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Hacking Your Body Through a Nerve In Your Neck

agent elevator writes: IEEE Spectrum has a feature (part of its Hacking the Human OS issue) on the future of vagus nerve stimulation, a device-based therapy with the potential to treat a ridiculously wide variety of ailments: epilepsy, depression, stroke, tinnitus, heart failure, migraines, asthma, the list goes on. One problem is that, because it required an implant (a bit like a pacemaker), it was never anybody's first-choice therapy. But now there's a non-invasive version, a device you just hold to your neck twice a day for a few minutes. It's being trialed first for migraines and cluster headaches (which sound horrible). If it works, vagus nerve stimulation could compete directly with drug treatments on cost and convenience and it would let doctors find new ways to hack human physiology.

25 of 82 comments (clear)

  1. I predict nothing will come of this by Spy+Handler · · Score: 4, Informative

    I hear medical breakthroughs like this all the time, where a cheap simple device will replace expensive drugs. Then nothing happens and it's not heard of again.

    Is it because A. it doesn't work as well as inventors hoped or has too many side effects, or B. pharma industry silences them by killing them or paying them to hush it up? Help me out here.

    1. Re:I predict nothing will come of this by Anonymous Coward · · Score: 2, Interesting

      False dichotomy: The correct answer is (c) because of the abject, utter failure that is science "journalism."

      Reality of so many of these breakthroughs: "This chemical cocktail, when given to a mouse cell line that models a certain kind of human cancer, shows significant anti-cancer activity with lower than usual toxicity." This is good, keep on it folks.

      However, enter breathless reporting from jism-splattered keyboard: "Oh my god, scientists at $university make cancer-curing breakthrough that completely destroys tumors in tests!"

      Later on: "Scientists, y u no cure cancer?!?!"

    2. Re:I predict nothing will come of this by angel'o'sphere · · Score: 3, Interesting

      Everything that can be treated by "stimulating" the vagus nerve indicates that there is a problem with the vagus nerve. And that is in 99% of all cases a blockade/pressure by a muscle or sinew pressing on the nerve somewhere along the path that nerve is running.

      And that can be treated easily with:
      o heat
      o massage
      o simple herbal medicals like Camphor/Arnika
      o Tai Chi
      o Chi Gong
      o Osteopathy
      o Chiropractics
      o Shiatsu/Accu pressure massage

      Depending on where the blockade is and how difficult to treat it is.

      Main reasons are: very bad body posture and lack of sports and physical activity.

      I doubt an implant can long term fight against those two main reasons for illness/malfunction.

      Heck, even a simple dance class where people learn to relax the hips and stay erected with relaxed shoulders would likely solve more than 50% of the cases suffering from vagus nerve blockades.

      --
      Cost free eBook I read (by iBook/Kobo/Amazon/ObookO/Gutenberg etc.): "The Green Odyssey" by Philip Jose Farmer.
  2. Sounds promising by Anonymous Coward · · Score: 2, Insightful

    As someone who suffers from chronic near-continuous headaches that's a seemingly random mix of migraine, cluster, and tension for over 20 years (at least I dodged sinus - woohoo!), this is exciting. I had just started down the road of getting an implant in my neck/shoulder a while back - I was a good candidate but it got put on hold with switching insurance then decided to give another less invasive options another try.

    If I could ditch my medicines and their side effects as well as cut my pain, I would be unbelievably elated.

  3. Long chain of stuff by Impy+the+Impiuos+Imp · · Score: 5, Interesting

    I wonder if it can affect stress. There is some evidence gut bacteria feed stress-inducing whatever back up to the brain via this nerve, and that stress promotes abdominal (inside it) belly fat deposition, as opposed to more distributed body fat deposition, which in turn releases chemicals which cause insulin resistance, which is the main cause of Type II diabetes.

    --
    (-1: Post disagrees with my already-settled worldview) is not a valid mod option.
    1. Re:Long chain of stuff by Em+Adespoton · · Score: 2

      Interesting thing with this is that recent studies on stem cell communication shows that cells "age" and mutate when exposed to stress and inflamation. Which means this could also aid in longevity and reducing cancer activity in the body. I think there was an article on slashdot recently looking at a drug that combatted inflamation by the immune system in body tissues -- the two of these treatments together could be rather interesting.

  4. Cures everything Marijuana allegedly cures by dj245 · · Score: 3

    Anyone smarter than me who can comment on if marijuana affects the vagus nerve? The list of ailments allegedly cured seems similar and both the vagus nerve and marijuana are not completely understood.

    --
    Even those who arrange and design shrubberies are under considerable economic stress at this period in history.
    1. Re:Cures everything Marijuana allegedly cures by dpru · · Score: 5, Informative

      The mechanisms behind the beneficial effects of vagus nerve stimulation are still being explored, but many researchers believe that timing is important. Precise timing is something difficult, if not impossible, to achieve using drugs - they take awhile to become active. Once active, they remain active for hours or days, and then they slowly decline.

      VNS, as well as other methods of neural stimulation, can be applied very precisely in the time domain, allowing for a timed release of neuromodulators into the brain that can influence brain plasticity. Although not all VNS research includes timing as an important issue, a large body of the research focuses on this element of it.

      Here's one paper: http://journals.lww.com/neuror...

    2. Re:Cures everything Marijuana allegedly cures by Megol · · Score: 3, Insightful

      Then you should see the number of (anecdotal) successful uses of plain sugar or even water!

      Or one could skip such things and use actual science for our cures...

  5. Hope it pans out... by ndykman · · Score: 4, Insightful

    Seriously, severe migraine sufferers and those who suffer from cluster headaches need all the tools we can give them. As noted, if you really read about cluster headaches, it is truly shocking. It is noted sufferers are at a high risk for suicide; after I read what they go through, I was surprised that it is not even higher.

    I suffered from migraines, but on the mild to moderate scale. I was lucky, I found a preventative regimen that works very, very well for me. For those with more severe cases, I do hope this is a successful treatment option.

    1. Re:Hope it pans out... by Anonymous Coward · · Score: 2, Informative

      Certain conditions don't actually harm your body, but your brain just recieves input that they are causing harm. Stop the input, stop the brain from getting that input, no more chronic condition?

    2. Re:Hope it pans out... by Anonymous Coward · · Score: 5, Interesting

      Sorry for this being buried down at 0, but I've had two episodes of cluster headaches, so I can report on what that's like.

      It's the worst pain I've ever experienced, and that's including things like broken bones and accidental burns. The word "headache" isn't really appropriate because most people think of those normal headaches which are annoying and unpleasant but leave you able to function if you need to. It's not even like a migraine - just a whole different order of magnitude.

      In a cluster headache, the only thing in your entire world, the only thing that matters at all, is for it to stop. In the moment, I'd have gladly traded decades off my lifespan in exchange for making it stop. Thankfully I haven't had an episode in many years. But I understand well how people who have it happen routinely would consider suicide as an alternative to that.

    3. Re:Hope it pans out... by Anonymous Coward · · Score: 4, Interesting

      Oh, another thing I remembered in addition to my comment above: the "cluster" nature makes them worse in a way. There's no way to sleep, so you will be awake as long as the episode lasts. But one will hit, and then fade. When it faded I was exhausted (plus it was 3am or something) and needed to sleep, but just as I'd start to drift off, it was like suddenly someone rammed a knife up inside my sinus passages and behind my eye. And it starts over again. You have no idea how many times it will happen.

      Some people sit and hold their head and rock back and forth. All I could do was squeeze my head, wail, and pace frantically back and forth across the room, for some reason.

    4. Re:Hope it pans out... by rock_climbing_guy · · Score: 2

      Want to be truly outraged? Google LSD and cluster headache and follow the rabbit down the hole.

      --
      Wh47 d1d j00 541, 31337 15n't t3h r0xor5 ne m0r3???
  6. Re:I Mean, by nospam007 · · Score: 2

    "What could go wrong!"

    Louis Wu, is that you?

  7. Re:I Mean, by Anonymous Coward · · Score: 5, Interesting

    http://en.wikipedia.org/wiki/Vasovagal_response

    I've had one. It felt like my entire nervous system was on fire, followed by aphasia, followed by the worst headache I've ever had, then loss of consciousness.

    When I came to, it felt like I had a hangover (not a terrible one, but bad enough).

  8. Laugh by koan · · Score: 5, Funny

    What happens in vagus stays in vagus.

    --
    "If any question why we died, Tell them because our fathers lied."
  9. Hmm by koan · · Score: 5, Informative

    In 1997, the United States Food and Drug Administration (FDA) approved the use of VNS as an adjunctive therapy for partial-onset epilepsy. In 2005, the FDA approved the use of VNS for treatment-resistant depression.[2]

    Although the use of VNS for refractory depression has been endorsed by the American Psychiatric Association, the FDA's approval of VNS for refractory depression remains controversial. According to Dr. A. John Rush, vice chairman for research in the Department of Psychiatry at the University of Texas Southwestern Medical Center at Dallas, results of the VNS pilot study showed that 40 percent of the treated patients displayed at least a 50 percent or greater improvement in their condition, according to the Hamilton Depression Rating Scale.[3][4] Many other studies concur that VNS is indeed efficacious in treating depression. However, these findings do not take into account improvements over time in patients without the device. In the only randomized controlled trial VNS failed to perform any better when turned on than in otherwise similar implanted patients whose device was not turned on.[5]
    https://en.wikipedia.org/wiki/...

    --
    "If any question why we died, Tell them because our fathers lied."
    1. Re:Hmm by Shadow+of+Eternity · · Score: 2

      You bolded the wrong section there chief.

      --
      A bullet may have your name on it but splash damage is addressed "To whom it may concern."
  10. Would be nice by ArylAkamov · · Score: 4, Interesting

    This would be nice but I don't have much hope for it, there are endless new "devices" like these that don't do jack shit.

    Sounds terrible though. My girlfriend works in a headache center oddly enough, the stories I hear at the end of the day are disturbing.

    Two of their patients have committed suicide in the last month, drug overdose.

  11. Ghost in the shell predicted this! by Sepiraph · · Score: 3, Interesting

    Actually it makes a lot of sense since the nerves on the neck have lot of "bandwidth" already and getting access there is a lot less invasive than opening up the head to get at the brain (until we get better at Brain-Machine Interface but that really does seem a lot harder than "hacking" at the neck).

  12. Re:I Mean, by Adriax · · Score: 2

    Battery cartridges made by HP's inkjet division.

    --
    I don't suffer from insanity, I enjoy every minute of it!
  13. Anorgasmia by MillionthMonkey · · Score: 2

    I heard a story about a nun who had anorgasmia- meaning she couldn't experience pleasure of any sort (not just sexual). Someone did VNS surgery on her and had the implant send pulses to her pleasure center. That produced major changes- she was super happy, quit being a nun, decided to become a prostitute, and went to Venezuela(?). Eventually her pleasure center couldn't take being hammered by electricity anymore and she started to find it annoying. Eventually she had them remove it.

  14. Re:Might Be Snake Oil by KGIII · · Score: 2

    If alternative medicine worked then it would not be alternative medicine. It would just be, you know, medicine.

    --
    "So long and thanks for all the fish."
  15. Huge grain of salt by Cytotoxic · · Score: 3, Insightful

    Any time a single device (or drug, or supplement, or treatment) purports to treat a wide variety of seemingly unrelated ailments, your first instinct should be heavy skepticism. Also, when a device purports to work for ailments that have soft endpoints and are amenable to placebo effect, you should evaluate any study carefully. The literature is filled with studies that purport to show promising results, only to collapse when more rigorous methods are applied.

    epilepsy, depression, stroke, tinnitus, heart failure, migraines, asthma,

    With the exception of stroke and heart failure, this is a list of ailments that are commonly targeted by scam medicine, because they are conditions that will often be self-reported as improved no matter what the intervention. When more rigorous measurements are applied, these effects tend to evaporate.

    Let's hope it works, but let's look for some well done studies too.