Spinal cord stimulation for neuropathic pain: current perspectives

Wolter, Tilman

doi:10.2147/jpr.s37589

Cited by 96 publications

(80 citation statements)

References 120 publications

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“…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%

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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Section: Indications For Usementioning

confidence: 99%

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

2017

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“…Finan and Smith (2014) found in review of studies exploring the relationship between depression, insomnia and CP found that the existence of insomnia and depression resulted in increased pain severity (p. 176). Untreated or undertreated depression in chronic pain sufferers has been linked to poor medical and surgical outcome (Finan and Smith 2014;Wolter 2014). Appropriate treatment of depression in chronic pain is not only essential for reducing the pain experience but for helping the patient with motivation to engage in a self-management regimen.…”

Section: Post Morbid Functioningmentioning

confidence: 99%

Elements of the Biopsychosocial Interview of the Chronic Pain Patient: A New Expanded Model Using Rational Emotive Behavior Therapy

Jorn

2015

J Rat-Emo Cognitive-Behav Ther

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Illness self-management encompasses a set of key self-care behaviors essential for medical management, reduction of disability and enhancement of quality of life of those suffering from chronic non-cancer pain. The biopsychosocial model, which explores the biological, psychological, and social aspects of functioning, facilitates clinician understanding of the barriers to self-management. Functional conceptualization based on the biopsychosocial model informs treatment planning and seamlessly integrates with a multidisciplinary treatment approach considered the best practice in the management of chronic pain disorders. This article will briefly explore the history of the biopsychosocial model, relay the major tenants of rational emotive behavior therapy (REBT), and propose an expanded biopsychosocial model (rational emotive behavior therapy-health) for the assessment and conceptualization of those suffering from chronic pain disorders. Detailed are specific interview topics and related questions important to the assessment of client functioning with emphasis REBT hypothesis formulations. Discussion of conceptualization will integrate perspectives from the biopsychosocial interview with the addition of REBT hypothesis formulations.Keywords Chronic pain Á Pain management Á Biopsychosocial interview Á Cognitive behavioral therapy Á Acceptance and commitment therapy Á Biopsychosocial model Á Pain self-management Electronic supplementary material The online version of this article (

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“…At present, a variety of implantable nerve stimulators have been clinically employed and demonstrated to be efficacious in alleviating numerous pathologies. Several implantable devices are already in routine use, including hypoglossal nerve stimulation in patients with severe obstructive sleep apnea [76,137]; chronic spinal cord stimulation in patients with severe neuropathic pain [153,160]; direct electrical stimulation of peripheral nerves in patients with bladder, bowel, and sexual dysfunction [30,40]; and even transcutaneous stimulation of the trigeminal nerve in migraine patients [35,36,75,107,125,136,142]. Deep brain stimulation (DBS) is arguably the most successful example of a bioelectric technology that has transitioned into the clinical realm to treat a variety of neurological disorders with an incredible degree of efficacy [59,108].…”

Section: Introductionmentioning

confidence: 99%

Interfacing with the nervous system: a review of current bioelectric technologies

et al. 2017

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The aim of this study is to discuss the state of the art with regard to established or promising bioelectric therapies meant to alter or control neurologic function. We present recent reports on bioelectric technologies that interface with the nervous system at three potential sites-(1) the end organ, (2) the peripheral nervous system, and (3) the central nervous system-while exploring practical and clinical considerations.

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Spinal cord stimulation for neuropathic pain: current perspectives

Cited by 96 publications

References 120 publications

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

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

Elements of the Biopsychosocial Interview of the Chronic Pain Patient: A New Expanded Model Using Rational Emotive Behavior Therapy

Interfacing with the nervous system: a review of current bioelectric technologies

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