Movement and drainage in a natural rhythm.
NESA supports lymphatic drainage through non-invasive regulation of the autonomic nervous system.
Do you recognise yourself?
Swelling, heaviness and slow drainage
Like a blocked return pipe — the water won’t drain. In oedema the autonomic tone regulates the vessels; with high “gas” venous return slows.
Self-assessment, not self-diagnosis — discuss with a professional.
Non-invasive modulation of the autonomic nervous system.
Drainage
Support for lymphatic circulation.
Swelling
Aid in reducing swelling.
Recovery
Support for tissue recovery.
Download the NESA presentation.
Mechanism, indications, protocols and clinical data for implementing NESA.
Microcurrents through the wrists and ankles — the whole autonomic axis at once.
A complement to manual drainage — not its replacement.
Lymphatic and vascular transport are substantially influenced by the ANS: the sympathetic system regulates vascular tone and microcirculation. NESA is used in parallel with manual lymphatic drainage — the lead electrode follows the physiological outflow path, distal→proximal, matching the direction of the manual technique.
Clinical fields: lymphoedema, synchronous with manual drainage (I3 — P7 lasting as long as the manual session; electrode moved distal→proximal along drainage zones) and upper-limb lymphoedema after mastectomy (G1 — 20–30 baseline sessions + maintenance, min. 3×/week; with extensive lymphadenectomy, more modest expectations, transparently communicated). Three phases: central (P1, C6–C7) → metameric (L3) → focal along the zones. 60-min session, LOW; no HIGH in the lymphoedema protocols.
For lymphological indications our base has no field-specific RCTs. Application is mechanism-based — autonomic regulation of microcirculation and vascular tone alongside manual drainage. As a general principle (not a lymphological endpoint):
carotid vasodilation (cross-sectional area) — Mínguez-Esteban, Front Neurosci 2025.
HRV (SDNN) and vagal tone (RMSSD).
Limits & safety: NESA promises no cure. Protocols are guidelines, not prescriptions; they complement, not replace, manual drainage. XSIGNAL is a medical device, not for everyone. With an oncological history (common in post-mastectomy lymphoedema), application is by qualified staff within an interdisciplinary plan. Absolute contraindications: pacemaker and pregnancy.
Bring NESA into your practice.
Real values from the handbook (INF-CD-022)
Lymphoedema
Lymphoedema after mastectomy
Source: NESA protocol handbook · INF-CD-022 (2025-V.1). Standard session 60 min, LOW mode by default.
At the core: programmes P1–P9
Every protocol in this field combines the reference programmes P1–P9 — general homeostasis, body levels, ANS/CNS and targeted nerves — according to the clinical goal.
See programmes P1–P9 →Protocols are guidelines, not prescriptions.
Parameters are guides; the therapist adapts them to the patient.
NESA is not suitable for every patient and promises no cure.
Absolute contraindications (pacemaker, pregnancy, active implants) follow the device IFU.