Spinal cord stimulation for chronic non-cancer pain: a review of current evidence and practice
| Autor: | Chi Wai Cheung, Stanley Sc Wong, CW Chan |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Stimulation Tonic (physiology) 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Dorsal root ganglion 030202 anesthesiology Sensation medicine Humans Spinal Cord Stimulation Evidence-Based Medicine business.industry Chronic pain General Medicine Spinal cord medicine.disease Epidural space Pain Intractable medicine.anatomical_structure Anesthesia Neuropathic pain Chronic Pain business 030217 neurology & neurosurgery |
| Zdroj: | Hong Kong Medical Journal. :517-523 |
| ISSN: | 1024-2708 |
| Popis: | Spinal cord stimulation provides analgesia through electrical stimulation of the dorsal column of the spinal cord via electrode leads placed into the epidural space. In traditional tonic stimulation, a painful sensation is replaced with paraesthesia. Spinal cord stimulation is effective in reducing neuropathic pain, enhancing function, and improving quality of life in different chronic pain conditions. Currently, there is most evidence to support its use for failed back surgery syndrome when multidisciplinary conventional management is unsuccessful. Temporary trial leads are inserted in carefully selected patients to test their responsiveness prior to permanent implantation. Newer neuromodulation modalities are now available. These include burst stimulation, high-frequency stimulation, and dorsal root ganglion stimulation. Results are encouraging to date, and they may provide superior analgesia and cover for deficiencies of traditional tonic stimulation. Although complications are not uncommon, they are rarely life threatening or permanently disabling. Nonetheless, device removal is occasionally needed. |
| Databáze: | OpenAIRE |
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