AI Article Synopsis
- The study investigates the effectiveness of high-dose thoracic dorsal column spinal cord stimulation in managing chronic neck and upper extremity pain.
- Three patients underwent a trial and then permanent stimulation, utilizing specific high-dose settings to measure pain relief.
- Results showed significant pain and paresthesia relief (70%-90%) in all patients after 15-21 months of treatment.
Article Abstract
Background: Dorsal column spinal cord stimulation is used for the treatment of chronic neuropathic pain of the axial spine and extremities. Recently, high-dose (HD) thoracic dorsal column stimulation for paresthesias has been successful. This study evaluates the utility of HD stimulation in the cervical spine for managing upper neck and upper extremity pain and paresthesias.
Methods: Three patients suffering from cervical and upper extremity chronic pain were assessed. Each underwent a two-stage process that included a trial period, followed by permanent stimulator implantation. Therapy included the latest HD stimulation settings including a pulse width of 90 μs, a frequency setting of 1000 Hz, and an amplitude range of 1.5 amps-2.0 amps. Pain relief was measured utilizing relative percent pain improvement as self-reported by each patient before and after surgery.
Results: After permanent implantation, (range 15-21 months), all three patients continued to experience persistent pain and paresthesia relief (70%-90%).
Conclusions: In three patients, HD cervical spinal cord stimulation successfully controlled upper extremity chronic pain/paresthesias.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6744729 | PMC |
| http://dx.doi.org/10.25259/SNI-249-2019 | DOI Listing |
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