Publications by authors named "Tim Reck"
Introduction: Neuropathic pain is common in patients with spinal cord injury (SCI) and often difficult to treat. We report a case where epidural spinal cord stimulation (SCS) below the level of injury has been successfully applied in a patient with a complete spinal cord lesion.
Case Presentation: A 53-year-old female presented with neuropathic below-level SCI pain of both lower legs and feet due to complete SCI below T5.
Objectives: The speed of intrathecal drug administration (slow continuous infusion vs. rapid bolus application) might influence the efficacy of therapy despite the equal daily dose in both administration patterns. We tested this hypothesis in a small prospective single-centre pilot study in a population of chronic pain patients with intrathecal opioid therapy.
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- Intrathecal (IT) drug therapy is used for chronic pain and spasticity, but long-term use of opioids can lead to inflammatory masses at catheter tips, risking neurological issues.
- A study conducted in two Swiss spine centers analyzed risk factors for catheter-tip granuloma (CG) and found that certain conditions, such as catheter placement in the middle thoracic spine and a history of previous spinal surgery, increased CG risk.
- Patients treated with IT morphine for chronic pain had a significantly higher occurrence of CG compared to those treated for spasticity, indicating that the type of treatment and symptoms are linked to the likelihood of CG formation.