55 W 22nd Street, Lombard, IL 60148Mon to Fri, 9am to 5pm, by appointment
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Off-label use of TMS

Concussion and brain injury care, guided by a brain map

When focus, mood or sleep still haven’t recovered months after a concussion or brain injury, we look at how the brain is working now. A qEEG shows which networks are affected, and we plan gentle, non-invasive TMS and therapy around it.

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An EEG recording in a neuroscience setting

When symptoms don’t clear

Most people recover from a concussion within weeks. Some don’t. Months later they still lose focus halfway through the day, forget things, snap at people they love, or can’t sleep. Scans often come back normal, which can leave people feeling that nothing is wrong when clearly something is.

Brain-mapped care starts by measuring how the brain is working today.

What a brain map can show

A qEEG records the brain’s electrical activity and compares it with people the same age. After a brain injury, maps often show slowed rhythms or regions that have stopped working in step. A qEEG doesn’t replace a neurologist’s evaluation or imaging, and it doesn’t diagnose an injury.

What it gives us is a picture of which networks to support, and a baseline to measure recovery against.

Illustration of a qEEG brain mapA head seen from above with 19 recording sites. Color shows where activity is above or below the typical range.Fp1Fp2F7F3FzF4F8T3C3CzC4T4T5P3PzP4T6O1O2Below typicalTypicalAbove typical
Illustration of a qEEG map, not patient data. F3 sits over the left prefrontal cortex, a common TMS site, including in research on mood after brain injury.

How TMS is used

TMS uses magnetic pulses to change activity in targeted parts of the brain. We choose the site and settings from your map and symptoms, start conservatively, and repeat the map during care to check what is changing.

What the research says

TMS is not FDA-cleared for brain injury, so using it this way is off-label. Studies of TMS for lingering concussion symptoms and for depression after brain injury have been small but encouraging, and larger trials are needed. Depression is an FDA-cleared use of TMS, and it is common after a brain injury.

Safety comes first

TMS has been used in clinics since 2008. The common side effects are mild: scalp discomfort where the coil rests, a headache, or tiredness after a session. They usually ease within the first week or two.

Seizures are rare. TMS isn’t suitable for people with metal or an implanted device in or near the head, such as an aneurysm clip or a cochlear implant. Dental fillings and braces are fine. We review your full history before recommending treatment.

A brain injury can raise the risk of seizures, so we review your injury, imaging, medications and history carefully before recommending TMS, and we keep settings conservative.

A recent head injury needs a doctor first. Call 911 or go to the emergency room for a worsening headache, repeated vomiting, confusion, a seizure, slurred speech or weakness on one side.

Working with your care team

We coordinate with your neurologist, primary care doctor, therapists and, for students, school or athletic staff. Psychotherapy at our clinic can help with mood, frustration and the adjustment that comes with a slow recovery.

Last updated October 2026.

Questions about tbi treatment

Is TMS FDA-approved for brain injury?

No. Using TMS after a brain injury is off-label. TMS is FDA-cleared for depression, which is common after a brain injury.

How soon after a concussion can I start?

Most concussions improve on their own over a few weeks, so we usually see people whose symptoms have lasted longer. Your doctor should evaluate any recent injury first.

Is TMS safe after a brain injury?

A brain injury can raise seizure risk, which is why we review your history and imaging before recommending treatment and use conservative settings. For some people TMS isn’t appropriate, and we’ll tell you if that’s the case.

Do you see student athletes?

Yes. We see people of different ages and coordinate with schools and athletic staff when that helps.

Will insurance cover it?

Coverage varies. It is most likely when depression is part of the picture. We verify your benefits before treatment. We work with Blue Cross and Blue Shield of Illinois, UnitedHealthcare, Cigna and Aetna.

TBI care for Chicago and the suburbs

Our one clinic is in Lombard, a short drive from most of DuPage County and reachable from Chicago and the south suburbs by I-88, I-355 and I-294.

Drive times and directions for every area

Call our office

We’ll answer your questions, check your insurance benefits and help you decide whether a brain map is the right next step. Our team answers the phone during clinic hours.

Prefer to write? Request a consultation or verify your insurance.

Call 630-448-2721