Pulsante Therapy

How Pulsante® Therapy Works

One of the latest advancements in the treatment of cluster headaches is neurostimulation with the Pulsante SPG Microstimulator.

Neurostimulation is a well-established pain treatment used throughout the body to treat chronic pain.1 Using the same principles, the novel Pulsante SPG Microstimulator is designed to reach the sphenopalatine ganglion (SPG) nerve bundle.  The SPG nerve bundle sits behind your cheek.  It acts as the body’s “fuse box” along the pain pathway for cluster headaches.

Inserted near the SPG nerve bundle, the Pulsante SPG Microstimulator directs mild electrical pulses to interfere with pain messages before reaching the brain.

Pulsante Therapy allows you to control your own stimulation treatment as needed by turning on a remote controller and holding it on your cheek over the inserted device. When finished, simply pull the remote controller away from your cheek, turning off stimulation therapy.  The pain from most attacks is relieved within 15 minutes.2

SPG stimulation offers a reversible and adjustable option that has been shown to reduce the debilitating pain of cluster headache and improve quality of life.

A Simple Procedure

The Pulsante System offers a minimally invasive procedure that leaves no visible scars.

During the simple procedure, the Pulsante SPG Microstimulator (about the size of an almond) is inserted through a small incision in your mouth, in the upper gum above your back molars.  The procedure is comparable to oral cavity interventions, such as a wisdom tooth removal.3,4

A natural, boney pathway above the second molar known as the pterygopalatine fossa allows the microstimulator to reach the SPG nerve bundle.  To help guide the implant, your surgeon may use fluoroscopic guidance with live imaging to facilitate proper placement of the implant.  The minimally invasive procedure generally takes about 60 to 90 minutes for your surgeon to perform.


  1. International Neuromodulation Society. Neuromodulation: An Emerging Field. (2016 Dec. 12) Retrieved from  http://www.neuromodulation.com/medical-therapy-overview
  2. Schoenen, et al. Stimulation of the sphenopalatine ganglion (SPG) for cluster headache treatment. Pathway CH-1: A randomized, sham-controlled study. Cephalalgia, 2013; 33:816-30
  3. Tung, et al. Surgical complications of the Le Fort I osteotomy – a retrospective review of 146 cases. Changgeng Yi Xuan Zag Zhao 1995; 18:102–107.
  4. Al-Din, et al. Sensory nerve disturbance following Le Fort I osteotomy. In J Oral Maxillofac Surd 1996; 25: 13–19.