Publications by authors named "M Roulaud"
Background: Peripheral nerve stimulation (PNS) has emerged as a minimally invasive percutaneous procedure addressing neuropathic pain. However, the percutaneous cylindrical lead ultrasound-guided implantation procedure requires expertise that limits widespread PNS utilization. To overcome these challenges, a microinvasive endoscopy device has very recently been developed, enhancing the precision of PNS implantation by providing accurate visualization of the targeted nerve.
View Article and Find Full Text PDF: Sleep disturbance is often observed in the context of chronic pain. We hypothesize that, by providing an immersive Virtual Reality (VR) experience with a serious game to chronic pain patients an hour before bedtime, attention can be diverted from the pain condition, consequently leading to improved sleep quality. The aim is to evaluate the efficacy of VR compared to usual care in reducing the number of awakenings during the night and increasing sleep efficiency in patients suffering from painful diabetic polyneuropathy (PDPN).
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- Persistent spinal pain syndrome Type 2 (PSPS-T2) follows spinal surgery and has significant long-term effects, but research typically overlooks the ongoing nature of patient experiences.
- The PREDIBACK study tracked 200 patients over one year, identifying two patterns of health trajectories: 'persistent low health' (63.1%) and 'improving health' (36.9%).
- Factors like younger age, lower body mass index, and reduced pain intensity were linked to improved health outcomes, highlighting the potential of trajectory-based methods for better patient assessment and pain management.
Article Synopsis
- Spinal cord stimulation (SCS) and dorsal root ganglion stimulation (DRGS) are effective treatments for chronic pain after spinal surgery, and their combination (DUAL) may improve patient outcomes.
- A study compared the effectiveness of SCS, DRGS, and DUAL in providing at least 50% pain relief over a three-month period, finding that all methods had similar responder rates at this point but allowed for better results when options were switched.
- By the end of the 12-month follow-up, most patients showed significant clinical improvement, suggesting that personalized treatment through different stimulation options enhances pain management for chronic pain patients.
Introduction: Differential target multiplexed spinal cord stimulation (DTM SCS) is a new stimulation paradigm for chronic pain management with the aim of modulating glial cells and neurons in order to rebalance their interactions. Animal studies revealed positive effects of this type of stimulation; however, studies in humans are still scarce, pointing towards the need for an evaluation of the effectiveness and safety of DTM SCS in clinical settings. Furthermore, the differential target multiplexed (DTM) algorithm consists of a combination of several programmes, which will presumably consume more energy from the spinal cord stimulation (SCS) battery.
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