NESA XSIGNAL® терапия във физиотерапията
NESA · Physiotherapy & rehabilitation

Tissue recovers, pain steps back.

Non-invasive neuromodulation accelerates tissue recovery, reduces pain and improves muscle tone — as a complement to physiotherapy and rehabilitation.

Self-recognition

Do you recognise yourself?

Chronic pain and muscle tone

pain lasting for months
hurts more than expected
pain spreads to other areas
fatigue
stiffness and tight muscles
worse under stress
What happens in the autonomic nervous system

Like the volume of pain turned all the way up. The system amplifies the signal and constant “gas” raises the level.

Self-assessment, not self-diagnosis — discuss with a professional.

Why NESA in rehabilitation

The body, movement and recovery — at the centre of care.

01
01

Tissue recovery

Accelerated recovery after injury and surgery through improved microcirculation and autonomic regulation.

02
02

Pain management

Significant reduction of chronic and neuropathic pain — without medication.

03
03

Muscle tone

Improved tone and reduced spasticity in neurological and orthopaedic conditions.

How it works

Microcurrents that support the tissues.

NESA applies controlled low-intensity (0.1–1 mA) low-frequency (1–15 Hz) microcurrents through eight electrodes on the four limbs and one guide electrode. The signal reaches the autonomic nervous system and restores the balance between its sympathetic and parasympathetic branches.

In physiotherapy and rehabilitation this balance improves microcirculation, accelerates tissue recovery and lowers nociception — measurable via pain threshold (PPT) and sleep quality (PSQI).

Intensity0.1–1 mA
Frequency1–15 Hz
Electrodes8 + 1 guide
TargetAutonomic balance
Indications

Where NESA finds application in rehabilitation.

01Chronic neck and back pain
02Post-operative rehabilitation
03Sports and soft-tissue injuries
04Neuropathic pain
05Muscle spasticity and hypertonia
06Lymphoedema and swelling
07Osteoarthritis and joint complaints
08Fibromyalgia
09Delayed wound healing
10Functional rehabilitation after immobilisation
Study results · pain

NESA reduces pain intensity and raises the pain threshold in chronic conditions.

−42%
Neck pain (VAS)
+63%
Pain threshold (PPT)
−31%
Sleep disturbance (PSQI)

Study results; individual results may vary. Information intended for healthcare professionals.

Protocol

A clear frame for the rehabilitation course.

A typical course in rehabilitation. Parameters are adapted individually by the treating specialist and combined with ongoing therapy.

12–20
sessions per course
per week
55 min
per session
1–9
NESA programmes
For whom

Built for rehabilitation practice.

Physiotherapy & rehabilitation

Centres seeking a non-invasive way to accelerate recovery.

Orthopaedics & sports medicine

Post-operative and post-trauma care with objective tracking.

Geriatrics & physical medicine

Pain, mobility and muscle tone in older patients.

Downloadable materials

Full specialist presentation — physiotherapy and rehabilitation.

Indications, protocols, programmes and clinical data for implementing NESA in your practice.

PDF Specialist presentationBulgarian · NESA · V2.1 PDF XSignal in Rehabilitation & Physiotherapy — report (EN) PDFPatient cardFor patients · PDF (BG)
Frequently asked questions

Short answers for professionals.

Is the therapy safe?

Yes. NESA is a non-invasive, low-intensity method with no known systemic side effects. Sessions are conducted by a trained specialist.

Does it replace physiotherapy?

No. NESA complements physiotherapy and manual therapy by accelerating recovery and reducing pain — making rehabilitation more effective.

When are the first results felt?

Many report reduced pain and better sleep after 4–6 sessions; functional improvement builds over the full course.

Are there contraindications?

Pacemakers and other active implants, pregnancy and epilepsy require prior medical assessment. When in doubt, consult the treating physician.

Related fields

Explore adjacent areas.

Поставяне на електроди на крайниците с NESA XSIGNAL®
Across the four limbs

Microcurrents through the wrists and ankles — the whole autonomic axis at once.

Protocol · 12–20 sessions · 2× weekly · 55 min

Complement your physiotherapy with NESA.

Request a demonstration →
Protocol parameters

Real values from the handbook (INF-CD-022)

Fatigue and muscle tone disturbances

Sessions~20
FrequencyInduction → maintenance
Duration60 min
ProgrammesP1 · P2 · P5 · P7 · P8
Guiding electrodeC6–C7 · metameres · focal point
QuestionnairesWeCardio · Borg · Ashworth

Generalised pain

Sessions~20
FrequencyInduction → maintenance
Duration60 min
ProgrammesP1 · P2 · P6 · P7 · P8
Guiding electrodeSternum · C6–C7 · tender point · metameres
QuestionnairesWeCardio · Lattinen · LANSS

Source: NESA protocol handbook · INF-CD-022 (2025-V.1). Standard session 60 min, LOW mode by default.

Therapeutic logic

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 →
Limits & safety

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.

Evidence to download

The clinical data as a shareable card.

The same numbers as above — in a ready-to-share format for colleagues, patients and social media.

Цервикалгия / вратна болка — клинични данни Cervicalgia / neck pain Download ↓