Spinal Cord Stimulation for Chronic Pelvic Pain

2017 ◽  
pp. 177-185
Author(s):  
William E. Bentley
Keyword(s):  
Spinal Cord ◽  
Pelvic Pain ◽  
Spinal Cord Stimulation ◽  
Chronic Pelvic Pain

scholarly journals Spinal cord stimulation for the treatment of chronic pelvic pain after Tarlov cyst surgery in a 66-year-old woman: A case report

2020 ◽  
Vol 25 ◽  
pp. e00171 ◽  
Author(s):  
Jamal Hasoon ◽  
Amnon A. Berger ◽  
Ivan Urits ◽  
Vwaire Orhurhu ◽  
Omar Viswanath ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Case Report ◽  
Pelvic Pain ◽  
Spinal Cord Stimulation ◽  
Chronic Pelvic Pain ◽  
Tarlov Cyst

scholarly journals Spinal cord stimulation in the approach to chronic pelvic pain

Medicine ◽  
2021 ◽  
Vol 100 (52) ◽  
pp. e28379
Author(s):  
Estefanía Romero-Serrano ◽  
José Miguel Esparza-Miñana
Keyword(s):  
Spinal Cord ◽  
Pelvic Pain ◽  
Spinal Cord Stimulation ◽  
Chronic Pelvic Pain

Spinal Cord Stimulation for Visceral Pain: Present Approaches and Future Strategies

Pain Medicine ◽  
2020 ◽  
Vol 21 (10) ◽  
pp. 2298-2309
Author(s):  
Royce W Woodroffe ◽  
Amy C Pearson ◽  
Amy M Pearlman ◽  
Matthew A Howard ◽  
Haring J W Nauta ◽  
...  
Keyword(s):  
Spinal Cord ◽  
Pelvic Pain ◽  
Spinal Cord Stimulation ◽  
Chronic Pelvic Pain ◽  
Potential Role ◽  
Visceral Pain ◽  
The United States ◽  
Off Label ◽  
Pain Pathways ◽  
Implantation Techniques

Abstract Introduction The introduction of successful neuromodulation strategies for managing chronic visceral pain lag behind what is now treatment of choice in refractory chronic back and extremity pain for many providers in the United States and Europe. Changes in public policy and monetary support to identify nonopioid treatments for chronic pain have sparked interest in alternative options. In this review, we discuss the scope of spinal cord stimulation (SCS) for visceral pain, its limitations, and the potential role for new intradural devices of the type that we are developing in our laboratories, which may be able to overcome existing challenges. Methods A review of the available literature relevant to this topic was performed, with particular focus on the pertinent neuroanatomy and uses of spinal cord stimulation systems in the treatment of malignant and nonmalignant gastrointestinal, genitourinary, and chronic pelvic pain. Results To date, there have been multiple off-label reports testing SCS for refractory gastrointestinal and genitourinary conditions. Though some findings have been favorable for these organs and systems, there is insufficient evidence to make this practice routine. The unique configuration and layout of the pelvic pain pathways may not be ideally treated using traditional SCS implantation techniques, and intradural stimulation may be a viable alternative. Conclusions Despite the prevalence of visceral pain, the application of neuromodulation therapies, a standard approach for other painful conditions, has received far too little attention, despite promising outcomes from uncontrolled trials. Detailed descriptions of visceral pain pathways may offer several clues that could be used to implement devices tailored to this unique anatomy.

Spinal Cord Stimulation: Pelvic Pain

2018 ◽  
pp. 243-254
Author(s):  
Grant H. Chen ◽  
Corey W. Hunter
Keyword(s):  
Spinal Cord ◽  
Pelvic Pain ◽  
Spinal Cord Stimulation

Treatment of Chronic Refractory Neuropathic Pelvic Pain with High-Frequency 10-kilohertz Spinal Cord Stimulation

Pain Practice ◽  
2018 ◽  
Vol 18 (6) ◽  
pp. 805-809 ◽  
Author(s):  
Thomas Simopoulos ◽  
Robert J. Yong ◽  
Jatinder S. Gill
Keyword(s):  
Spinal Cord ◽  
Pelvic Pain ◽  
Spinal Cord Stimulation ◽  
High Frequency

scholarly journals Stimulation of the Spinal Cord and Dorsal Nerve Roots for Chronic Groin, Pelvic, and Abdominal Pain

2016 ◽  
Vol 6;19 (6;7) ◽  
pp. 405-412
Author(s):  
Keith MacDougall
Keyword(s):  
Spinal Cord ◽  
Abdominal Pain ◽  
Pelvic Pain ◽  
Nerve Root ◽  
Spinal Cord Stimulation ◽  
Groin Pain ◽  
Long Term Treatment ◽  
Dorsal Nerve ◽  
Root Stimulation

Background: Chronic neuropathic groin pain is a common problem. It can arise following surgery or trauma, or spontaneously as part of various pelvic pain syndromes. A number of different stimulation techniques have been reported in the literature to treat this area, but due to the complex anatomy of the region, it can be difficult to target effectively with paresthesias. Objectives: In this study we report our results treating patients with chronic neuropathic groin, pelvic, and abdominal pain, using spinal cord stimulation and dorsal nerve root stimulation. Study Design: Open label, prospective study that includes all patients treated with a new trial stimulator system at a single center between July 1, 2011, and October 31, 2013. Setting: Academic university neurosurgical pain center, Canada. Methods: Thirty-two patients had trials of spinal cord stimulation and/or dorsal nerve root stimulation in the thoracic or lumbar spine. Patients were evaluated on visual analog scale pain scores, SF-36, and morphine equivalent daily dose. Data were recorded at the pre-implant visit, and 3, 6, and 12 months following permanent implant. Results: The 15 patients who went on to permanent implants had, on average, significant pain reduction and improvements in quality of life at the 12 month follow-up. The majority of patients who were taking opioids at the initial assessment were able to reduce their dose with treatment. Three patients with successful trials were long-term non-responders, of whom 2 had the permanent device removed. Limitations: This study would benefit from a larger sample size that would have adequate power for comparisons between patient subgroups and stimulation techniques. Conclusion: Dorsal nerve root stimulation is an effective long-term treatment for neuropathic groin pain. Key words: Spinal cord stimulation, nerve root stimulation, lumbar, thoracic, neuropathic pain, groin pain, pelvic pain, abdominal pain, neuromodulation, clinical effectiveness

Sign in / Sign up

Export Citation Format

Share Document