

      In order to get a Calmare MC5A machine, you must be a Physician; they do not sell or allow operation by private individuals. Keep in mind, this therapy is “provider dependent” meaning your doctor will determine the placement of the treatment pads according to your injury. This factor is key in successful treatment. I hope this information has offered some assistance!

      Kind regards,
      Dr. Michael J. Cooney
      Clinical Director
      Calmare Therapy NJ

  5. Dear Jeanette,

    Thank you for visiting our site and reaching out. Here is the list of providers in the U.S.:

    http://calmarett.com/locations.html

    I strongly encourage you to seek out a provider that is “Calmare Certified”. Let me know if we can offer any more information and good luck in your #CRPS treatment effort. We’ve seen many outstanding results.

    Best regards,
    Dr. Michael Cooney
    Clinical Director
    Calmare Therapy NJ

  6. Jeanette Ramey

    I have CRPS and would like to try this treatment. Could you provied me with a list of California providers of this therpay?

  7. Dear Dr. Cooney,
    My mother is suffering from spinal disc that has effected her left leg nerve; she’s not having any sensation from her knee down to her foot and that’s the reason why she’s not feeling lot of pain resulting from the disc problem. She’s currently being treated by Calmare therapy -with injections of vitamin B- in order to help the nerve getting back to its normal status. What is the probability of success of said treatment in her case taking into consideration that she’s been taking a small dose of depression medicine since a year in order to avoid sleeping disorders. Any other suggestions?

    Thank you

    • Dear Cynthia,

      First, thank you for your message and I wish your mother success in her treatment effort. Without seeing your Mom and studying her full medical history, it is difficult to determine the outcome.
      Keep in mind that the treatment is for pain. In my experience treating patients with similar symptoms, he should know if her symptoms are being relieved after two Calmare Therapy sessions.
      Please stay in touch and let us know how your Mom is doing. Wish you both all the best,
      Dr. Cooney

  8. How is this different from a TENS unit?

    • Dear Liz,
      That’s an excellent question. Please see below:

      This is one of the most common questions we are asked by patients living with chronic pain and I tell my patients, “It is like driving on a one lane road compared to a well- paved super highway with 16 lanes…”

      Below, we explain the difference between the two machines:

      Calmare® Pain Therapy’s MC-5A Technology

      This technology creates a low energy electrical impulse which travels through the patient’s nerves delivering a “no-pain” signal to the brain. This process “tricks” the brain that the area of pain is normal and eventually results in prolonged pain relief. Calmare uses primarily “C Fibers” to transmit randomized ‘no pain’ signals to calm the brain. It operates at 40 to 50 hz. and 16 different algorithms deliver five duel channel signals to restart the brain and disrupt the chronic pain loop.

      There is never a repeated cycle during a treatment, so there can be no accommodation by the brain (as with drugs or a tens unit). Here’s a very important point ─ pain relief using Calmare technology is of a significantly longer duration (often months, years or more) as opposed to using a tens unit, where the pain returns soon after discontinuation of the unit.

      TENS unit

      This small, hand-held machine is self-administered so the placement of the pads is determined not by a medical professional, but at the best judgment of the patient or loved one self-administering the treatment at home. This machine stimulates A-beta sensory nerves thereby blocking transmission at the spinal cord. The machine operates at 80-100 hz. It is a single signal using a duel channel. Therefore, pain relief is of short duration. Treatment is performed on the pain site and the purpose could be relaxation, exercise or pumping fluid through the area. Most importantly, the machine has been designed with the goal of temporarily suspending pain.

      RSD and CRPS Patients

      The main challenge with RSD/CPRS is the complicated change in the nervous system which can be traced to changes in the receptors in the brain. As a result, therapy to resolve this kind of pain must reach the brain. The use of electricity for the management of pain is not unique to Calmare. In fact, many RSD/CRPS sufferers have probably tried traditional TENStherapy.

      But let me be clear ─ Calmare Therapy does not function like a TENS unit. Injury or other noxious stimulus in the body creates pain chemicals. These chemicals in turn get converted into electrical impulses by your nerves which are transmitted to the brain and INTERPRETED by the brain. When physicians use the Calmare system, they “control” the electrical impulses that the brain is receiving. By manipulating the input into the brain they “convince” the brain that the area of the body where pain was present is now normal. We know that the brain can be “taught.” In medicine we refer to those changes as neuroplasticity and there is quite a bit of interesting reading on that topic.

      Measuring Calmare Results

      In most cases, we can determine after the first Calmare treatment if this technology can reduce a patient’s pain. You should be almost completely pain free during the treatments and each time you are treated your duration of pain relief will increase until the pain level is alleviated or greatly decreased.

      Liz, feel free to contact us at the office if you have additional questions about the difference. We talk with people about the Calmare scrambler therapy every day and are happy to do so.

      Dr. Cooney

  9. Christopher Bourque

    I have developed intense neuropathy after radiation induced brain necrosis and it’s subsequent treatment with high dose Decadron. Presently I am on Lyrica but it is only moderately effective in relieving my pain an discomfort. I live north of Atlanta Georgia and see physicians at Emory. Is this treatment available in my area and is it covered by insurance?

    • Dear Mr. Bourque,

      Thank you for reaching out to us and I am sorry to hear of your serious pain syndrome.

      I am happy to provide the published list of Calmare providers throughout the US here http://calmarett.com/locations.html although I don’t believe there is a provider in your area at this time, unfortunately.

      Regardless of the Calmare provider you may wish to consult with, I urge you to ensure the doctor is a Certified Calmare Pain Therapy Provider.

      In regard to medical insurance coverage, every medical policy’s coverage is different so it is best to talk with your provider.

      You are more than welcome to call me here in NJ to discuss your medical history. I talk with people every day dealing with severe chronic pain and am happy to do so.

      I hope I have offered some useful information. Please let me know how you make out.

      *Dr. Michael J. Cooney* *Clinical Director* *Calmare Pain Therapy Treatment NJ*

    • hi my name is Robert I’m from Texas I’m going through what you’re going through well it’s hard but they don’t take insurance and its 150 a session here in the San Antonio area since late Beaumont posted: Houston is so roses place pain management doctor if you have insurance that this other one called them they do it on your here insurance covers that maybe you can try that for you it didn’t work for me I’m going to start on the morphine drip banana put a morphine bag do you have thatthe pump goes directly where the problem isI’m a polio survivor and due to back surgery i have 90% weakness and 24/7 chronic pain on my left thigh and lost the ability o walk please help me and is there anyone in theave San Antonio area that can help my chronic pian

  10. Hi there, I am just wondering if Calmare is available in Canada? I have CRPS and have heard that this is a great treatment.

    Thank you

    • Dear Lindsey,

      Thank you for your message and we appreciate you reaching out. We are one practice in the U.S. located outside New York City.

      We’ve received several queries from Canadians about Calmare in your country. We can offer this link which includes an email address relevant to international distribution. http://calmarett.com/contact/index.html#panelid=development

      I will tell you that I am not aware there are any treatment centers in Canada, but I would certainly ask!

      In the interim, you are more than welcome to contact me with any questions or concerns at 201-933-444zero or calmarenj at gmail . com.

      I wish I could have been more helpful, but hopefully this is a start!

      Best regards,
      Dr. Michael Cooney

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  13. Shirley Campbell

    I live in Ontario, Canada. I developed pain after a very hard fall on the right buttock. A little later I experienced pain in the right buttock, down the right leg and into the foot. After trying many things I ended up having surgery with Dr. Aaron Filler for piriformis syndrome and adhesions and fibrotic tissue around the superior gluteal nerve and the obturator internus nerve. Dr. Filler told me the surgery was a lot of work and it was no wonder that I had so much pain. Unfortunately after the surgery I returned to Dr. Filler and he did MR Neurography and found that I now have post surgery scar tissue that is flattening and broadening the sciatic nerve at the sciatic notch. He commented that this was worse than before surgery. Also the superior gluteal nerve continues to be inflamed by scar tissue. I now have spondylolisthesis, stenosis and some herniated discs and bulging discs. So I continue to have pain in the low back, down the back of the leg, into the lateral lower leg and some days into the foot. Everyone says the pain is complicated now.Could Calmare help me?

    • Dear Mrs. Campbell,

      Thank you very much for reaching out. Might we speak privately about your condition? Would you please call my office or send me your phone number at calmarenj at gmail . com please?

      Thank you,
      Dr. Cooney

  14. Sharlene Stewart

    Good morning,
    I have spinal arachnoiditis. It affects the left side of my hip to toe and lower spine. It feels like the nerves and bones are burning, and the spasms from lower back to feet are a level ten on the pain scale.
    Can you help me?
    Thank you
    Mrs Stewart

    • Dear Ms. Stewart,
      Thank you for reaching out to us. We would like to know more about your medical history, current medications and other neuropathic pain treatments you have undergone. Might you call us, please? Thank you.

  15. Hello my name is Gina. I suffer from CRPS. It started with cubital tunnel syndrome bilateral. It is worse in the left. I had 3 surgeries on my left and 2 on the right. Surgery didn’t help have tried meds, therapy, acupuncture. Have had over 25 stellate ganglion nerve blocks. After that we tried the spinal cord stimulator it worked great but it stopped working. The doctor went in had to change it out because the lead broke. 3 weeks after the second surgery I suffered a severe staph infection. Now not able to have another spinal cord stim. I now on nucynta and nerve blocks. Was wondering if you feel Calmare Pain Therapy could help me.

    • Dear Gina,

      Thank you so much for taking the time to share your story. I am sorry to read of the long and painful medical conditions you have been living with. Please know you are not alone in this struggle.

      I think it’s best if you could please call me so we can talk about your medical history in more detail. You can reach me at 201.933.444zero.

      Please tell my staff I asked you to contact me and that I am expecting your call.

      Kind regards, Dr. Cooney

  16. IS THIS NOT SIMILAR TO A “TENS” MACHINE?

    • Dear Daniella,

      Thank you for your message. Good question. I’d be happy to explain how Calmare and a tens unit differ:

      This is one of the most common questions we are asked by patients living with chronic pain and I tell my patients, “It is like driving on a one lane road compared to a well- paved super highway with 16 lanes…”

      Below, we explain the difference between the two machines:

      Calmare® Pain Therapy’s MC-5A Technology

      This technology creates a low energy electrical impulse which travels through the patient’s nerves delivering a “no-pain” signal to the brain. This process “tricks” the brain that the area of pain is normal and eventually results in prolonged pain relief. Calmare uses primarily “C Fibers” to transmit randomized ‘no pain’ signals to calm the brain. It operates at 40 to 50 hz. and 16 different algorithms deliver five duel channel signals to restart the brain and disrupt the chronic pain loop.

      There is never a repeated cycle during a treatment, so there can be no accommodation by the brain (as with drugs or a tens unit). Here’s a very important point ─ pain relief using Calmare technology is of a significantly longer duration (often months, years or more) as opposed to using a tens unit, where the pain returns soon after discontinuation of the unit.

      TENS unit

      This small, hand-held machine is self-administered so the placement of the pads is determined not by a medical professional, but at the best judgment of the patient or loved one self-administering the treatment at home. This machine stimulates A-beta sensory nerves thereby blocking transmission at the spinal cord. The machine operates at 80-100 hz. It is a single signal using a duel channel. Therefore, pain relief is of short duration. Treatment is performed on the pain site and the purpose could be relaxation, exercise or pumping fluid through the area. Most importantly, the machine has been designed with the goal of temporarily suspending pain.

      RSD and CRPS Patients

      The main challenge with RSD/CPRS is the complicated change in the nervous system which can be traced to changes in the receptors in the brain. As a result, therapy to resolve this kind of pain must reach the brain. The use of electricity for the management of pain is not unique to Calmare. In fact, many RSD/CRPS sufferers have probably tried traditional TENStherapy.

      But let me be clear ─ Calmare Therapy does not function like a TENS unit. Injury or other noxious stimulus in the body creates pain chemicals. These chemicals in turn get converted into electrical impulses by your nerves which are transmitted to the brain and INTERPRETED by the brain. When physicians use the Calmare system, they “control” the electrical impulses that the brain is receiving. By manipulating the input into the brain they “convince” the brain that the area of the body where pain was present is now normal. We know that the brain can be “taught.” In medicine we refer to those changes as neuroplasticity and there is quite a bit of interesting reading on that topic.

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  20. Hello.
    Can calmare treatments help with Fibromyalgia, Post Herpetic Neuralgia, Lupus muscle pain, TMJ, or Carpel Tunnel? Unfortunately I have all of those and it would be a miracle if I could see ANY pain relief. (I cannot take narcotics and anti convulsants/anti depressants have major side effects.)

    • Dear Tina,

      Thank you for your great question. Keep in mind, I haven’t met or examined you, so I will respond in general terms to your medical conditions noted:

      *Calmare can help with your *fibro and PHN*. (Quick patient story – I have a fibro / PHN patient who started Monday. After just 3 treatments, pain level maintaining at a 5 from a year-long 8/9).

      **TMJ* is a difficult condition to treat.

      *I have never treated *Lupus muscle pain.* I would need to examine you and know more about your medical history and previous treatment efforts.

      **Carpel tunnel* is a neuritis and requires physical therapy and laser therapy. Calmare would not be appropriate.

      I’d be happy to talk with you by phone about your medical history. Please feel free to call me at the office anytime.

      Best regards,

      Dr. Cooney

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  22. laura cantrell

    rsd foot since 1997 2010 back surgery s1-l5 l5-l4 fusion 6 screws 2 plates and a cage which developed into ~ loradosis I am waiting for a spinal cord stimulator never was mentioned this I will ask my dr’s I am in reno Nevada i am on facebook if anybody needs a new friend hugssss isverygrateful@yahoo.com

    • Hi Laura,

      Thank you for posting and I am sorry to read about your long battle with RSD. Many doctors still don’t know about Calmare scrambler therapy. More often than not, patients are discovering it themselves through their own research after other treatment efforts (medications and nerve blocks) have failed.

      I’ve found this therapy to be particularly helpful to RSD and CRPS patients. You are more than welcome to contact us for more information and we’d be happy to discuss your medical history as well.

      Wishing you a low pain day,

      Dr. Michael J. Cooney

  23. I have a very similar unit, interferential? Spelling, I have RSD in my left leg from the knee down and currently undergoing lumbar sympathetic nerves blocks , that along meds as well. My question is can I use my unit in order to get similar results? If so what settings as best as you con describe, for how long and how often

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  28. creationsfromashjewelry

    Hi. I am very curious about calmare therapy. I have had CRPS (rsd) for 6 years now. I am wondering if the therapy works on just CRPS type2. I would be very interested in talking to someone and learning more, to see if it would work for me. Thanks.

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  31. Hi. I’m looking for more info about calmare therapy. I actually live in Canada, but was directed to your site for info from a lady in my online support group. I have CRPS (rsd, as your site calls it), and am full left-side affected.
    My biggest question is if I could get calmare therapy even though I have an implanted Spinal Cord Stimulator. Thanks!

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  34. colette nicoletti

    i am a nj resident and had RSD 4 over a year.. i would like to seek help from ur doctors .how can i?

    • Dear Colette,

      Thank you for reaching out and we are sorry to hear about your RSD struggle. If you would like to learn more about Calmare Therapy, we recommend you take a look at our website, http://www.calmaretherapynj.com, for more information, particularly *Patient Stories * which includes personal accounts from several of our RSD patients.

      If you would like to discuss your personal medical history and RSD condition, please call Dr. Michael Cooney, program director, Calmare Therapy program, Rutherford Allied Medical Group, at (201) 933 – 444-zero.

      You are welcome to contact us privately at calmarenj@gmail.com, also.

      Please let us know if we can offer more information!

  35. Anne.M. McNamara

    Do you have any double blind studies on the efficiency of Calmare Therapy? I have read a study of yours comparing the results of Calmare Therapy vs pharmaceutical treatment. But, I’d be interested to know if studies have been done perhaps using a regular Tens type of treatment vs the Calmare Therapy, without the patients or the people administering the treatments knowing which one they received.
    Specifically, I am looking for a treatment of neuropathic pain. I have severe drug induced small and large fiber neuropathy.
    I will try to find this site again for a response. It would most appreciate it if you do have any double blind studies if you would e-mail them to me.

    Thank you,
    Anne

  36. Is there a possibility that I may get a list of Calmare facilities in the USA.

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  38. Are there any doctors or facilities in thevSan Francisco, Ca bay area that offers calmare treatment?

    Thank you.

    Debbie

  39. Patricia Hackett

    Please respond to your experience with using the Calmare Therapy on RSD patients….If so how many have you treated and how succesful have you been in making them pain free.
    Look forward to your response

    • Dear Patricia:

      Thanks so much for posting your query. The majority of patients we have treated to date were for chronic pain symptoms from RSD.

      If you look at our Patient Video Stories page, you can watch several patients tell their stories, many of whom were treated for RSD. We have also published in-depth articles about some of our RSD patients’ experiences here.

      Dr. Cooney recently appeared on *News 12′s “To Your Health”* with one of his patients who were successfully treated for her long-term RSD http://www.youtube.com/watch?v=UPgMxd0uOWU

      Please call our office at *(201) 933 – 444zero* and ask to speak directly to Dr. Michael Cooney, who manages the Calmare program at Rutherford Allied Medical Group.

      We look forward to talking with you!

      With kind regards, Stephanie Duncan Rutherford Allied Medical Group 323 Union Ave. Rutherford, NJ 07070 (201) 933-4440 http://www.calmaretherapynj.com

  40. I would also greatly appreciate receiving the list of Calmare facilities in the US. Thanks so much.

    • Good Morning Rick,
      We have sent you this information via email. Feel free to contact us if you have any questions. Wishing you good health,
      Dr. Michael Cooney

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  42. Interesting!!

    Seems like the Calmare therapy is like my Transcutaneous ekectrical stmilating nerve unit (TENS UNIT). Are they the same?

    Also, Can you please send me a list of facilities in California?

    Thank you!!

    • Dear Christine,
      First, thank you for your comment and visiting our website.
      In response to your question: The tens machines are singular current machines meant to treat an acute (short term) condition such as spasm or adhesions. The Calmare MC-5A has 16 different algorithms which send a “no pain” signal through the pain site from no pain areas. There is no accommodation or development of a tolerance to the MC-5A as the machine does not repeat any sequence during the treatment.
      I hope this information helps you! You can always feel free to contact me directly here in NJ at 201-933-444-zero.
      Wishing you a pain-free day,
      Dr. Michael J. Cooney
      Rutherford Allied Medical Group

  43. have heard about calmare i wish i knew if is available in the knoxville tn. area? need to try have no other avenues to try.

    • Dear Joy:

      Via private email, we have sent you the list of Calmare facilities across the U.S. We wish you good luck in your search and welcome you to contact us should you have any questions.
      With kind regards,
      Rutherford Allied Medical Group

  44. Suzane Richmond

    Is this available in Canada? Can it help headaches or tmj pain?

  45. Could you tell me if this is available in the UK.

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