1-kHz high-frequency spinal cord stimulation alleviates chronic refractory pain after spinal cord injury: a case report

Yamada, Chiaki; Maeda, Aiko; Matsushita, Katsuyuki; Nakayama, Shoko; Shirozu, Kazuhiro; Yamaura, Ken

doi:10.1186/s40981-021-00451-x

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…In future, pain treatment approaches perhaps will take full advantage of multimode neuromodulation strategy in terms of stimulation site, novel high frequency or bursting stimulation parameter, and as in this case, combination of dual or multiple neuromodulation devices to treat intractable pain. 4 – 6 , 13 , 14 …”

Section: Discussionmentioning

confidence: 99%

A new dual function dorsal root ganglion stimulation in pain management: a technical note and case report

Wang,

Han,

et al. 2023

Therapeutic Advances in Chronic Disease

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Sensitization of dorsal horn ganglion sensory neuron plays a crucial role in the maintenance of chronic pain disorder. Multiple interventions targeting dorsal horn ganglion can provide considerable relief of pain, including selective nerve root block, pulsed radiofrequency, and electrical nerve stimulation technique. It remains controversial about the superiority of neuromodulation mentioned above due to distinct pattern of analgesic mechanism. Here, we reported one 71-year-old male presenting at our pain clinic with severe, unilateral lower limb pain caused by postherpetic neuralgia. An implantable stimulator with dual neuromodulation mode, combining pulsed radiofrequency with electrical nerve stimulation, was then placed into the lateral epidural space adjacent to dorsal root ganglion at L4 level. Standard stimulation programing was performed with technicians to achieve satisfactory control of pain, with numerical rating scale decreasing from 8 to 2 postoperatively. This novel dual function neuromodulation strategy may provide an alternative option for pain management for those with intractable neuropathic pain.

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Section: Discussionmentioning

confidence: 99%

A new dual function dorsal root ganglion stimulation in pain management: a technical note and case report

Wang,

Han,

et al. 2023

Therapeutic Advances in Chronic Disease

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“…Other studies of HF-SCS have examined the effect of varying frequencies on pain control, yet pain is either unspecified or of different cause like Failed Back Surgery Syndrome ( 43 , 44 ). Yamada et al presents a case report on a 69-year old male with several bilateral upper limb pain from a C4 SCI who underwent 1-kHz HF-SCS ( 45 ). One month after implantation, the patient experienced improvement in pain intensity, sleep, and quality of life.…”

Section: Modalitiesmentioning

confidence: 99%

Narrative review of current neuromodulation modalities for spinal cord injury

Medina

Reddy

et al. 2023

Front. Pain Res.

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Neuromodulation is a developing field of medicine that includes a vast array of minimally invasive and non-invasive therapies including transcranial magnetic stimulation (TMS), transcranial direct current stimulation (tDCS), vagus nerve stimulation (VNS), peripheral nerve stimulation, and spinal cord stimulation (SCS). Although the current literature surrounding the use of neuromodulation in managing chronic pain is abundant, there is an insufficient amount of evidence specifically regarding neuromodulation in patients with spinal cord injury (SCI). Given the pain and functional deficits that these patients face, that are not amenable to other forms conservative therapy, the purpose of this narrative review is to examine and assess the use of various neuromodulation modalities to manage pain and restore function in the SCI population. Currently, high-frequency spinal cord stimulation (HF-SCS) and burst spinal cord stimulation (B-SCS) have been shown to have the most promising effect in improving pain intensity and frequency. Additionally, dorsal root ganglion stimulation (DRG-S) and TMS have been shown to effectively increase motor responses and improve limb strength. Although these modalities carry the potential to enhance overall functionality and improve a patient's degree of disability, there is a lack of long-term, randomized-controlled trials in the current space. Additional research is warranted to further support the clinical use of these emerging modalities to provide improved pain management, increased level of function, and ultimately an overall better quality of life in the SCI population.

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High‐frequency spinal cord stimulation in treatment of phantom lower limb pain following spinal cord injury: A case report

Park,

Boesel,

Di Ieva

2024

Pain Practice

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IntroductionPain management in patients with complete spinal cord injury is complex.Case ReportWe report a successful case of managing neuropathic, phantom limb, and back pain below the level of spinal cord injury (T5 American Spinal Injury Association [ASIA] A) using a 10 kHz high‐frequency spinal cord stimulator (SCS) over a 6‐month follow‐up period.ConclusionThe effectiveness of this approach may be attributed to its ability to modulate supraspinal pain processing, allowing for targeted relief of various pain mechanisms below the level of injury.

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1-kHz high-frequency spinal cord stimulation alleviates chronic refractory pain after spinal cord injury: a case report

Cited by 3 publications

References 18 publications

A new dual function dorsal root ganglion stimulation in pain management: a technical note and case report

A new dual function dorsal root ganglion stimulation in pain management: a technical note and case report

Narrative review of current neuromodulation modalities for spinal cord injury

High‐frequency spinal cord stimulation in treatment of phantom lower limb pain following spinal cord injury: A case report

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