Best vagus nerve stimulation devices in 2025: a natural way to reclaim calm and balance
The vagus nerve stimulation device is quickly becoming the go-to solution in non-invasive therapy for stress, anxiety, inflammation, and even chronic pain. It helps regulate various physiological responses by stimulating the vagus nerve.
Thanks to technological advancements, you can now access a wearable vagus nerve stimulation device at home. This allows you to integrate it into your daily routine and manage stress or inflammation. It is a more cost-effective solution that you can benefit from outside a clinical setting.
This article reviews the market's best vagus nerve stimulation device based on recent scientific evidence and user reviews. It provides valuable insights to help you choose the best model for your needs.
Top 5 vagus nerve stimulation devices – shortlist
- Pulsetto – best overall VNS device
- Nurosym – best non-invasive VNS device with app integration
- Hoolest – best budget-friendly option
- Truvaga – best for targeted sessions
- Neuvana – best for customizable VNS therapy
The best vagus nerve stimulation devices compared
Here’s a comparison table of my best vagus nerve stimulation device solutions. This comparison should help you examine their strengths and make an informed decision.
| Device | Starting price | Technology used | Key features | App integration | Certifications | Money-back guarantee | Warranty | Best for |
| Pulsetto | $278 | Transcutaneous vagus nerve stimulation device (tVNS) | Hands-free, adjustable session lengths, app integration | Yes | FCC certified | 30 days | Two years | Best overall VNS device |
| Nurosym | €700 | Transcutaneous vagus nerve stimulation device (tVNS) | Adjustable intensity, no additional costs, sleek design, and clinical backing | No | CE, FDA Non-Significant Risk Designation | 30 days | Two years | Best non-invasive VNS device with app integration |
| Hoolest | $189 | Transcutaneous vagus nerve stimulation device (tVNS) | Five adjustable modes, compact, manual operation, no app | No | No certifications | 60 days | One year | Best budget-friendly option for quick stress relief |
| Truvaga | $299 | Transcutaneous vagus nerve stimulation device (tVNS) | Short, 2-minute sessions, app-connected, easy electrode placement | Yes | No certifications | 30 days | Limited warranty | Best for targeted sessions |
| Neuvana | $449 | Auricular vagus nerve stimulation device (aVNS) | Customizable waveforms, sync with music, hands-free earphone design | Yes | CE | 30 days | One year | Best for customizable VNS therapy with music sync |
The best vagus nerve stimulation devices – our detailed list
This section thoroughly explains how I picked the best vagus nerve stimulation device solutions on the market. I highlight their strengths, weaknesses, and key features to help you make a decision that suits your needs.
1. Pulsetto – best overall VNS device
| Certification type: | FCC |
| Starting price: | $278 |
| Warranty and money-back guarantee: | Two years, 30 days |
| Best for: | Non-invasive VNS therapy with app integration |
The Pulsetto is the best vagus nerve stimulation device on my list and is perfect for anyone looking for an affordable, app-controlled option. This neck-worn device targets both sides of the vagus nerve and offers broad stimulation for burnout prevention, sleep improvement, and stress reduction.
One prominent feature of the Pulsetto device is its dedicated smartphone application. The app lets you personalize your experience with multiple pre-planned programs to target specific needs. The app also offers a sound library, guided meditations, affirmations, and breathing exercises.
2. Nurosym – best non-invasive VNS device with app integration
| Certification type: | CE, FDA NSR Designation |
| Starting price: | €700 |
| Warranty and money-back guarantee: | Two years, 30 days |
| Best for: | Best overall VNS device |
The Nurosym device retains the second spot on my list, thanks to its ease of use and clinically proven effectiveness. It is a non-invasive neuromodulation device that sends patented electrical signals to the brain via the vagus nerve.
I rank it this highly because it has a user-friendly design, has adjustable intensity levels for a more personalized experience, and is a portable choice.. According to a clinical study conducted by the manufacturers, the Nurosym neuromodulation system reduces anxiety by 35% and is designed to target and improve various health parameters and provide a pleasant and painless experience.
3. Hoolest – best budget-friendly option
| Certification type: | No certification |
| Starting price: | $189 |
| Warranty and money-back guarantee: | One year, 60 days |
| Best for: | Budget-friendly option |
Hoolest is the best vagus nerve stimulation device for anyone on a budget. It is a handheld portable device that relies on auricular vagus nerve stimulation to promote relaxation and target stress relief.
It provides an intuitive hands-on experience with five stimulation modes with varying intensity levels for a personalized experience. It has been tested across 150+ participants in placebo-controlled studies and offered fast recovery without compromising safety. It is easy to carry around and is ideal for on-the-go relief.
4. Truvaga – best for targeted sessions
| Certification type: | No certification |
| Starting price: | $299 |
| Warranty and money-back guarantee: | No warranty, 30 days |
| Best for: | Targeted sessions |
Truvaga is a handheld VNS device that provides targeted stimulation for headaches, mood improvement, and stress relief. Unlike its counterparts, Truvaga focuses on short, targeted two-minute therapy sessions that you can adjust to fit your specific needs.
The device's simple placement ensures it targets and gives users a more focused and localized treatment experience. Recent studies show that the Truvaga technology safely stimulated the vagus nerve in 90% of the participants. The research is primarily based on their clinical trials and studies without reference to independent studies.
5. Neuvana – best for customizable VNS therapy
| Certification type: | CE |
| Starting price: | $449 |
| Warranty and money-back guarantee: | One year, 30 days |
| Best for: | Customizable VNS therapy |
The Neuvana vagus nerve ear stimulation device is the last option on my list, but it is renowned as being highly customizable. It uses earbuds to transmit small electrical micro-pulses to the vagus nerve, providing a convenient, discreet treatment. It also allows you to manually control the settings to find the right combination to relieve stress, boost your mood or relax.
The Neuvana app controls the device and has three pre-programmed modes: Ambient, Sensation and Sync. All the modes manipulate the micropulses differently, and you can sync with music or ambient sounds to make the sessions more pleasant and immersive.
What is vagus nerve stimulation, and how does it work?
Vagus nerve stimulation (VNS) transmits electrical impulses to the vagus nerve, which regulates vital body processes such as heart rate and digestion. Activating the nerve works to normalize the autonomic nervous system to activities we do not have to consciously worry about, including breathing and digestion.
Stimulating the vagus nerve leads to mood improvement, decreased stress, and aids in digestion. Vagus nerve stimulation devices also assist in reducing inflammation by pacifying the body's natural stress response. It can also increase heart rate variability (HRV), which is directly tied to stress and relaxation levels.
There are two types of VNS devices: clinical and non-invasive. Clinical devices are operated by implanting the devices beneath the skin, and they are often used in tackling severe ailments such as epilepsy and depression. However, Auricular VNS, tVNS, and other non-invasive variants are less costly and administered at home, providing a convenient, surgery-free option to address stress, anxiety, and inflammation.
Why vagus nerve stimulation is done?
The vagus nerve is the longest cranial nerve and extends throughout the body. It is part of the autonomic nervous system and manages numerous body functions automatically. Here are some of the reasons why it is helpful to stimulate the vagus nerve.
- Stress and anxiety reduction. VNS helps activate the parasympathetic nervous system, which promotes relaxation and reduces stress. A 2020 article published in the Journal of Personalized Medicine reported that stimulating the vagus nerve can reinforce the extinction of conditioned fear and weaken PTSD-like symptoms.
- Epilepsy and treatment of depression. These devices have also been applied in epilepsy and untreatable depression, most especially to those who have not responded to any form of therapy. According to a 2008 article, it has led to improvements in the frequency of seizures and depressive symptoms and overall quality of life.
- Anti-inflammatory properties. Several preclinical models have proven that VNS can reduce pro-inflammatory cytokines, benefiting individuals with chronic inflammations like rheumatoid arthritis.
- Chronic pain management and migraines. A 2024 study revealed that a transcutaneous vagus nerve stimulation device (tVNS) is a potential solution to chronic pain, like migraines. The preliminary results show that tVNS can reduce the number of migraines and their severity.
- Better digestion and sleep. A study published in Brain Sciences has supported the idea that VNS can enhance digestion and sleep. They help regulate the digestion process to stimulate the intestinal motility of the gut and promote higher quality of sleep due to their effects on the body's natural sleep-wake rhythm.
Disclaimer: These are potential benefits, and outcomes can be different. Some applications are validated scientifically, though more studies are required to substantiate others.
Potential side effects of vagus nerve stimulation
Generally, the body can tolerate the use of a vagus nerve stimulator without any significant side effects. However, some individuals could have minor side effects and may differ based on the type of device. Here are some of the most common ones.
- Hoarseness or sore throat (Implanted devices). You may feel hoarseness or a sore throat using an implanted VNS device that supplies a stimulus to the vagus nerve at the voice box. These symptoms are harmless and disappear as time goes by.
- Headaches. Other users complain of headaches, especially after trying to adapt to the gadget or under stimulation. These are usually temporary.
- Fatigue or drowsiness. There’s a chance you might feel abnormally tired or drowsy, and this is common when using VNS therapy. Changing the intensity level may reduce this side effect.
Disclaimer: Before choosing the best vagus nerve stimulator, visit a healthcare professional to ensure you can use it and discuss possible risks.
What experts think about vagus nerve stimulation devices
Dr. Peter Staats, chairman of the Vagus Nerve Society, advocates for the application of vagus nerve stimulation devices, particularly in cases where patients did not receive any improvement in their condition while applying other methods. He cites that non-implantable VNS devices do not typically require approval but just clearance..
According to a study published in Neurology, VNS is a potential migraine treatment for migraine patients. A different study published in Frontiers in Neuroscience reported that VNS enhanced mood and lowered inflammation in rheumatoid arthritis patients.
VNS devices are gaining favor among wellness and biohacking communities because many users attest to experiencing reduced stress levels, improved sleep, and improved concentration. Still, experts caution us that while individuals' experiences are positive, more research is necessary to support the facts.
How to choose the best vagus nerve stimulation device?
Choosing the best vagus nerve stimulation device that fits your needs is important. Here are some of the main points to consider:
- FDA clearance or approval. Before you buy vagus nerve stimulator devices, ensure there’s evidence to show that they meet the U.S. Food and Drug Administration’s safety and effectiveness standards. This adds an extra layer of credibility
- Adjustable intensity. It’s essential to find a device that allows you to adjust the intensity depending on your needs.
- Type of placement. You can choose a device based on whether you prefer ear clips, neck, or hand devices. Each of them has a unique feel and varying degrees of convenience.
- Convenience and portability. Choose a VNS device that is easy to carry around and that you can conveniently use regularly.
- Battery life and application support. Pay attention to the battery life and find out if it has dedicated apps to monitor and tailor the settings for your sessions.
- Price and warranty. Consider your budget and the warranty provided. A good warranty gives you more security, and the price should meet your required features.
How to use a vagus nerve stimulation device at home?
Vagus nerve stimulation is a device that enables you to manage stress, anxiety and other conditions at home. Here are some of the key steps you can follow.
- Read the device manual. Read the instruction manual to learn how your device works and follow any special instructions your device has.
- Place electrodes or clips as instructed. Simply place them on the ear or neck as the instructions dictate. Good stimulation depends on proper placement.
- Start with low stimulation. Start on a lower level and get the feel of it. Start at a low setting and gradually work your way up to a setting that will relax you.
- Use for 15–30 minutes daily. You must stick to the manufacturer's usage recommendations. However, it's essential to consult a medical professional for optimal results.
- Track progress and adjust as needed. Pay attention to how you feel before, during, and after each session. Some devices allow you to pair with an application to record your progress and adjust the intensity.
Our methodology
To compile my list of the best vagus nerve stimulation (VNS) devices, our research team has reviewed many product reviews, customer feedback, and manufacturers' specifications. Our goal was to ensure that our recommendations were based on the real-life user experience and backed by reliable product data.
- Device quality and verified user reviews (40%). I focused on high-quality devices and vague nerve stimulator reviews by real users. I evaluated the long-term effectiveness and satisfaction by reading verified reviews.
- Clinical support or research backing (25%). I picked these devices based on their clinical validation, which includes FDA clearance, peer-reviewed research, and professional recommendations. This guaranteed that not only were the devices popular but also backed by scientific findings.
- Features, usability, and design (20%). I prioritized devices based on ease of use and features such as adjustable intensity, app integration, and device design. Products and devices with good user interfaces and other valuable features scored well.
- Price and value for money (15%). I considered how good the device was in relation to its price. Value for money was an important consideration, meaning the individual devices had to provide a favorable ratio between cost and quality.
Final word on the best vagus nerve stimulation devices
Choosing the best vagus nerve stimulation device may help you to reduce anxiety, improve mood, enhance digestion, and alleviate chronic pain. However, it’s essential to consider your specific needs before making a decision.
Based on my research, Pulsetto is the best VNS device in 2025. It offers multiple treatment options, is extremely user-friendly with hand-free use and is quite affordable for the value it offers.
Before compiling my list, I ensured all devices met strict real-world performance requirements, user friendliness, and cost effectiveness.
FAQ
Are vagus nerve stimulation devices safe to use at home?
Generally yes, you can use a non-invasive vagus nerve stimulation device at home. However, it’s essential to always consult with a healthcare professional before starting therapy.
How long does it take to see results from VNS therapy?
Results can vary, with some users noticing benefits after a few sessions, while others may take several weeks or months for full effects.
Can VNS help with anxiety or panic attacks?
VNS can help reduce anxiety and panic attacks by stimulating the vagus nerve, which activates the parasympathetic nervous system to promote relaxation.
What’s the difference between implanted and wearable vagus nerve stimulators?
Implanted VNS devices require surgery and provide continuous stimulation, while you can use a wearable, non-invasive vagus nerve stimulation device at home as often as you like.
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