Preparing the experience

00 Origin

All life is bioelectricity.

Before the genes, before the cells, before the body: voltage.

01 Zygote

The first voltage of your life.

Before the genes speak, an electrical gradient is already deciding where life grows.

02 Cell division

From one cell, a multitude.

The morula multiplies. Every cell inherits the same electrical signal that guides it.

03 Gastrulation

Three layers. One shared language.

Ectoderm, mesoderm, endoderm. Your entire anatomy is born from three layers guided by voltage.

04 Neurulation

This is where the autonomic nervous system is born.

The neural tube and neural crest light up: the origin of the system NESA® neuromodulates. This is where we act.

05 Embryo

Voltage is already drawing the body.

With the nervous system mapped out, the embryo organises itself. Form follows signal.

06 Foetus and baby

From a single signal, an entire being.

Organs, face, hands. Nine months of bioelectricity building a human being.

07 Brain and synapses

86 billion neurons. One conversation.

When one neuron fires, thousands respond within milliseconds. A controlled electrical storm.

08 Vagus nerve

Heart. Lungs. Gut. A single nerve.

The vagus is the motorway of the autonomic nervous system. What NESA® modulates travels through here.

09 Fascia and muscle

The invisible network that supports and transmits.

Fascia, nerves, sarcomeres: tissue that conducts the bioelectrical signal throughout the body.

10 NESA neuromodulation

The signal finds its way back.

Precision microcurrents that remind the system how to modulate its own signal.

Scroll

We modulate the autonomic nervous system.

Everything else follows.

— NESA WORLD

The device

NESA XSIGNAL®. Clinical-precision microcurrents.

A CE Class IIa medical device designed specifically to modulate the autonomic nervous system through low-frequency microcurrents applied at the wrists and ankles, together with a targeting electrode that determines where to neuromodulate. No medication. Non-invasive. No continuous supervision.

CE Class IIa

Certified medical device

Approved for professional use in clinics and hospitals. More than 1,500 clinics and hospitals use it.

3 application routes

Global, metameric and focal

Three ways to treat. More than 150 protocols backed by science.

Sessions with or without a technician

Clinical time that multiplies

Once the electrodes are in place, the session runs on its own: the practitioner frees up clinical time and doubles their efficiency and profitability. Or, if preferred, makes the most of that time by combining it with their hands-on therapies.

Inside · precision engineering
Technology developed in Japan and manufactured in Europe
+0
Clinics
+0
Public hospitals
+0
Publications
+0
Countries

Join the global vanguard of non-invasive neuromodulation.

20+ Q1 papers

Clinical evidence

What changes when you neuromodulate your patients’ autonomic nervous system with NESA®.

30 metrics measured in published studies. By speciality, by condition, by outcome.

The NESA session 12–20 sessions 55 min per session 2 days a week

    Study list updated June 2026. The figures shown correspond to published results; individual results may vary according to condition, protocol and patient. NESA XSIGNAL carries the CE mark and more than 15 certifications as a medical device in other countries. This information is intended for healthcare professionals and does not replace clinical judgement.

    Medical specialities

    10 core disciplines. One single mechanism.

    NESA® neuromodulation works across the board, because the autonomic nervous system governs functions throughout the body. Wherever there is dysregulation, NESA® modulates.

    Rehabilitation01
    Rehabilitation
    Sports medicine02
    Sports medicine
    Abdominopelvic dysfunction03
    Abdominopelvic dysfunction
    Neurology and pain04
    Neurology and pain
    Mental health05
    Mental health
    Internal medicine and cardiology06
    Internal medicine and cardiology
    Aesthetic medicine and wellness07
    Aesthetic medicine and wellness
    Stomatology and dentistry08
    Stomatology and dentistry
    Speech therapy and paediatrics09
    Speech therapy and paediatrics
    Rheumatic medicine10
    Rheumatic medicine

    Voices from the community

    What the professionals already using it have to say.

    More than 1,200 testimonials on YouTube, in 18 languages.

    I expect that, over the coming years, almost every physiotherapist and clinic will have a NESA XSIGNAL® medical device to improve the care and treatment of their patients.

    Juan Muro Zabaleta
    Juan Muro Zabaleta
    Physiotherapist for Real Madrid CF and the Spanish national team · CEO, MMClinic

    NESA® medical technology improves athletes’ rest and performance, applied for more efficient recovery.

    Dr Jordi Puigdellívol
    Dr Jordi Puigdellívol
    Orthopaedic & trauma surgeon · FC Barcelona

    NESA® could become the first-line treatment for urinary incontinence, offering real solutions with low morbidity at an affordable cost.

    Dr Alicia Martín
    Dr Alicia Martín
    Head of Gynaecology · Hospital Materno Infantil, Las Palmas

    NESA® medical technology offers a comprehensive, non-invasive treatment for pain, particularly in spinal conditions, improving post-surgical recovery.

    Dr Santiago Garfias
    Dr Santiago Garfias
    Neurosurgeon · Hospital de Llevant, Mallorca

    NESA® makes it possible to regulate and stabilise the affected central nervous system, marking a radical change in the treatment of injuries and in recovery.

    Joaquín Juan
    Joaquín Juan
    CEO, TVA Clinics · Physiotherapist to Cristiano Ronaldo and Pau Gasol

    NESA® is the greatest innovation I have encountered as a neurologist for improving the autonomic nervous system.

    Dr Aneta Wekwejt
    Dr Aneta Wekwejt
    Neurologist, Head of Rehabilitation · Ostrołęka Hospital, Poland

    Simple to apply

    As rigorous in the science as it is simple in the clinic.

    All the evidence is built on a clear protocol: 12 to 20 sessions, at least 2 a week, of 55 minutes each. Results are seen from the very first sessions.

    73% of private-sector practitioners pay off the device within 9 months1 — because, once they try it, their patients ask for it.
    12–20
    Sessions
    2 days
    A week
    55 min
    Per session

    1 Source: NESA WORLD internal survey of its network of 1,500+ client clinics, 2026.

    Frequently asked questions

    Before the demo.

    What you need to know before the demo.

    No. Once the electrodes are placed on the wrists and ankles, the session runs on its own. The practitioner can see other patients. And, for hands-on treatment, it can be used with the patient at the same time: rehabilitation, psychological therapy, and so on.

    It depends on the condition. Published studies show measurable effects from session 6–8 on functional outcomes, consolidating between session 12 and 20. At least twice a week, sessions of 55 minutes.

    Pacemakers, pregnancy and active implanted electronic devices. Otherwise: very safe. It is low-frequency microcurrent, not strong electrical stimulation.

    We have published evidence across multiple areas. Request the speciality dossier to see the studies that apply to your practice.

    No. TENS blocks pain at the periphery; EMS stimulates muscle contraction. NESA modulates the autonomic nervous system from the limbs via the peripheral nerves. The mechanism, frequency and intensity are entirely different.

    The XSIGNAL is portable, on a wheeled trolley. It needs a standard mains socket and a treatment couch or chair. No building work, no fixed installation.

    Yes. NESA non-invasive neuromodulation training for the clinical team (in person or online) and access to clinical cases by speciality. We are known for our academic campus. Just ask.

    Purchase or lease of the device. No pay-per-session, no costly consumables. In the demo we explain the ROI for your patient volume; 73% pay it off within 9 months (NESA internal survey of 1,500+ clinics, 2026). If you are a public or teaching hospital, do ask: we are in more than 50, and there are dedicated trial phases for hospitals.

    We modulate the autonomic nervous system.

    Everything else follows.

    Official distributor in Nigeria

    On submitting, a NESA® account manager will be in touch. Your details are handled in confidence. See our privacy policy.

    Are you a patient?

    Find your nearest clinic.

    Are you a patient looking for official clinics that use NESA® microcurrent technology? Find them on the official NESA Clinics map.

    Go to NESA Clinics