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Managing Chronic Pain With Spinal Cord Stimulation
The Mount Sinai journal of medicine, 2012-01, Vol.79 (1), p.123-132
Epstein, Lawrence J.
Palmieri, Marco
2012
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Epstein, Lawrence J.
Palmieri, Marco
Titel
Managing Chronic Pain With Spinal Cord Stimulation
Ist Teil von
The Mount Sinai journal of medicine, 2012-01, Vol.79 (1), p.123-132
Ort / Verlag
Hoboken: Wiley Subscription Services, Inc., A Wiley Company
Erscheinungsjahr
2012
Quelle
MEDLINE
Beschreibungen/Notizen
Since its introduction as a procedure of last resort in a terminally ill patient with intractable cancer‐related pain, spinal cord stimulation has been used to effectively treat chronic pain of varied origins. Spinal cord stimulation is commonly used for control of pain secondary to failed back surgery syndrome and complex regional pain syndrome, as well as pain from angina pectoris, peripheral vascular disease, and other causes. By stimulating one or more electrodes implanted in the posterior epidural space, the patient feels paresthesias in their areas of pain, which reduces the level of pain. Pain is reduced without the side effects associated with analgesic medications. Patients have improved quality of life and improved function, with many returning to work. Spinal cord stimulation has been shown to be cost effective as compared with conservative management alone. There is strong evidence for efficacy and cost effectiveness of spinal cord stimulation in the treatment of pain associated with intractable angina, failed back surgery syndrome, and complex regional pain syndrome. In this article, we review the history and pathophysiology of spinal cord stimulation, and the evidence (or lack thereof) for efficacy in common clinical practice. Mt Sinai J Med 79:123–132, 2012. © 2012 Mount Sinai School of Medicine
Sprache
Englisch
Identifikatoren
ISSN: 0027-2507
eISSN: 1931-7581
DOI: 10.1002/msj.21289
Titel-ID: cdi_proquest_miscellaneous_916147226
Format
–
Schlagworte
Animals
,
chronic pain
,
Chronic Pain - therapy
,
complex regional pain
,
failed back surgery syndrome
,
Humans
,
intractable angina
,
Pain Management
,
Spinal Cord
,
spinal cord stimulation
,
Transcutaneous Electric Nerve Stimulation - methods
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