For general inquiries, call 1 877-564-0008 or [email protected]. Fax PoNS device prescriptions to 1 (215) 754-4903.

How PoNS® Works

Did you know that your tongue has nerves that connect to your brainstem?

Targeted sensory nerve endings on the tongue are stimulated by PoNS when it is placed correctly in the mouth. The PoNS non-surgical device uses electrical stimulation through the tongue to activate new pathways to the brain.

When used together with physical rehabilitation exercise, PoNS improves gait in people with mild to moderate MS symptoms.1-3

Individual results and experiences may vary.

  1. TONGUE STIMULATION
    When the PoNS is on, the electrodes on the mouthpiece send mild electrical impulses through the tongue, which stimulates two cranial nerves connected to the tongue. This process is called translingual neurostimulation or TLNS.
  2. CRANIAL NERVES
    The electrical stimulation of these cranial nerves creates a flow of neural impulses that are delivered directly into the brainstem and cerebellum—the body’s movement control center.
  3. BRAINSTEM
    From the brainstem, these impulses travel throughout the brain and activate neurons and structures involved in human function.
  4. NEUROPLASTICITY
    Over 14 weeks of therapy, the PoNS along with physical rehabilitation exercises, initiates a cascade of changes in multiple brain regions. Consistent application of PoNS Therapy provides a sustained neuromodulatory effect resulting in neuroplastic changes.
REFERENCES
  1. Tyler ME, Kaczmarek KA, Rust KL, Subbotin AM, Skinner KL, Danilov YP. Non-invasive neuromodulation to improve gait in chronic multiple sclerosis: a randomized double blind controlled pilot trial. J Neuroeng Rehabil. 2014;11:79.
  2. Leonard G, Lapierre Y, Chen J-K, Wardini R, Crane J, Ptito A. Noninvasive tongue stimulation combined with intensive cognitive and physical rehabilitation induces neuroplastic changes in patients with multiple sclerosis: a multimodal neuroimaging study. Mult Scler J Exp Transl Clin. 2017;3(1):2055217317690561.
  3. Helius Medical, Inc a Portable Neuromodulation Stimulator (PoNS) Real-World Evidence Study August 2, 2020.
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IMPORTANT SAFETY INFORMATION

No serious adverse events related to the PoNS device were reported in the MS RCTs or in use in clinical rehabilitation settings to treat balance and gait disorders.

Some individuals have reported headaches, fatigue, and excess salivation. Excess salivation during training sessions often occurs but generally improves as patients get used to wearing the mouthpiece.

Indication
The PoNS® device is indicated for use as a short term treatment of gait deficit due to mild to moderate symptoms from multiple sclerosis and is to be used as an adjunct to a supervised therapeutic exercise program for adults 22 years of age and over by prescription only.

Contraindications
The PoNS® device delivers electrical stimulation directly to the surface of the tongue. Precautions for use are similar to those for transcutaneous electrical nerve stimulation (TENS).

Electrical stimulation should not be used:

  • If there is an active or suspected malignant tumor
  • In areas of recent bleeding or open wounds
  • In areas that lack normal sensation

The PoNS® has not been tested on, and thus should not be used by individuals who are pregnant. Do not use the PoNS® if you are sensitive to nickel, gold or copper.

Use with caution
Electrical stimulation should only be used after seeking professional medical advice, and with caution in patients with any of the following:

  • Implanted electronic devices, including:
    • Cardiac pacemakers
    • Cardioverter defibrillators
    • Deep Brain Stimulators
    • Vagal Nerve Stimulators
    • Sacral nerve stimulators
    • Cochlear Implants
  • Metal in the mouth (e.g. piercings, braces, retainers, or other orthodontic appliance)
  • Seizure disorders
  • Epilepsy

Ready to get started with PoNS?

Patients who are seeking more information on how to get PoNS can email us at [email protected], or fill out our contact form: