Neuromodulation (Scrambler Therapy)

Scrambler Therapy (ST) is a form of non-invasive neuromodulation, used in the treatment of chronic pain. It was created in Italy, and is widely used in Europe and America. ST has been available in Australia for the past 1-2 years, and for the first time, is now available in Western Australia. ST was designed to treat the types of chronic neuropathic (nerve) pain, and oncological (cancer) pain that do not respond well to other treatments.
ST involves placement of electrodes on the skin surrounding the painful area. The area is then comfortably stimulated through the surface receptors, modulating the nervous system. It is important to be aware that ST has no curative value for any underlying disease, and it can only be used to alter the perception of pain. The evidence to date shows that Scrambler Therapy can be highly effective and have long-lasting effects. Research shows that the treatment effectively reduces pain in approximately 80% of patients, when applied correctly, without any known side-effects.
The types of conditions that can be treated with ST include complex regional pain syndrome, trigeminal neuralgia, low back pain, failed back surgery syndrome, sciatic pain, spinal stenosis, postherpetic neuralgia (shingles), phantom limb pain, fibromyalgia pain, diabetic neuropathy, cancer pain, chemotherapy induced neuropathy, and most other forms of chronic neuropathic pain.
The usual treatment involves a course of up to ten daily 45 minute sessions over a period of up to two weeks (Monday to Friday only). During this time, the patient will also be provided advice on methods to optimise the benefits of ST, such as the use of activity management or neural calming strategies. Treatment is ceased prior to ten sessions if the patient experiences a period of over 24 hours with no pain. ST is only conducted at the Lifeworks Clinic in Subiaco. A medical consent form and a number of other documents will need to be completed prior to treatment.
More information on Scrambler Therapy can be found at:
Please contact our office for further details.

COVID-19 Update

We hope you are safe and well, and coping with all the changes to our lives that have occurred due to COVID-19.  We would like to let you know that we are here to support you, and are continuing to provide occupational therapy services. We have temporarily ceased any clinic-based consultations in order to reduce any risk to our clients and our staff. All of our staff are now currently working from home.  Our preference is to provide OT services as much as possible via telehealth.  This means either telephone or online consultations.  This is the best way to still provide services and remove any risk of infection.  We understand however, that for some of our clients, this is neither suitable or possible. Where telehealth is not appropriate, and an occupational therapy service is essential, we are continuing to see clients in their homes or in the community. We do this with all the physical distancing and hygiene precautions in place.
We will contact you prior to your appointment to see if it is possible for us to provide your service via telehealth. If it is not possible and we are planning to come to your home, please let us know if you or anyone in your household are unwell with any symptoms of COVID-19, such as a fever, cough or sore throat.
We care very much about our clients and staff and we would like to reassure you that we are doing our best to keep surfaces and our hands clean and will maintain a safe physical distance during home visits.  This means we will not shake hands when we greet you, and will only use direct hands on contact when essential.

If you are well and we come to see you at home or in the community, please:

  • Maintain a 1.5 metre physical distance where possible.
  • Wash or sanitise your hands before and after appointments where possible.
  • If you need to cough or sneeze, please use a tissue and dispose of it or cover your mouth and nose with your elbow.
  • Refrain from having additional family members/carers with you if possible as the less people in contact with everyone the better.
We know that at this time some of our clients may be finding it particularly difficult with increased isolation, anxiety or a reduction in their usual supports and services.  We would like you to know that if this applies to you, please reach out to us to ask for help, and we will try our best to help you access the support you need.

We sincerely appreciate your understanding of the above. If you have any queries, please do not hesitate to contact us.  

Best Wishes
The Lifeworks Occupational Therapy Team