Pain is Real. But So is Hope.


What is one of the first things you do after you bump your head or pinch a finger by accident?

You probably rub it and it feels better, right?


Could this be explained by The Gate Control Theory?

blog-4-image-2Devised by Patrick Wall and Ronald Melzack in the 60’s, the  Gate Control Theory of Chronic Pain is a famous theory about how pain works.

The theory asserts that non-painful input closes the “gates” to painful input, which prevents pain sensations from traveling to the brain.  Therefore, stimulation by non-harmful input is able to suppress pain.


Rubbing your bumped head or pinched finger would activate touch signals carried into the spinal cord by large nerve fibers.


Scientific Explanation: According to the theory, the activity in the large nerve fibers would activate the inhibitory interneuron that would then block the projection neuron and therefore block the pain!

In the gate control theory, pain messages encounter “nerve gates” in the spinal cord that open or close depending upon a number of factors.



When the gates are open, pain messages “get through” easily and can be penetrating & intense.

When the gates are closed, pain messages are prevented from reaching the brain and may not even be experienced.

Continue reading Pain is Real. But So is Hope.


When You Have a Chronic Illness, Waking Up is a Victory.

Because of the debilitating nature of MIGRAINES, they often disrupt normal daily activities.

Migraine attacks can begin suddenly, cause a wide range of migraine symptoms and can sometimes last for days.


Therefore migraines reduce quality of life, making it difficult for migraine sufferers to perform their best in school or work and often lead to missed social engagements.


Statistics on migraines and quality of life:

  • Between $16.2 billion and $28.7 billion in workplace productivity is lost because of migraines
  • The annual cost of migraines is estimated to be $2,834 per migraine suffer
  • People with migraines miss up to a week of work per year
  • Migraines are the ninth leading cause of disability in women and the 19th leading cause overall, worldwide
  • More than a third of children who suffer from migraines report poor performance in school during attacks
  • The 1989 Health Interview Survey listed headaches as the third leading cause of school absenteeism

When a migraine strikes…

life can come to a sudden stop.


Drug-free alternatives

For those looking to avoid medications to relieve head pain, there are other options. Although it can be a rough, long, slippery slope of life-altering flexibility, the result of being migraine or headache free should never disappear from the

The SILENCIO transcutaneous electrical nerve stimulation (TENS) device provides preventive treatment. Used once a day, it can reduce the number of migraine pain days per month. TENS is a technology that has long been used to treat general pain but this preventive measure approach for migraines is still in its infancy. Silencio Migraine Therapy is a custom-programmed application of a specific proprietary algorithm of TENS designed to reduce migraine/headache intensity, frequency and use of pharmaceuticals.

In the “Occipital and Trigeminal Nerve Stimulation for Chronic Migraine via Proprietary TENS Unit: 80 Case Patients” draft open case study, patients reported improvements in pain relief; with a 50% reduction overall. Determining factors including: severity of headache, the ability to concentrate, difficulty in performing social and work activities as well as the emotional function of migraines relating to migraine-specific quality of life. In blog-3-image-4Silencio’s ® Migraine-Specific Quality of Life Questionnaire, role function restrictive information recorded changes in interactions with family and friends, difficulty in performing work and daily responsibilities and a limited ability to carefully participate in everyday living activities. Role function preventive information recorded when headache or migraines led to cancellation, delay or stop of work and social activities due to intensity.  In the questionnaire, emotional function information was also recorded to determine if treatment led to a decrease in fear of letting others down; as a factor to determine quality of life activity and productivity.

Now what?

 If you are a migraine sufferer, you have probably already logged numerous episodes in your migraine notebook, identified triggers, made lifestyle changes, and tried While these treatments offer hope for some, they may not be working for you.  YOU HAVE OTHER OPTIONS! If you decide to discuss the options with your healthcare provider, be sure to ask about Silencio® Migraine Therapy.

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A prescription is required from a Dr. or Healthcare Provider for Silencio Migraine Therapy.
 (Investigational Device, Limited by Federal  (United States) Law to Investigational Use.)

The Only Thing That Matters Is: Does It Work?

A “Migraineur” is a term used to denote a person who has a migraine.  If you suffer from migraines- you’ve probably tried many different treatments looking to find relief.  Traditional approaches to reducing the frequency of migraines have focused on the use of pharmaceutical products; for example, Topamax, Depakote, Propanolol. migraine-pills  The issue with medication is that everyone is affected differently, medications often interact and mix negatively, they often have unwanted side effects and sometimes they even lead to more consistent migraine episodes.  That’s why SILENCIO is smart. You don’t have to worry about any of that.  For migraine sufferers who have not found relief with prescription migraine medications or other treatments, neurostimulation can be a long-term solution.

So, What Is Neurostimulation?

gate-control-theory-of-painIn Greek, “neuro” is the word for nerve.  Neurostimulation is the practice of gentle stimulation to nerves that have been identified as sending strong, frequent pain signals. Stimulation provides pain relief by disrupting or gating the pain signals that travel between your spinal cord and your brain.  So, basically, it blocks your pain.  In the case of migraines, stimulating the occipital and trigeminal nerves stops the pain signal from even being communicated. If you are looking for a drug-free option for treating your chronic migraine, SILENCIO is for you!


One possible theory providing evidence that supports the benefits of the SILENCIO treatment and its efficacy to reduce the number of migraine days is based on the Gate Control Theory of Pain.  This theory was developed by Ronald Melzack, an experimental psychologist, and Patrick Wall, a sensory psychologist.  The Gate Control Theory asserts that non-painful stimuli, such as a small amount of electricity, closes the “gates” to painful input which prevents pain sensation from traveling to the central nervous system.


Melzack and Wall brilliantly combined previous theories that together were classified as “pattern theory”, taking into account ideologies regarding the existence of pain-specific receptors on nerve cells. The neural circuit proposed was very specific, and was originally sketched on a cocktail napkin in a bar. A picture of that cocktail napkin can be found in the John C. Liebeskind History of Pain Collection at the UCLA library.  In 1965 (51 years ago), the gate control theory gave scientists who were interested in pain something they didn’t have before, a working model to design experiments with, that would support or refute the model. They made pain research tangible for the first time.melzack-and-wall As a result, Melzack and Wall started calling themselves “pain researchers;” before, they were just physiologists with an interest in pain.


In some cases, electrical stimulation via a TENS unit will increase blood flow to the areas that are being stimulated.  Electrical stimulation is nearly as old as written history.  Some 4500 years ago various cultures in the Middle East and southern Europe used electrical eels to treat pain.  One can only imagine the tweaking that therapy underwent as an adult eel packs enough electricity to kill a horse. Fortunately, electrical stimulation has come a long way since the electrical eel.electrical-eel  Although mechanisms underlying therapeutic advantages of the methods of this theory are not yet precisely known, a possible mechanism may be that electromagnetic therapy can differentially stimulate or inhibit different types of excitable cells within a tissue to produce effects on those structures.  The ability to select both a desired wavelength and bandwidth can permit a rapid and efficient means of delivering electromagnetic stimuli to an area or volume of tissue or other material in a reproducible fashion.



The SILENCIO therapy is most effective when used every night for 20 minutes prior to bed.  The entire treatment protocol calls for 120 days to achieve maximum results.  The Silencio medical device is available only by prescription and costs $249.00. A package of 4 electrodes are available for $8 and 16 electrode patches are available for $32.00.  Hypoallergenic electrodes are also available at $20 for a pack of 4. The original electrodes provided with the SILENCIO unit lasts about two to four weeks. The battery is rechargeable and requires only one hour of recharge, once per week.

So, for the past 51 years the gate control theory essentially has stated that another sensation such as pressure or vibration can over-ride the pain sensation before it gets to the brain. That is where SILENCIO comes in.  It’s a new kind of relief for the worst headaches.

The only thing you have to lose is your headache!



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Silencio: The Most Innovative Nerve Stimulator for Migraineurs

Migraines have affected humans for centuries. Most people don’t realize how serious and incapacitating a migraine can be.  In fact, according to the World Health Organization (WHO), migraines are the 6th most disabling illness in the world.  And this is nothing new. From Julius Caesar, to Vincent Van Gogh, to Janet Jackson and to you- headache disorders have always been common. Migraines are the most prevalent, the most disabling, and the most treatable of all neurologic conditions. If you are one of the 36 million Americans, or about 12% of the population, suffering from migraines-then you know the indescribable suffering.


Migraine medical device, SILENCIO, is a non-pharmalogical approach to reduce migraine days and to reduce the amount of medication used for migraine relief.   Silencio therapy is the application of a specific algorithm of TENS (Transcutaneous Electrical Nerve Stimulation) for chronic migraine minimization.  The TENS unit has four adhesive cloth electrodes. Two of the electrodes are applied to the supraorbital region (just above the eye).  The remaining two are placed in the occipital nerve region at the back of the neck.  And that–is what makes SILENCIO exclusive. Stimulating both the occipital and trigeminal /supraorbital nerves provides better relief of chronic migraine than stimulating only the occipital nerve, a new study shows. Combined occipital and trigeminal nerve stimulation is an emerging form of neuromodulation that is reversible and adjustable and that can be tailored to an individual’s specific needs in an external and non-invasive manner.

The Silencio TENS unit has a custom designed stimulation algorithm that has been successfully used on thousands of migraine sufferers with respectable results in reducing the number of migraine days per month and medication consumption overall. Therapy is simple to deliver, and sends comfortable impulses through the skin that stimulate the nerves in the treatment area.

With Silencio, the only thing you have to lose is your headache.

Stick around for more advanced posts on the yardsticks used to measure if Silencio works; as well as, the benefits, the results and the scientific theories that provide evidence supporting External Trigeminal and Occipital Nerve Stimulation for Migraine Headache Relief.

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Read Through Our About Page To Learn More about the founder and CEO of Medical Solutions, LLC and its divisions: MD Direct and Medical Device Consultants