Spinal cord stimulation and its anaesthetic implications

Raphael, Jacob; Mutagi, Hirachand; Kapur, Sandeep

doi:10.1093/bjaceaccp/mkp009

Cited by 19 publications

(17 citation statements)

References 7 publications

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“…It is believed that both anti-and orthodromic activation modulates pain through spinal and supraspinal circuits. 18 Stimulation of these fibers results in inhibition of pain transmission in the ascending nociceptive pathways and increased activity in descending antinociceptive pathways.…”

Section: Mechanism Of Pain Relief In Spinal Cord Stimulationmentioning

confidence: 99%

Recommendations for patient selection in spinal cord stimulation

Atkinson

Sundaraj

Brooker

et al. 2011

Journal of Clinical Neuroscience

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Section: Mechanism Of Pain Relief In Spinal Cord Stimulationmentioning

confidence: 99%

Recommendations for patient selection in spinal cord stimulation

Atkinson

Sundaraj

Brooker

et al. 2011

Journal of Clinical Neuroscience

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“…This is an inconsistency because SCS is preferentially, or perhaps exclusively, effective for neuropathic pain management (3,41).…”

Section: The Application Of Spinal Cord Stimulationmentioning

confidence: 99%

“…A growing body of evidence supports the benefits of SCS in managing neuropathic pain (3,21,22,(43)(44)(45). Studies of SCS demonstrate greater efficacy in neuropathic as opposed to nociceptive pain syndromes; however, the neurobiology for this is poorly understood (3).…”

Section: The Application Of Spinal Cord Stimulationmentioning

confidence: 99%

“…Spinal cord stimulation is contraindicated in the presence of marked psychological difficulties (major depression, anxiety, personality disorder, psychosis or poor coping strategy), coagulation abnormalities (including anticoagulant therapy), demand pacemaker, implanted defibrillator, systemic/ local infection and immunosuppression (3,23). …”

Section: Indications For Usementioning

confidence: 99%

“…Neuropathic pain syndromes are multidimensional, with psychological and functional issues (3) and numerous causes exist which can affect the lower limb (Table 1). Overall the condition is a large cost burden on healthcare services and is frequently associated with considerably greater impairment of quality of life compared to other kinds of chronic pain (3). The article aims to review neuropathic foot pain in complex regional pain syndrome (CRPS) and outline its management using spinal cord stimulation (SCS).…”

Section: Introductionmentioning

confidence: 99%

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Complex regional pain syndrome of the foot and its management using spinal cord stimulation

2017

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Objective: This article discusses neuropathic foot pain with particular reference to complex regional pain syndrome. It provides recommendations for the clinical evaluation of complex regional pain syndrome and highlights the value of spinal cord stimulation in its management. The aim is to review neuropathic foot pain in complex regional pain syndrome and outline its management using spinal cord stimulation. It is important for Podiatrists managing such patients to have an understanding of this treatment modality. Methods: A narrative literature review was undertaken using English language medical databases combining search strategies for complex regional pain syndrome and spinal cord stimulation. Results: Spinal cord stimulation improves the subjective symptoms of the neuropathic foot pain of complex regional pain syndrome, enables objective functional improvement and reduces analgesic consumption. Conclusion: Recent technical developments in spinal cord stimulation have led to improved stimulation patterns adapted to the patients' needs. Careful preoperative diagnosis, robust patient selection and frequent follow-up are vital for the success of this method.Key Words: complex regional pain syndrome; spinal cord stimulation; Neuralgia; foot; management. ResumenObjetivos: Este artículo describe el dolor neuropático de los pies con especial referencia al síndrome de dolor regional complejo. Proporciona recomendaciones para la evaluación clínica del síndrome de dolor regional complejo y pone de relieve el valor de la estimulación de la médula espinal en su gestión. El objetivo es revisar dolor en el pie neuropático en el síndrome de dolor regional complejo y resumen de su gestión mediante la estimulación de la médula espinal. Material y métodos: Una revisión de la literatura narrativa se llevó a cabo utilizando bases de datos médicas de idioma Inglés la combinación de estrategias de búsqueda para el síndrome de dolor regional complejo y estimulación de la médula espinal. Resultados: Estimulación de la médula espinal mejora los síntomas subjetivos del dolor neuropático pies del síndrome de dolor regional complejo, permite la mejora funcional objetivo y reduce el consumo de analgésicos. Conclusión: Los avances técnicos recientes en la estimulación de la médula espinal han dado lugar a patrones de estimulación mejoradas adaptaciones a las necesidades del paciente. diagnóstico preoperatorio cuidadosa, la selección de pacientes robusto y seguimiento frecuente son vitales para el éxito de este método. Es importante que los podólogos gestión de estos pacientes a tener una comprensión de esta modalidad de tratamiento.Palabras Clave: Síndrome de dolor regional complejo; estimulación de la médula espinal; neuralgia; pie; administración

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