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Neuromodulation: Simultaneous stimulation of the dorsal root ganglion and spinal dorsal column in the application of complex local pain syndrome

 Last Update: 2021-08-01
 Source: Internet
 Author: User

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Complex Regional Pain Syndrome (CRPS) is a pain, debilitating, and heterogeneous disease that is often difficult to treat effectively
.
The pathophysiology of CRPS involves a complex network of mechanisms, including peripheral sensitization, central sensitization, cortical reorganization, and inflammation, which makes it difficult to treat underlying causes

Traditional spinal dorsal column stimulation (t-SCS) has been used in CRPS for decades and has achieved good results
.
However, this therapy does have some limitations in the treatment of CRPS

In the study of this article, four patients who used t-SCS and DRG-S at the same time reported that their lower limb pain and CRPS-1 related symptoms have been significantly improved

Patient radiography

The study included 4 patients with severe CRPS, all of whom had t-SCS implants

diagnosis

The improvement of average pain by different nerve stimulation modes

In studies using t-SCS and DRG-S at the same time, it was found that there are several potential neural stimulation mechanisms that may help enhance pain relief
.
One mechanism may be related to the dual stimulation system better covering the painful areas of the extremities

Both t-SCS and DRG-S are effective in the treatment of CRPS patients
.
In the study of this article, the simultaneous use of t-SCS and DRG-S has a significant improvement in pain and function compared with either device alone

In the study of this article, the simultaneous use of t-SCS and DRG-S has a significant improvement in pain and function compared with either device alone

Ghosh, P.
and Gungor, S.
(2021), Utilization of Concurrent Dorsal Root Ganglion Stimulation and Dorsal Column Spinal Cord Stimulation in Complex Regional Pain Syndrome .
Neuromodulation: Technology at the Neural Interface, 24: 769-773 Utilization of Concurrent Dorsal Root ganglion Stimulation and Dorsal Column Spinal Cord Stimulation in Complex Regional Pain Syndrome in this message

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