rTMS for Migraines: Where Neural Circuits Are Restored and Rewired · London
Chronic migraine has a neurological basis. The circuits involved can be recalibrated.
precision rTMS for migraine in london
At Naya Health, we use precision rTMS to restore and regulate the neural circuits underlying migraine.
Migraine is a neurological condition. The pain, sensory sensitivity and cognitive disruption that accompany it reflect changes in how the brain processes and regulates pain signals.
At Naya Health, we use precision rTMS to work directly at the neural circuits involved in pain processing, mood regulation and sensory integration. Gentle, targeted magnetic pulses gradually recalibrate how the brain responds to and regulates pain. Non-invasive, drug-free, and guided by objective measurement throughout.
For those living with chronic migraine whose daily life has been shaped by the anticipation and aftermath of attacks, Naya offers a precision approach to the neural circuits involved.
we are a Precision rTMS clinic in London
A Migraine Clinic Built on Precision rTMS · London
Naya Health is a precision neuromodulation clinic based in Marylebone, London. We work with those experiencing chronic migraine, migraine with aura, and migraine presenting alongside mood disruption, anxiety or cognitive difficulty.
Migraine sits within a broader neurological picture. The circuits involved in pain processing, threat response and sensory regulation overlap significantly with those involved in mood, anxiety and cognitive function. At Naya, we work across those shared pathways, with each protocol personalised to your presentation and refined throughout your programme.
Several of our practitioners are osteopaths, and are able to assess and treat the muscular structures of the neck that can contribute to migraine via periphery magnetic stimulation (PMS), offering a more comprehensive approach to treatment alongside precision rTMS.
Your treatment is led by Dr Andy Franklyn-Miller, Chief Medical Officer, and Dr Greg Shields, Consultant Psychiatrist, alongside a specialist team of neuromodulation clinicians.
Migraine has a neural signature. The circuits driving it can be recalibrated.
Your rTMS Treatment for Migraine: What to Expect
Step 1: Initial Consultation and Assessment
Every treatment journey at Naya begins with a full clinical assessment, and where relevant, an objective, multi-domain measure of your brain health and regulatory capacity (NayaScore™). This gives us a precise neurological baseline that reflects how your brain is currently operating, so we can track changes - often identifying improvements beyond your symptoms.
Step 2: Your Personalised rTMS Programme
You will complete a series of sessions at our London clinic in Marylebone, each lasting around 30 minutes. You remain comfortable and awake throughout, with no anaesthesia or recovery time needed. Your protocol is custom-designed around your symptoms, objectives, and where relevant your NayaScore™ baseline. Before each session, NayaState™ preparation primes your brain and nervous system to receive treatment, optimising the conditions for neuroplastic change
Step 3: Ongoing Monitoring and Next Steps
At the close of treatment, your clinician reviews your progress with you and recommends a path forward. For many patients, the brain continues to consolidate change long after the final session.
Precision migraine Treatment · London
rTMS for Migraines: How It Works · London
Migraine is neurological. The brain’s pain-processing pathways can be gently recalibrated.
The neural basis of migraine is complex and still being understood. What is well established is that in chronic migraine, the brain’s relationship with pain signals changes over time, and the threshold at which pain is experienced can lower.
Precision rTMS works gently at the brain’s pain-processing pathways. Through repeated, targeted stimulation, it works to recalibrate these patterns gradually, with a growing body of evidence supporting rTMS for migraines as a safe, non-invasive approach to reducing attack frequency and intensity.
For some presentations, the same gentle magnetic pulses can also be delivered directly to the muscles of the neck and shoulders, addressing the musculoskeletal contributors to migraine alongside the neural ones.
The Evidence
The evidence base for rTMS in migraine is emerging and promising. A meta-analysis by Jiang et al. (2024), drawing on eight randomised controlled trials and 361 patients, found that high-frequency rTMS significantly reduced attack frequency, headache intensity and patient disability. At Naya, stimulation targets are selected based on each individual's specific presentation, ensuring treatment is precisely directed to the circuits most relevant to their experience of migraine.
rTMS for migraine:
rTMS for migraine: Safe, Gentle, and Well Tolerated
Precision care that is gentle on the nervous system
rTMS is extremely safe and one of the most well-tolerated approaches to migraine treatment available. Non-invasive and requiring no recovery time, sessions last around 30 minutes and leave daily life entirely undisturbed.
Where side effects occur, they are mild and transient. The most commonly reported is a mild headache on the night of treatment, easily addressed by adjusting session frequency.
The only clinically significant risk associated with rTMS is seizure, occurring in fewer than 0.0016% of treatments. It has never occurred at Naya Health. Thorough pre-treatment screening ensures any potential susceptibility is identified before treatment begins.