Dr. Brian Klagges is an anesthesiologist and pain specialist who offers neuromodulation techniques. Neuromodulation involves manipulating nerves and neurotransmitters using implanted devices to redirect nervous system activity through stimulation or medication. It is appealing because its effects are reversible, unlike permanent procedures. Neuromodulation can address parts of the central, peripheral, and autonomic nervous systems, as well as brain cell nuclei, and has been effective for chronic pain, epilepsy, and spasticity by altering both nerve input and output.

1. AN INTRODUCTION TO
NEUROMODULATION
By Dr Brian Klagges

2. Introduction
 Dr. Brian Klagges received his MD from State
University of New York at Buffalo before going on to
complete his postdoctoral training in the Boston area.
He currently practices at Elliot Hospital and is a
partner at Amoskeag Anesthesia, PLLC, in
Manchester, New Hampshire. A pain interventionalist
and anesthesiologist, Dr. Brian Klagges offers patients
access to advanced neuromodulation techniques.
By definition, neuromodulation involves the
manipulation of nerves and neurotransmitters. This
manipulation may occur via an implanted device,
which redirects the activity of the nervous system
through stimulation or medication.

3. Neuromodulation
 Neuromodulation’s appeal stems largely from the fact
that these alterations are reversible and subject to
cessation if the treating physician so chooses,
whereas traditional resective or ablative procedures
involve permanent change.
Neuromodulation may address issues of the central,
peripheral, or autonomic nervous system as well as
the deep cell nuclei of the brain. Most effective when it
addresses both nerve input and output, it has been
effective in the treatment of such disorders as chronic
pain, epilepsy, and spasticity. Additionally, recent
research suggests that its effectiveness in altering
nerve activity may lead to uses in rehabilitation or
nerve regeneration.