REN - Remote Electrical Neuromodulation

Innovative Technology Activating Natural Pain Relief Mechanisms via Arm-to-Brain Stimulation

The human brain can naturally turn off pain through a mechanism calle conditioned pain modulation (CPM). When CPM is activated, the body releases signals to reduce or eliminate pain. There is scientific evidence that people with migraine may have an impaired or lower CPM response, so Nerivio uses non-painful Remote Electrical Neuromodulation (REN) to trigger peripheral nerves and activate the CPM.

In simpler terms, stimulating the upper arm triggers a natural process in the brain that controls migraine pain and other related symptoms, providing essential relief.

The Nerivio REN wearable in action

The Nerivio REN wearable in action

Nerivio stimulates Aδ and C fibers in the upper arm.

Stimulation of these nerve fibers sends messages to the pain regulation centers in the brainstem

This triggers the body’s Conditioned Pain Modulation (CPM) system, activating the descending pain inhibitory pathways.

Descending inhibitory signals travel to the trigeminal cervical complex where serotonin and norepinephrine are released

Nerivio’s activation of the body’s endogenous analgesic system has a global impact on pain

Nerivio. Not Your TENS Unit.

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Product comparison
nerivio
Remote Electrical Neuromodulation
TENS
Transcutaneous Electrical Nerve Stimulation
MOA
CPM: Descending Pain Inhibition
Gate Theory: Ascending Pain Inhibition
Nerve Fibers
C and Aδ Fibers
Aβ Fibers
Sensory Tract
Nociceptive
Touch
Typical Pulse Frequency
100 - 120 Hz
60 - 80 Hz
Typical Pulse Width
400 μS
50 - 300 μS
Body Location
Remote from Pain Location
At Pain Location
Impact
Global
Local

Nerivio Is Not a TENS Unit

The Nerivio REN wearable and TENS units use different mechanisms of action, based on different electrical pulses and different stimulation sites.

Nerivio®

The Nerivio wearable uses a Remote Electrical Neuromodulation (REN) mechanism to work with the body and not against it. Nerivio works from a remote location to the source of pain, specifically designed for migraine relief.

TENS Units

TENS units stimulate local nerves and compete with local nerve fibers to block them from working (a mechanism termed gate theory of pain). TENS must be applied at the same location of the pain (i.e., the head, during a migraine attack).

Features

Nerivio

Remote Electrical
Neuromodulation

Tens

Transcutaneous Electrical Nerve Stimulation

MOA
CPM: Descending Pain Inhibition
Gate Theory: Ascending Pain Inhibition
Nerve Fibers
C and Aδ Fibers
Aβ Fibers
Sensory Tract
Nociceptive
Touch
Typical Pulse Frequency
100 - 120 Hz
60 - 80 Hz
Typical Pulse Width
400 μS
50 - 300 μS
Body Location
Remote from Pain Location
At Pain Location
Impact
Global
Local