Calmare Pain Treatment

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Hi,

I've been talking to my doctor about persistent Crohn's related pain. Even with surgery, I've had pain for about 12 years. I have recently been referred to a pain specialist, which I have never looked into in the past. I am going to meet with them to discuss Calmare treatment. Does anyone have any experience with pain specialist, or with Calmare? I really have no idea what to expect...

Thanks!

ps, I was going to share the Calmare link but cannot. If interested, you can google Calmare Pain Treatment and it comes up immediately.
 
Cronnie - At 1st I thought it was a variety of TENS unit, but apparently it is rather more sophisticated. It seems it is quite effective on some types of neuropathic pain. Here's a summary of an article on use of the device for peripheral neuropathy associated with chemotherapy. I'm not sure whether or not it would work for pain associated with IBD, but it sounds like it's certainly worth a try. I'd love to hear if you try the technique, and what your results are.

The manufacturer's site is ***A PDF of this article in its entirety can be dl'd at cprcenters.com/pdf/calmar_masseycancer.pdf

Pilot Trial of a Patient-Specific Cutaneous Electrostimulation Device (MC5-A Calmare((R))) for Chemotherapy-Induced Peripheral Neuropathy.
Summary


CONTEXT:
Chemotherapy-induced peripheral neuropathy (CIPN) is a major dose-limiting and persistent consequence of numerous classes of antineoplastic agents, affecting up to 30%-40% of patients. To date, there is no effective prevention or therapy. An evolving hypothesis for reducing CIPN pain involves direct nerve stimulation to reduce the pain impulse.

OBJECTIVES:
To evaluate the impact on CIPN associated with the MC5-A Calmare((R)) therapy device (Competitive Technologies, Inc. Fairfield, CT).

METHODS:
The MC5-A Calmare((R)) therapy device is designed to generate a patient-specific cutaneous electrostimulation to reduce the abnormal pain intensity. Sixteen patients from one center received one-hour interventions daily over 10 working days.

RESULTS:
Of 18 patients, 16 were evaluable. The mean age of the patients was 58.6 years-four men and 14 women-and the duration of CIPN was three months to eight years. The most common drugs were taxanes, platinums, and bortezomib (Velcade, Millenium Pharmaceuticals, Cambridge MA). At the end of the study (Day 10), a 20% reduction in numeric pain scores was achieved in 15 of 16 patients. The pain score fell 59% from 5.81+/-1.11 before treatment to 2.38+/-1.82 at the end of 10 days (P<0.0001 by paired t-test). A daily treatment benefit was seen with a strong statistically significant difference between the pre- and post-daily pain scores (P<0.001). Four patients had their CIPN reduced to zero. A repeated-measures analysis using the scores from all 10 days confirmed these results. No toxicity was seen. Some responses have been durable without maintenance.

CONCLUSIONS:
Patient-specific cutaneous electrostimulation with the MC5-A Calmare((R)) device appears to dramatically reduce pain in refractory CIPN patients with no toxicity. Further studies are underway to define the benefit, mechanisms of action, and optimal schedule.
Affiliation

Massey Cancer Center, Virginia Commonwealth University, Richmond, Virginia, USA.
Journal Details

Name: Journal of pain and symptom management
ISSN: 1873-6513
 
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..."Cronnie - At 1st I thought it was a variety of TENS unit, but apparently it is rather more sophisticated."...wrong!...it most definitely is NOTHING but a TENS unit...it was approved by the FDA for use as a TENS unit...and like all other TENS units, it is NOTHING but a "quack" medical device...the company that promotes and attempts to sell it is called "Competitive Technologies" and is almost broke -- search for CTTC.PK...I suggest you look at my comments in response to this article:

seekingalpha . com/article/228645-competitive-technologies-more-frequent-sales-to-come?source=qp_article

...I provide some explanations about why the device can't possibly do any of the things it claims...I've read sessions cost 125-150 bucks a session and require a minimum commitment of TEN sessions...I've also read that it's not covered by insurance and at least one clinic demands cash and refuses to accept credit cards for payment...anyone thinking of trying this therapy should demand a money back if not satisfied guarantee up front...
 
..."At Rutherford Allied Medical Group in NJ...".....personally, I think the thing is so bogus that I find it reprehensible that anyone should try to foist it on the American public...Italy turns its nose up at it for ten or twelve years so maybe we can sell it to those stupid Americans...by the way, you left out a few details:

(1)...how about talking about the inventor -- "Giuseppe Marineo"...were you aware that he was arrested in 1995 apparently for practicing medicine without a license...it appears he was trying to treat AIDS patients by providing electric current through externally applied electrodes...hmmmm, that sounds a bit similar to the "Calmare"...and I think the article says something about "many describing it as witchcraft"?...my Italian's a bit rusty so I'm not sure if my translation is accurate...

...and did you know that, despite several press releases from Competitive technologies labelling him as "MD, DSc.," that he has neither a "MD" nor a "DSc."...indeed, despite his claim to being a bioengineer, he may not, in fact, have any college degree whatsoever...yet despite that, in 2005, he published a paper wherein he labelled himself "MD, DSc."...I think there's general agreement that it's not proper to grant oneself advanced degrees for articles published in scientific journals, is it not?,,,furthermore, I note some websites refer to him as "Professor Marineo"...where exactly is he or has he ever been a professor?...nowhere that I can find...

...you also might find interesting a paper written by Marineo explaining his idea of treating AIDS by manipulating "entropy" with his device...they won't allow me to post the link so you'll have to google "groups google sci.med.aids marineo"...be sure to read the comment supplied by Christopher J. Batie, Ph.D., of the Dept. Biochemistry and Molecular Biology at Louisiana State University Medical Center...pay particular attention to those paragraphs containing "crackpots," "mess," "strange," "mistaken," "wrong-headed," "magic box," "slickly presented batch of buzzwords and jargon," "meaningless," "waste of bandwidth," "doesn't know what he's talking about"...

...finally, have you examined website for Marineo's alleged research center -- "Delta Research"?...did you notice that it seems to lack any PHYSICAL address...not only that but it appears to lack a telephone number as well...he makes several references to Tor Vergata University on the site but a search of the university's website suggest they aren't aware either he or his "research center" even exists..that strikes me as being most unusual...

(2)...how about a few other pertinent details...for example, how about mentioning a study that concluded the "scrambler" was not significantly different from TENS...again you'll have to google for it but the authors looked at cold pain perception and pain endurance and found no significant difference between TENS and the "calmare"...which confirms what I maintain -- it IS a TENS unit, has always BEEN a TENS unit and will always BE a TENS unit...

...and maybe point out some details from Dr. Smith's paper wherein he reported positive analgesic effects but admitted he couldn't rule out a placebo effect since he neglected to include a control group...MORE IMPORTANTLY, his other results were NOT consistent with the alleged therapeutic benefit -- emphasis mine:

"The secondary endpoints showed MINIMAL change with MC5-A Calmare therapy. There was NO consistent effect on the OTHER pain scales (data NOT shown). There was NO difference in morphine oral equivalent dose from Day 1 to Day 10 or afterward; three patients decreased their dose but the AVERAGE stayed at 110-150 mg morphine oral equivalents per day (data NOT shown.) There was NO change in formal quality of life OR symptoms other than pain, as assessed by the Symptom Assessment Diary (data not shown.)"

... internal consistency is IMPORTANT...the pain scale used SHOULD NOT matter relatively...pain is PAIN on ANY scale...you may not be able to demonstrate significant differences but you SHOULD be able to show AT LEAST a similar trend in the effects produced by the therapy...by the same token, if you claim that you have removed 80% of a patient's pain, then you SHOULD be able to demonstrate a SUBSTANTIAL decrease in analgesic use -- people that aren't hurting DON'T need as much analgesics...and if 80% of a patient's pain is gone then they SHOULD be feeling a LOT better about life in general and that effect SHOULD show up as an improvement in "quality of life"...

...in conclusion, it's a TENS unit...it's a TENS unit that was approved as such by the FDA...it's a TENS unit that ALREADY has CPT codes...it's a TENS unit that is ALREADY reimbursed by insurance companies when the physician says it's medically necessary...TENS units can be bought for 40-50 bucks on Amazon...now, everybody that wants to pay 50 THOUSAND bucks for a TENS unit, raise your hands...anybody....any...

...by the way, NOW CTT says its applied for CPT codes specific to the "calmare"...however, their application is for Category III CPT codes and they gloss overthe FACT that such codes are of use ONLY as tags to help collect trial data and are NOT used in any way, shape, or form for REIMBURSEMENT...that's typical of the shenanigans that come from Competitive Technologies -- the company promoting the device...

(3)...and I won't even go into their bizarre history but suffice it to say it amazes me that they hired Thomas Kocherans as a distributor...in case you haven't kept up with my other posts, he's the former stockbroker who was sued not once but TWICE by the SEC for attempting to manipulate a stock's price; the second time the SEC sued him AND several others -- including CTT -- for attempting to manipulates CTT's stock price...the SEC fined him $50,000 for attempting to manipulate CTT stock and lo and behold he's now working for CTT!...check out the calmare pump page on Facebook under Spero Clinic...it looks like he has his entire family pumping the thing there!...the "Penny" that authors the page I'm guessing is his wife...and then there's Kelly Kocherans(sister?) who likes it...so does Theresa Kocherans(daughter?)..... look there would you, Ruth Larson Kocherans not only likes it but she even had her chronic back pain cured it!...

...maybe it's just me but it looks a tad "hinky" to employ a guy who was was sued for manipulating your stock's price, doesn't it?...ESPECIALLY when Tom's usual job is selling real estate!...makes you wonder, doesn't it?.

(4)...there are many other details...indeed, I felt compelled to file complaints with the FDA and the Federal Trade Commission about marketing of the device...after wading through several awkward webpages, I finally managed to send off:

"Basically, CTT sells a FDA approved TENS device it calls the "Calmare"...in marketing and selling this device, they make what I consider to be outrageous, physiologically impossible claims about how it works...for example, in their brochure, they claim their device "incorporates electromedical equipment for stimulation, and uses the nerve fiber as a passive
means to convey a message of normality to the central nervous system (CNS) by a procedure defined as scrambling or tricking of information, which then enables the CNS to modify the reflex adaptive responses."

...any neuroscientist will tell you that's just gobbledygook that sounds impressive but is basically nonsense...

...in that same brochure, they also say that "Doctors at a major US military medical center refer to it as TEMPR – Transcutaneous
Electrical Modulation Pain Reprocessor."...even aside from using the vague military reference to lend credence to their claim, they are clearly trying to change this thing from a TENS device to a "TEMPR" device -- even though there there really is no such thing as a "TEMPR" device and despite the device being approved ONLY as a TENS device...

...further in the same brochure, they say, "Using TEMPR technology, the patient does not become desensitized to treatments over extended cycles."...well, again, not only is there no such thing as "TEMPR technology," they have nowhere proved that patients do not become "desensitized" -- whatever "desensitized" means in this context...

...this device has started to appear in some clinics and the falsity continues...for example, from Sperotherapy's website comes this:

"Is this device similar to a TENS unit?
No. The Calmare® MC-5A device creates a low energy electrical impulse which travels through the patients nerves delivering a “no-pain” signal to the brain."

...well, it IS a TENS unit and claiming otherwise is simply false...and there is no such thing as a "no-pain signal"...then from your own website comes this:

"Calmare Pain Therapy Treatment (MC-5A) patented technology creates a series of complex artificial neuronal messages that are transmitted to the brain via the body’s dermatome pathways."

...again, more nonsense...it's physiologically impossible to send "a series of complex artificial neuronal messages" via "dermatome pathways" or any other pathway using electrodes applied to the skin...

...these treatments cost 150-250 dollars each and require -- so they claim -- 7 to 10 treatments to be effective...people seeking relief from pain shouldn't be exposed to double-talk and specious claims...it's a TENS device and should not be allowed to make claims beyond what is allowed for all other TENS devices..."

...I could have written considerably more but they only allow you 5000 words...
 
Hello all. In response to rrtzmd, you can basically ignore all of his rantings. He posts as much negative stuff as he can about Calmare therapy on every site he finds a mention of it. He has no experience with it whatsoever, so I'm assuming he must work for a company like Purdue Pharmaceuticals manufacturing Oxycotin or other addictive pain-killers. The Calmare therapy has been studied at the Massey Cancer Center once and is undergoing a second clinical trial. Dr. Smith of Massey wouldn't waste his time on a 2nd clinical trial if he did not see amazing results in the 1st trial. Dr. Smith ruled out the placebo-effect in the publication of his study's findings. He wrote that in two other placebo-controlled studies of TENS devices, there was no difference in pain relief between the TENS and the placebo and that the pain relief was only 9% with a TENS device. However, in his study of the Calmare therapy (Scrambler MC-5A) there was a 59% decrease on average for all subjects and 25% had their pain completely eliminated. Dr. Smith wrote:
"Placebo was no different from TENS in the two randomized trials for cancer pain treatment.26 The 59% reduction in pain scores observed here with the MC5-A Calmare is much larger than the improvement reported in the aforementioned placebo-controlled trials and is similar to the other trials of MC5-A Calmare."
The Calmare therapy is also being studied by Dr. Loprinzi at the Mayo Clinic for multiple indications. The Mayo Clinic is very selective about what they consider for clinical trial so the fact they the selected Calmare therapy (Scrambler MC-5A) for one study and even multiple studies speaks highly to its validity. Dr. Loprinizi has stated that early indications show that it has been very effective at controlling and eliminating pain.
Calmare therapy has been used my multiple pain clinics across the US with amazing results. You should read or even see some of the testimonials that patients have had after being treated with Calmare. Bill Bennett (ex-professional hockey player) has said that it has restored his quality of life after a debilitating ankle injury. Alex Lambson was a kid struck by lightning in Utah and had excruciating pain throughout his body and Clamare has helped him in regaining mobility and pain relief and there are many more stories like theirs. (you can see the testimonials on ***)
Hundreds, even thousands, of people have gotten pain relief using Calmare therapy. The only way to find out if it is right for you is to try it. I don't know why rrtzmd is so against people getting relief from their pain but that seems to be his agenda. It has been proven to work and used by many good, qualified doctors - whom I would trust over some anonymous poster on a website.
 
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I'm not sure what's going on with this company but there have been a few people who seem to work for the company who joined the forum and tried to advertise in this thread or joined simply to share their thoughts about the company (some deleted, some left).

TENS units and similar devices/treatments can help some people with pain and some see no difference. I'm closing this thread that talks about this company in particular as the main people who posted here seem to work for the company (some posts were deleted).
 
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