Neuropathic pain conditions severely and chronically affect the quality of life
in a large human population, but the pain conditions are not adequately managed
due to poor understanding of their underlying mechanisms. There is a pressing
need for further research into this field to help develop effective and
nonaddictive medications to treat neuropathic pain. This article first describes
general clinical classification of pain, types and symptoms of neuropathic pain,
and current practices of clinical management for neuropathic pain. This is
followed by a discussion of various cellular and molecular mechanisms
responsible for the development and maintenance of neuropathic pain. In this
review, we highlight the loss of function of Kv7 voltage-gated potassium as a
mechanism of neuropathic pain and the potential use of Kv7 channel activator as
subsequent treatment.
Although the number of SARS-CoV-2 new cases may be declining due to the implementation of the vaccine in the USA, there is a rising cohort of people with long-term effects from the virus. These long-term effects include loss of taste, heart palpitations, and chronic pain syndromes. In this commentary, we assess the current literature to appraise the knowledge of long-term COVID-19 effects related to long-term pain syndromes including testicular pain, headache, chronic pain, and chest pain.
Background: Low back pain affects the lives of millions of people in the United States and the world. Not only does low back pain affect the quality of life for the individual patient, but it also accounts for many emergency department and health care visits. For a subset of patients, conservative measures such as medications and physical therapy, nonsurgical interventions, and surgery are not effective. Peripheral nerve stimulation is an emerging treatment option for patients with chronic low back pain. This case series assesses 6 patients' experiences with lumbar level peripheral nerve stimulation. Case Report: Three male and 3 female patients underwent lumbar level peripheral nerve stimulation as a treatment for chronic low back pain. The average age of the patients was 63.5 years, and they demonstrated an average pain reduction of 64.8%.
Conclusion:This series provides evidence that lumbar level peripheral nerve stimulation may be an efficacious treatment for chronic low back pain that is refractory to conservative measures. Large studies are needed to assess the outcomes and durations of improvement associated with this treatment.
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