Dorsal Root Ganglion Stimulation for the Treatment of Bilateral Intractable Chronic Testicular Pain

Dorsal Root Ganglion Stimulation for the Treatment of Non-Complex Regional Pain Syndrome Related Chronic Pain Syndromes: A Systematic Review

“…There is early and limited evidence that suggests that DRGS may prove to be a beneficial salvage strategy in patients that lose SCS efficacy in the long term (15,16). In our review, we found: (10/28) mentioned failed conventional management without detailed description of specific treatments (17–25), (7/28) failed to mention the failure of early management (26–32), (3/28) reported patients failing pharmacological management only (33–35), and (9/28) detail specific failed early management therapies prior to DRGS treatment (25,36–43). Of these nine reports, (5/9) detailed the failure of SCS previous with (4/5) detailing patients specifically.…”

“…Thirteen out of 28 studies reported improved physical functioning. Patient function was either subjectively self‐reported (26,34,37–41,44) or objectively measured using the Oswestry Disability Index (17,32,36,42) or QOL by pain inventory (35). Significant increases in patient QOL as well as notable decreases in patient pain medication use also were reported in (10/28) (17,22,23,26,31,33,35,36,38,44) and (8/28) (21,29,34,35,38,39,41) studies, respectively.…”

<p>Neuromodulation with electrical field stimulation of dorsal root ganglion in various pain syndromes: a systematic review with focus on participant selection</p>

“…Included studies analyzed the following painful conditions: CRPS,1–3,31–36 LBP,5,6,37–40 groin pain,7,8,41 pelvic girdle pain,9,10 peripheral neuropathy,29,30,42 peripheral diabetic neuropathy,43 phantom limb pain,44 chronic intractable pain in the coccyx,45 chronic testicular pain,46 anterior cutaneous nerve entrapment syndrome (ACNES),47 loin pain hematuria syndrome (LPHS) 48…”

“…Other pain conditions treated with DRG stimulation were chronic intractable pain in the coccyx with 90% pain reduction at 4 months,45 chronic testicular pain with sustained pain reduction of 70%–80% during 1 year,46 and LPHS with >50% pain relief after 3 years 48. These case reports included only one participant.…”

Utilização de potenciais evocados a laser para avaliação da dor neuropática crônica durante a estimulação do gânglio da raiz dorsal

“…menos conexões centrais), implicando em pouca ou nenhuma habituação, o que pode conferir vantagem adicional ao método sobre outras formas de modulação. Taxas bem-sucedidas de alívio da dor foram observadas em outras séries de casos (Huygen et al, 2017, Mol et al, 2017, van Bussel et al, 2017, Eldabe et al, 2018, Falowski et al, 2018, Hassanain et al, 2018, Kallewaard et al, 2018, Skaribas et al, 2018 bem como em alguns relatos de casos (Garg et al, 2015, Rowland et al, 2016, Zuidema et al, 2016, Maino et al, 2017, Zuidema et al, 2017, Giordano et al, 2018, Goebel et al, 2018, Groenen et al, 2018. Uma série com 217 pacientes avaliados retrospectivamente num estudo multicêntrico demonstrou 66,9% de alivio da dor medida pela EVN durante a triagem quando comparada a linha de base em um grupo de pacientes apresentando diversos tipos de dor neuropática .…”