Spinal Cord Stimulation for Visceral Pain—A Novel Approach

Baranidharan, Ganesan; Simpson, Karen H.; Dhandapani, Karthikeyan

doi:10.1111/ner.12166

Cited by 30 publications

(12 citation statements)

References 20 publications

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“…Visceral pain pathways converge to the spinal column via the dorsal root ganglion (DRG), and this could be a good target for managing visceral pain. There is one case report mentioning DRG stimulation for liver capsule pain after pancreatitis . However, to our knowledge there is no existence of a case report discussing the use of DRG stimulation for treatment of LPHS.…”

Section: Discussionmentioning

confidence: 97%

Dorsal Root Ganglion Stimulation: A Treatment Option for Chronic Pain Due to Refractory Loin Pain Haematuria Syndrome

Zuidema

Schapendonk

2017

Neuromodulation: Technology at the Neural Interface

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Section: Discussionmentioning

confidence: 97%

Dorsal Root Ganglion Stimulation: A Treatment Option for Chronic Pain Due to Refractory Loin Pain Haematuria Syndrome

Zuidema

Schapendonk

2017

Neuromodulation: Technology at the Neural Interface

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“…Pain generation may develop secondary to ischemia to the bowel, adhesions, chronic pancreatitis, or post-operative pain syndromes. Other reports have shown an improvement in symptoms using SCS with or without opioids than to opioids alone in patients with chronic pancreatitis 3) . Common causes of pelvic pain include interstitial cystitis, endometriosis, and post-surgical scarring.…”

Section: Visceral and Pelvic Painmentioning

confidence: 83%

Spinal Neurostimulation for Pain Control: A Review

Lee¹,

Cho²

2015

Asian J Pain

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Management of pain by neurostimulation began shortly after Melzack and Wall proposed the gate control theory in 1965. Spinal neuromodulation for pain relief is most frequently delivered through spinal cord of cervical and thoracolumbar region. The stimulation of these regions by spinal cord stimulation (SCS) has proven its effectiveness for treating a number of neuropathic and nociceptive pain states that are not responsive nor amenable to medication and other known therapies. SCS is somewhat different intracranial neurostimulation for the treatment of medically intractable pain. However, the increasing use of SCS for the treatment of chronic pain, especially for pain not responsive to other neuromodulation techniques, reflects the efficacy and relative safety of these epidural procedures. In 1971, Shimoji and colleagues first reported the analgesic properties of epidural spinal cord stimulation. Since then SCS has undergone numerous technical and clinical developments. SCS represents one of the earliest uses of neuromodulation to treat chronic pain that is refractory to medical therapy. Currently, two kinds of SCS are commonly used to control pain: percutaneous lead technique and surgical lead after laminectomy. SCS has shown particular promise in the treatment of a number of nociceptive and neuropathic pain states, including post spinal surgery syndrome (PSSS), complex regional pain syndrome (CRPS), post-herpetic neuralgia (PHN), ischemic pain, peripheral vascular disease (PVD), angina, visceral pain and pelvic pain. This article will review the scientific rationale, indications, surgical techniques, and outcomes of SCS for the treatment of chronic pain.

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“…Another hypothesis includes sympathetic suppression and antidromic activation through neuromodulatory substances [ 6 , 7 ]. Case series which have gained good results about ventral epidural space SCS in patients suffering from visceral pain have been reported, suggesting that there may be another mechanism of action for the effect of SCS [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Spinal Cord Stimulation for Intractable Visceral Pain Due to Sphincter of Oddi Dysfunction

Lee

Jung

et al. 2015

Korean J Pain

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Sphincter of Oddi dysfunction (SOD) is a syndrome of chronic biliary pain or recurrent pancreatitis due to the functional obstruction of the pancreaticobiliary flow. We report a case of spinal cord stimulation (SCS) for chronic abdominal pain due to SOD. The patient had a history of cholecystectomy and had suffered from chronic right upper quadrant abdominal pain. The patient had been diagnosed as having SOD. The patient was treated with opioid analgesics and nerve blocks, including a splanchnic nerve block. However, two years later, the pain became intractable. We implanted percutaneous SCS at the T5-7 level for this patient. Visual analog scale (VAS) scores for pain and the amount of opioid intake decreased. The patient was tracked for more than six months without significant complications. From our clinical case, SCS is an effective and alternative treatment option for SOD. Further studies and long-term follow-up are necessary to understand the effectiveness and the limitations of SCS on SOD.

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Spinal Cord Stimulation for Visceral Pain—A Novel Approach

Cited by 30 publications

References 20 publications

Dorsal Root Ganglion Stimulation: A Treatment Option for Chronic Pain Due to Refractory Loin Pain Haematuria Syndrome

Dorsal Root Ganglion Stimulation: A Treatment Option for Chronic Pain Due to Refractory Loin Pain Haematuria Syndrome

Spinal Neurostimulation for Pain Control: A Review

Spinal Cord Stimulation for Intractable Visceral Pain Due to Sphincter of Oddi Dysfunction

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