Burning Nights CRPS Support is a UK national charity dedicated to raising awareness of Complex Regional Pain Syndrome (CRPS)
Calmare CRPS RSD Q & A - CALMARE logo 2013


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As you may have seen in a Burning Nights CRPS Support blog that Dr. M. Cooney, the Clinical Director and Calmare Pain Therapy Treatment Certified Provider NJ agreed to do a Question & Answer session with Burning Nights and their followers, answering all your questions concerning Calmare Pain Therapy Treatment for CRPS/RSD.


CALMARE PAIN THERAPY TREATMENT (R) also known as Scrambler Therapy is considered to be a non-invasive and non-pharmaceutical treatment used for chronic pain sufferers and since 2011 used for CRPS/RSD sufferers. According to Dr. M. Cooney , the Clinical Director and Calmare NJ Certified Provider he explained that it wasn’t an intentional focus on his part to treat CRPS/RSD sufferers, however he found that Calmare is very useful in treating several types of chronic pain including CRPS/RSD. Patients go and have Calmare Pain Therapy in America for treatment from as far away as Australia and South Africa.


Calmare Pain Therapy Treatment has received a favourable Medicare ruling, read the National Pain Report article:

Burning Nights CRPS Support has included Calmare Pain Therapy Treatment in the TREATMENTS section of this website. For more details on the Calmare or Scrambler Therapy please have a look.


Since the Q & A blog Dr Cooney from Calmare NJ has now also kindly written a Calmare Therapy Update blog giving us details of Clinical Trials and news that has happened with Calmare Therapy since last year. He has also included a CRPS sufferer’s experience of Calmare Therapy. After reading the Calmare Therapy Q & A session, why not have a read of the latest CALMARE THERAPY UPDATE blog?!


Thank you Dr Cooney for taking the time to answer all the questions from the Burning Nights CRPS followers! 


Calmare CRPS RSD Q & A - Dr. Michael J. Cooney (Permission Granted for Reproduction)

Calmare CRPS RSD Q & A – Dr. Michael J. Cooney (Permission Granted for Reproduction)

Dr. Michael Cooney is one of 10 certified providers of Calmare scrambler therapy in the U.S. He specializes in treating patients battling severe neuropathy as a result of CRPS / RSD, fibromyalgia, diabetes, shingles, post-surgical pain and pain after chemotherapy. To learn more about Calmare Pain Therapy Treatment, visit www.calmaretheapynj.com or call 201-933-4440.



We introduced this technology in our New Jersey (NJ) USA practice in 2011 to help treatment-resistant patients. But, to our surprise, people from as far away as Australia and South Africa with CRPS soon travelled to our small clinic for this therapy.

Soon after launching scrambler therapy, we were contacted by some patients in the Midwest with RSD who had trekked from coast-to-coast looking for pain relief. They had tried Ketamine treatments, spinal cord stimulators, nerve blocks, surgery−you name it. And none of them helped to lessen their pain or other physical symptoms. These were young women who had their whole lives ahead of them; they families refused to just give up finding a solution.

They found us and came to NJ for treatment, particularly since the scrambler doesn’t have any side effects and it’s a (virtually) painless process.

We completed the 10-treatment regimen, and their outcomes were life-changing. These early patients were really the catalysts that helped establish us as specialists in this therapy for CRPS and RSD. Today, Amanda and Laura are strong proponents of Calmare and will talk about its merits to anyone who will listen!

Believe me, after treating people living with chronic pain for 30 years, I can appreciate a CRPS warrior’s skepticism about a “new treatment” to “cure the pain.”

Lastly, I’d like to state this is not a “miracle cure” and it does not work for every patient, unfortunately. After the fourth or fifth treatment, if there is no significant reduction in pain, it may not be a viable treatment solution. With this said, fortunately, about 80 to 85 percent of CRPS patients have achieved substantial relief of pain and symptoms starting as soon as the first or second treatment.

For me personally, bringing Calmare to our practice has been one of the most personally satisfying efforts I have had the privilege to be part of in my 30-year career.

Dr. M. Cooney




Here are the questions that have been asked by the Burning Nights CRPS Support followers and the answers from Dr. M. Cooney:

Calmare CRPS RSD Q & A - Calmare technology image 2014

Calmare CRPS RSD Q & A - Letter A   How many CRPS/RSD patients do you deal with for Calmare Therapy?

Calmare CRPS RSD Q & A - Letter A   Since we started treating CRPS / RSD patients in 2011, we have treated nearly 500 patients from 15 countries.



Calmare CRPS RSD Q & A - Letter A   Is it only done in New Jersey or throughout the USA?

Calmare CRPS RSD Q & A - Letter A   There are several providers (about 15-20) throughout the U.S. currently. When choosing your provider, I encourage you to choose a “Calmare Certified Provider” which means they have treated a certain number of patients successfully, obtained clinical training in the use of the device and have submitted clinical results of their treatment outcomes.
Calmare Certified Location Logo | Permission granted to reproduce

Calmare Certified Location Logo | Permission granted to reproduce



Calmare CRPS RSD Q & A - Letter A   Is there any real time frame for its availability in other countries like Australia and the UK?


Calmare CRPS RSD Q & A - Letter A   I am one provider based in New Jersey, USA so unfortunately I can’t speak to the availability of this technology worldwide. I’ve treated patients from about 15 different countries so far which leads me to believe it’s fairly limited in availability—at least right now.


Calmare CRPS RSD Q & A - Letter A   Are we talking CRPS Type 1 or Type 2 or both?

Calmare CRPS RSD Q & A - Letter A   In my practice, I’ve seen highly successful outcomes in both types of CRPS. In addition, we have great outcomes overcoming pain and physical symptoms from shingles (PHN), diabetic neuropathy and neuropathy as a result of chemotherapy treatment (CIPN). There was recently a patient with severe burns who experienced great pain relief from scrambler therapy (he was not my patient.)


Calmare CRPS RSD Q & A - Letter A   Does Calmare Pain Therapy need to be repeated on a regular basis for CRPS?

Calmare CRPS RSD Q & A - Letter A   It depends on the patient and a few key factors:
  • severity of the condition;
  • length of time the patient has been living with CRPS;
  • other existing medical conditions; and
  • if the patient follows post-treatment care instructions.
Some patients need to come for booster treatments yearly, a few more often, and some never need to return for additional therapy.


Calmare CRPS RSD Q & A - Letter A   How many sessions are needed?

Calmare CRPS RSD Q & A - Letter A   Most patients need TEN (10) daily (Monday-Friday) 45-minute treatment sessions, although some need a few more (particularly if they have been suffering for several years) or fewer, should the condition be more recently diagnosed.
There are typically no side effects and in most cases, pain relief is substantial or even eliminated.  Subsequent booster treatments may be needed down the line (typically 1 to 3 treatments) should the pain condition return. I recently blogged about what happens during each scrambler therapy treatment here.




Calmare CRPS RSD Q & A - Letter A   What is done / what happens in each session if more than 1 is required?

Calmare CRPS RSD Q & A - Letter A   Depending on the severity of the condition, some patients add one or two extra treatments as “insurance” prior to their trek home. Over time, if the pain level returns, some patients come back for 1-3 boosters. The time span between the need for booster treatments is longer with continuing booster treatments.


Calmare CRPS RSD Q & A - Letter A   Does Calmare Pain Therapy need to be repeated on a regular basis for CRPS?

Calmare CRPS RSD Q & A - Letter A   It depends on the patient and a few key factors: severity of the condition; length of time the patient has been living with CRPS; other existing medical conditions; and if the patient follows post-treatment care instructions. Some patients need to come for booster treatments yearly, a few more often, and some never need to return for additional therapy.


Calmare CRPS RSD Q & A - Letter A   How does scrambler therapy actually work?

Calmare CRPS RSD Q & A - Letter A   It uses a biophysical (using physical methods to treat biological problems) rather than a biochemical (drugs) approach. The device works to relieve pain directly at the pain site without any reliance on medication. Via small electrodes, a ‘no-pain’ message is transmitted directly to the nerve for a period of 30 – 45 minutes, on average.
During the treatment process, the patient’s pain steadily decreases to allow the patient to participate in normal daily activities and resume a better quality of life. In some cases, pain relief has been reported in as few as one to three treatments, but each patient’s case is unique and some patients experience relief after 5-7 treatments.
There is no pain during the therapy and no side effects.


Calmare CRPS RSD Q & A - Calmare foot image with leads| Permission Granted to reproduce

Calmare CRPS RSD Q & A – Calmare foot image with leads | Permission Granted to reproduce


Note from Dr. Cooney regarding the above question:

If anyone would like to share a more clinical description with their doctors, I can offer this description in ‘medical-speak’:

The system uses a multiprocessor to synthesize 16 types of nerve action potentials that are similar to endogenous nerve action potentials. It strings these potentials into sequences and delivers electrical stimulation to the affected region. By mimicking endogenous action potentials, the device is able to “scramble” or modify abnormal pain signalling into non-pain information. The charge used in scrambler therapy is low, the waveform is constantly changing through 16 different algorithms, and the electrical current is below the threshold that causes pain.

In comparison, electrical stimulation administered by a transcutaneous electrical nerve stimulation (TENS) device blocks pain signals after they are transmitted by sensitized nerves and has a much higher charge with a simple biphasic wave. Other chronic pain therapies, such as spinal cord stimulation and intraspinal drug delivery systems, involve invasive and expensive technology with the possibility of serious complications.


Calmare CRPS RSD Q & A - Letter A   Are there any true study results for actual pain relief for CRPS/RSD? Surely there would have to be a large number of CRPS/RSD patients involved in the study for it to bear a place within the medical profession, essentially Pain Management. For Calmare to work effectively the relief would have to be significant.

Calmare CRPS RSD Q & A - Letter A   To my knowledge, I am one of the first Calmare providers to treat CRPS sufferers. I have shared my findings and outcomes with some of the key pain management research hospitals here in the U.S. and found them to be receptive to the consistent outcomes we have seen using this treatment. It is up to them at this juncture to decide if they will engage in their own studies specific to CRPS.
So long as the clinical trial providers place the leads in the optimal positions on each trial participant’s body in accordance with their original injury site, the results should be both outstanding and irrefutable.
To date, there have been several clinical studies on the scrambler to date including Mayo Clinic, Massey Cancer Institute, Virginia Commonwealth and other research institutions. We try to keep this information up-to-date on our CLINICAL TRIALS WEB PAGE


N.B. –  If you look at the FDA Government trials database under Calmare Therapy you may not find any trials due to the fact that Calmare is a brand name and trials are done under the term ‘Scrambler Therapy.’ Under this you will currently find 7 trials either recruiting, completed or active but not recruiting.

This is the direct link for the clinical trials – USA Government, Clinical Trials SCRAMBLER THERAPY. Available from: <https://clinicaltrials.gov/ct2/results?>term=scrambler+therapy>


Calmare CRPS RSD Q & A - Letter A   Is it possible to give me the numbers or percentage of success for Calmare treatment of patients with CRPS/RSD?

Calmare CRPS RSD Q & A - Letter A   Speaking specifically to my practice alone and referring to CRPS patient cases, we have seen a success rate of 75% to 80% (percent.) “Success rate” means that the level of chronic pain and other physical symptoms have been substantially decreased−or eliminated.


Calmare CRPS RSD Q & A - Letter A   In Australia, pain specialists are suspicious of Calmare stating there is not a good evidence base for its application to CRPS (gold standard, double blind etc.) & is it seen as a glorified TENS machine? Could you comment?

Calmare CRPS RSD Q & A - Letter A   Physicians are scientists who depend on scientific data as proof of success. I can certainly appreciate that. Right now, Johns Hopkins University is engaged in the first significant (large) double-blind study that I am aware of. They are using the scrambler machine and a “sham” machine. I believe they are also using a TENS unit as a third treatment resource.
Keep in mind, here in U.S., the scrambler machine has been awarded a patent from the U.S. Patent and Trademark Office which identifies the device as a unique entity unlike anything else in the market (i.e. a TENS unit)
In regard to comparing the MC-5A scrambler machine to a tens unit, the two devices have marked differences:
  • 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 using 16 distinct algorithms. This process “tricks” the brain that the area of pain is normal and eventually results in prolonged pain relief.
  • TENS units use high energy electrical impulses to block pain signals or distract the brain but when treatment stops, the pain usually returns. It emits an electronic message over one single algorithm.
  • A TENS unit is self-administered by the patient whereas the scrambler is administered by a trained medical professional who can identify the body’s channels and place each of the leads in the optimal position for pain relief. (This placement is usually not directly on the specific area of pain.)
For more detailed information on the difference between the Calmare MC-5A and a TENS unit,click here.


Calmare CRPS RSD Q & A - Letter A   Does insurance cover it?

Calmare CRPS RSD Q & A - Letter A   Worker’s Compensation in the U.S. has been willing to reimburse in several instances. Some of our patients have been successful in winning reimbursement (after treatment) from their medical insurance companies. Keep in mind, most of their claims were originally denied, but when they were appealed, some patients earned some reimbursement. The CPT code for scrambler therapy is 0278T.


Calmare CRPS RSD Q & A - Letter A   What insurance does Calmare take?

Calmare CRPS RSD Q & A - Letter A   We don’t currently accept insurance but will help our patients with documentation support for their reimbursement efforts. It goes without saying that if medical insurance accepted our treatment, so many more people could be helped. We are hopeful that medical insurance companies will eventually understand that the cost of scrambler therapy is markedly less expensive than invasive in-patient procedures and long-term use of prescription medications.


Calmare CRPS RSD Q & A - Letter A   Is it safe for someone like me with a coiled brain aneurysm?

Calmare CRPS RSD Q & A - Letter A   I do not advise scrambler therapy if you have this condition. Calmare is also not suitable if you:
  • have epilepsy,
  • are pregnant or breastfeeding,
  • have a pacemaker or automatic defibrillator,
  • severe arrhythmia or
  • any form of equivalent heart disease.
Be sure to discuss any and all other medical conditions you have, and medications you are using, with your Calmare treatment provider before treatment begins.


That’s all the Questions and Answers we have regarding Calmare Pain Therapy Treatment for CRPS/RSD and Chronic Pain. All comments/quotes and answers to the questions have been provided by Dr. Michael Cooney D.C. from Calmare Pain Therapy Treatment NJ.

Thank You for following Burning Nights

Thank You for all your Questions & Answers regarding Calmare Pain Therapy


Thank You Dr Cooney for all your hard work and time that you have taken to answer all the questions sent in by several Burning Nights followers!

Thank you also to those of you who asked questions about Calmare Pain Therapy Treatment and I hope that Dr Cooney has answered all your questions in as much detail as was possible.


If anyone would like to find out more about Calmare Pain Therapy for CRPS/RSD or chronic pain, the details for Calmare Pain Therapy Treatment New Jersey:

W: CALMARE PAIN THERAPY TREATMENT NJ  (www.calmaretheapynj.com)

Email: calmarenj@gmail.com

Tel: USA 201-933-4440

Office Address:  323 Union Avenue, Rutherford, New Jersey 07070

Please feel free to Comment, Share or Post on Social Media or on this blog regarding the Calmare CRPS/RSD Therapy Q & A Session with Dr. Michael Cooney. What is your experience of Calmare Therapy? Why not let us know!



Dr Cooney has now kindly also written an Update blog on what has been happening with Calmare Therapy in terms of Clinical Trials, news etc There is also a CRPS patient experience in the Update as well, so you can read how Calmare Therapy has helped the CRPS sufferer.


Written: 25/04/2015

Last Updated: 27/02/2018


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About the Author
I'm a barrister, advocate & sufferer of Complex Regional Pain Syndrome (CRPS). I am also a bilateral (double) above knee amputee due to aggressive symptoms of CRPS. However I want to help all those affected by this devastating condition which includes those living with CRPS, their loved ones, families, carers and friends. Please help spread awareness of this debilitating and life-changing condition - CRPS. We need your support!
  1. Anne

    Hi Elaine, it is being set up by Dr Todhunter in Wodonga who has recently been in Italy studying the technique. It will be available early in the new year. I believe there is a waiting list and some time to wait for initial available appointments

  2. Elaine

    Is there anything like this available in Australia? My husband now has full body rsd and is desperate.

  3. Carol

    Please can you tell me can this treatment be found closer to the UK

    • Victoria Abbott-Fleming

      Hi Carol
      The closest country to offer Calmare Therapy is Dublin, Ireland and the Doctor is Dr Khan.
      Many thanks,
      Victoria and team

  4. Chris Hughes

    My wife had Scrambler Therapy treatment in Rome recently, supervised by a doctor, Riccardo Barchetta, recommended by the inventor, Professor Giuseppe Marineo. After four sessions, she was pain-free and the treatment ended. She’s had neuropathic pain for 12 years due to peripheral neuropathy caused by the antibiotic metronidazole. The Rome treatment cost was €120 for the first consultation and treatment, and €60 for each treatment thereafter. She’s still pain-free. She’ll probably need a short booster treatment after a few months.

    • Susanne Bagger

      Dear Chris Hughes
      What a relief for your wife and yourself – it is fantastic to read,
      and I am so pleased for you.
      My 26 year old daughter suffers from CRPS (2,5 years) and she is in so much pain – could you please let us know how to get in contact with doctor Riccardo Barchetta.
      We are leaving for the United States on Saturday, for treatment. But
      the 8,5 hours flight will be a challenge. Italy is much closer.

      • Victoria Abbott-Fleming

        Hello Susanne
        There are a couple of clinics in Italy that appear to offer Scrambler/Calmare therapy including the European Hospital where Riccardo Bachetta is working http://www.europeanhospital.it/en/ There is another called Life Episteme Italia again in Italy http://www.lifeepistemeitalia.it/ However we have no knowledge of these clinics and we would urge you to get a medical recommendation for any clinic you seek treatment from.
        Best of Luck with your daughter’s treatment in the USA

      • TANYA

        Just wondering how your daughter is and whether she had Calmare therapy. My daughter age 14 is suffering and wheelchair bound hence my interest

  5. Paula Sheerin

    I should have said that I’m a solocitor and also a sceptical person, who likes to see good research done. But with the pain at the level it was at, and drugs not working I tried acupuncture, and laser rhizotomies on one area and they didn’t help. I forgot I still had head and eye pain after Calmare but no pain anyplace else.
    I am whole-body CRPS, fibromyalgia, TMJ, and Trigeminal Neuralgia. I’ve had it for 40 years but there was a 20 year remission after the first 2 years. I have a Facebook page if anyone wants to ask another question. No, I don’t get paid for this or receive free treatment.

  6. Paula Sheerin

    Arthritis and pain clinic.com

    Calmare available in Dublin, Ireland with wonderful doctor, Dr Khan, a rhumatologist. I had no pain at all for first 3 months after treatment but I badly need to go back for “a top-up”, which is a couple of treatments.

    You pay for each treatment so you don’t have to commit to the full 10 treatments. If its going to work, it usually does so by 2nd/3rd session.
    The first appointment is more expensive because he takes a detailed history.

  7. Laura

    To at least some extent I have to agree with Oscar – even the FDA has it registered as a multi-channel TENS device, whether it works differently to traditional TENS or no, so the constant insistence on the part of its proponents that it’s “completely different” to a TENS immediately activates my BS detector. The only study I can find putting the MC-5A device up against a sham (though admittedly I cant access full text to analyse method and stats for myself) would indicate no difference in pain relief between the two. Admittedly I’m very much a skeptic ; I’m a scientist at heart – my background is veterinary medicine and I like to see solid scientific evidence, particularly when the finances and emotions of vulnerable people are at stake. I know there are ethical issues too with subjecting people to a sham treatment, but I’d far prefer to see this done more extensively and be satisfied that the Calmare was achieving true clinical results rather than mere placebo effect. I’ve seen a friend have good results with it – but even after 16 years with CRPS I personally wouldn’t waste my money on it without better evidence. The emotional fallout of failed treatment is too great.

  8. Jurgen Wolff

    In July 2015, my partner went to the Calmare treatment center at Lake Garda, Italy for ten days of treatments. Most days he had one one-hour treatment, and toward the end he had two sessions per day. Although the people at the treatment facility were sincere and very kind, the treatment did not yield any results and his pain has spread further and become more intense in the weeks following (I’m not suggesting that this is the result of the treatment, just stating the facts of his condition).

  9. Victoria Abbott-Fleming

    Thank you Oscar Lonzo for your 2nd almost identical comment as to your other comment made in the previous Calmare Pain Therapy Treatment blog requesting questions from CRPS/RSD sufferers.
    However it is up to each sufferer for themselves to decide with specialist medical advice and knowledge whether or not they choose to try Calmare Therapy aka Scrambler Therapy.

  10. Oscar Lonzo

    The device is NOTHING but an overhyped TENS device. All the various claims therapists make about it “scrambling nerve” signals and “retraining” the brain is simply nonsense that is physiologically IMPOSSIBLE. The device has been promoted and marketed for eight years by a company called “Calmare Therapeutics.” Despite being offering an alleged “miracle” painkiller, checking the company’s SEC filings reveals it is basically bankrupt and currently being sued by the calmare manufacturer for failure to pay for the devices it ordered five years ago. Strongly suggest checking with your family MD before sinking any funds into the treatment. Remember — there’s no money back guarantee if it doesn’t work and no insurance coverage, so once that 3-5 THOUSAND dollars is spent, it will be gone for good — while the pain might NOT be.

  11. Pingback: Thank You to Burning Nights for Their Calmare Scrambler Therapy Q&A | calmarenj

  12. Irene Bull

    I have just read the results of the Q & A that was put to Dr Cooney of Calmare Therapy Treatment. These results I found to be very comprehensive and the questions I put forward were certainly answered. Thank you

    • Dr. Cooney

      Thanks very much Irene. It is much appreciated! Wishing you a low pain day. Dr. Cooney

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