Chronic Traumatic Encephalopathy (CTE) is a progressive neurodegenerative disorder linked to repetitive head injuries, commonly observed in athletes and military personnel. Characterised by symptoms such as memory loss, mood disturbances, and cognitive decline, CTE has historically lacked effective treatment options. However, recent advancements in Transcranial Magnetic Stimulation (TMS) suggest potential avenues for managing symptoms associated with this challenging condition.
Understanding Chronic Traumatic Encephalopathy (CTE)
CTE results from repeated brain trauma, leading to the accumulation of abnormal tau proteins, which slowly damage and kill healthy brain cells. Symptoms often manifest years after the initial injuries and may include:
- Cognitive Impairments: Memory loss, difficulty concentrating, and executive dysfunction.
- Behavioural Changes: Aggression, impulsivity, and mood swings.
- Emotional Disturbances: Depression, anxiety, and suicidal thoughts.
Diagnosing CTE is complex, as definitive confirmation typically requires post-mortem examination. Several Australian AFL players have been diagnosed posthumously, sparking conversations around the risks associated with repeated concussions. Former player Barry Hall has publicly voiced concerns about developing CTE due to his history of head injuries.
While CTE cannot currently be cured, clinical assessments and imaging studies can suggest its presence in living individuals. These assessments allow for proactive symptom management, including exploring treatments like TMS, which may help improve quality of life.
Symptoms of CTE can overlap with post-concussive syndrome, which can occur after a single head injury or repeated concussions. While post-concussive syndrome may resolve over time, ongoing symptoms in individuals with a history of repeated concussions can be early indicators of CTE.
The Role of TMS in Managing CTE Symptoms
TMS is a non-invasive neuromodulation technique that uses magnetic fields to stimulate specific brain regions. It has demonstrated effectiveness in treating conditions such as depression, anxiety, and PTSD, making it an option worth exploring when it comes to managing some of the symptoms associated with CTE.
Potential benefits include:
- Mood Regulation: TMS can target areas involved in mood control, reducing depressive and anxiety symptoms common in CTE.
- Neuroplasticity Enhancement: TMS may promote brain plasticity, potentially aiding in recovery from impaired functions.
- Cognitive Support: Stimulation of targeted brain regions may help improve focus, memory, and executive functioning.
We want to emphasise that CTE is not curable, and research into TMS is ongoing. However, it is being explored as a tool for alleviating symptoms in those with CTE or related conditions.
Clinical Research and Emerging Approaches
Preliminary studies highlight TMS’s potential in managing symptoms related to brain injuries, including CTE. For instance, Cingulum Health in Sydney has implemented TMS protocols tailored to individuals with brain injuries, showing encouraging results in symptom improvement and quality of life.
Additionally, combined approaches, such as pairing TMS with other therapies like ketamine infusions, have demonstrated promise in reducing depression, anxiety, and chronic pain associated with head injuries. These findings suggest that TMS may have broader applications in supporting mental health and cognitive function in individuals with a history of brain trauma.
TMS Erina’s Commitment
We are closely monitoring advancements in TMS research and are committed to providing evidence-based, non-invasive treatment options for a range of mental health conditions. While TMS is primarily approved by Medicare for the treatment of major depressive disorder, this condition may co-occur with CTE. For individuals experiencing depression symptoms as part of their overall mental health challenges, TMS may provide effective relief within Medicare’s guidelines.
Our clinic provides a welcoming, supportive environment for patients navigating complex mental health challenges. With experienced psychiatrists and technicians, we focus on tailoring TMS protocols to suit each individual’s needs, ensuring the best possible care.
Considering TMS for CTE-Related Symptoms?
If you or someone you know is living with symptoms of depression that may be related to CTE, we encourage you to explore TMS as a treatment option. While Medicare’s coverage is limited, individuals with this diagnosis and a history of brain trauma may still find relief through TMS treatment.
For more information or to schedule a consultation, please contact TMS Erina at (02) 4314 7000.
Disclaimer: This blog post is for informational purposes only and should not be considered medical advice. Please consult a healthcare professional for personalised treatment recommendations.