TMS Treatment: The Internal Dynamics of Magnetic Stimulation

Doç. Dr. Mehmet SORAR
Beyin Cerrahisi ve Nöroşirürji Uzmanı

TMS Treatment: The Internal Dynamics of Magnetic Stimulation

TMS treatment has become one of the most widely researched and highly regarded methods in the field of neuromodulation in recent years. The reason for this interest is not merely that the applied protocol represents a technological innovation; rather, it is also because it can interact with the brain by gently prompting and stimulating it, thereby influencing thinking, focus, emotional regulation, and motor mechanisms.

Whether TMS truly works is frequently investigated by patients and their relatives; this process begins with understanding how TMS affects the brain’s internal dynamics.

TMS treatment is a method that stimulates specific brain regions using magnetic fields alone—without delivering electrical current to the brain, without needles, and without requiring surgical intervention. In other words, no physical intrusion into the brain occurs; the brain is not forced, but rather engaged in communication.

What Is TMS Treatment? The Scientific Background of the Session Flow

The TMS treatment process is a journey in which externally applied magnetic stimuli to specific brain regions strengthen communication between neurons.
These magnetic stimuli are not fixed to a single point; they vary depending on which brain area requires support.
Different protocols are applied for conditions such as depression, Parkinson Plus, Parkinson’s disease, Alzheimer’s disease, or attention-related functions.
Scientifically speaking:

The magnetic coil produces stimuli resembling clicking sounds at short intervals.
These stimuli pass painlessly through the skull and reach the targeted brain region.
Regulation of electrical activity begins in the cells of the targeted area.
Brain connections are strengthened, allowing weakened circuits to re-establish communication.

For this reason, TMS treatment has the potential to activate neuroplasticity—the brain’s “learning capacity.” In other words, the brain does not merely receive stimulation; throughout the process, it reorganizes itself. Weakened systems are encouraged to regain strength.

How Is TMS Treatment Applied: What Can the Patient Expect?

One of the most common concerns among individuals is how the TMS treatment process feels. A real TMS treatment session is far more calm and comfortable than most people anticipate.
The general flow is as follows:

The patient sits in a comfortable chair.
A small coil is placed on a specific area of the head.
In the first few minutes, the individualized stimulation level—referred to as the motor threshold—is determined.
Throughout the session, rhythmic clicking sounds are heard.
There is no pain; only a mild touching or light tapping sensation may be felt.
The entire process is completed within 20–30 minutes.
At the end of the session, the patient leaves on foot and resumes daily life from where it was left off, with no disruption to daily functioning or routine quality.

During the TMS treatment journey, there is no need for anesthesia or hospitalization. For this reason, the TMS treatment experience is commonly described by most patients as a process that is far more comfortable and peaceful than expected.

Is TMS Treatment Safe?

Due to its non-invasive nature, TMS treatment is considered one of the safest neuromodulation methods in the medical literature. No electrical current is delivered to the brain, no tissue damage occurs, and it does not interact with medications.
The most commonly observed mild side effects may include:

Mild headache
Skin sensitivity at the application site
Short-term fatigue

All of these effects are temporary and usually resolve within a few hours.
Serious side effects are extremely rare worldwide and are virtually nonexistent when clinical protocols are properly followed. Therefore, TMS treatment is considered a viable option for individuals who cannot use medications or who do not achieve sufficient benefit from pharmacological therapies.
To receive more detailed, attentive, and meaningful personal information, you may direct your questions to specialists via drsorar.com and help shape your personal journey.

What Effects Occur in the Brain and Body After TMS Treatment?

Changes experienced after TMS treatment may vary from person to person, as each individual’s brain structure is unique.
In some individuals, within a few sessions, the following early signs may be observed:

Increased ability to focus
A clearer mental state
Improved organization in daily tasks
More balanced emotional regulation
Easier communication or planning

In some individuals, effects may appear later; this is related to the speed at which the brain responds to stimulation. The TMS treatment process must be planned individually and is inherently subjective.
An important point to remember is this:
TMS treatment theoretically aims to repair worn or weakened areas. Therefore, change begins with small steps and gradually becomes stronger over time.

What Is the Response Process of TMS Treatment?

The TMS treatment process generally shows its initial effects within 2–3 weeks. The most noticeable changes are observed between 4–6 weeks. After completion of treatment, effects may persist for 6–12 months.
The response process is shaped by factors such as age, stage of the disease, condition of neural circuits, and lifestyle, as it progresses on an individual basis.
The continuation of effects for 6–12 months after treatment completion reflects TMS’s potential not only to temporarily stimulate brain connections but also to create more lasting regulation through neuroplasticity. However, it must be emphasized that this response process is entirely individual. Brain function, the balance between weakened and strengthened neural networks, disease stage, medications used, age, sleep patterns, stress levels, and even daily life habits can all influence the speed of response.

Some individuals notice early on that they can integrate into daily tasks more neatly and efficiently, while for others, change may occur more slowly and over a longer period. The TMS treatment process is a process of reorganization—a subjective and attentive journey.

If you are curious about which protocol may be more suitable for you or your loved ones, or how TMS can be integrated into an existing treatment plan, you may benefit from the information available on drsorar.com.
Remember, small details often play a much greater role in providing comfort than one might expect. From small details to great reliefs… Get well soon.