The use of repetitive transcranial magnetic stimulation to produce analgesic effects in patients with chronic pain syndromes

2013 ◽  
Vol 43 (1) ◽  
pp. 71 ◽  
Author(s):  
F.H. Wassim ◽  
S.S. Ayache ◽  
V. Mylius ◽  
H.G. Zouari ◽  
C. Goujon ◽  
...  
2019 ◽  
Vol 49 (3) ◽  
pp. 249-250 ◽  
Author(s):  
Hela Mrabet ◽  
Amel Mrabet ◽  
Nejib Hattab ◽  
Rachid Manai ◽  
Bechir Zouari

Pain ◽  
2009 ◽  
Vol 147 (1) ◽  
pp. 224-232 ◽  
Author(s):  
Frédéric Nahmias ◽  
Claire Debes ◽  
Daniel Ciampi de Andrade ◽  
Alaa Mhalla ◽  
Didier Bouhassira

2015 ◽  
Vol 6;18 (6;11) ◽  
pp. E1029-E1046 ◽  
Author(s):  
Qiwen Mu

Background: Increasing evidence supports an analgesic effect of repetitive transcranial magnetic stimulation (rTMS) for neuropathic pain (NP). However, the optimal parameters of rTMS (stimulation frequency and treatment sessions) for achieving long-term analgesic effects remain unknown. This study analyzed the current findings in the literature. Objective: The aim of this study was to assess the optimal parameters of rTMS for NP, including the rTMS sessions needed for inducing acute as well as long-term analgesic effects. Study Design: A meta-analysis of the analgesic effect of high frequency rTMS (HF- rTMS) for neuropathic patients. Setting: This meta-analysis examined all studies involving the analgesic efficacy of HF-rTMS for NP. Methods: PubMed, Embase, and the Cochrane library were searched for clinical studies of rTMS treatment on NP published before December 31, 2014. Crude standardized mean differences (SMD) with 95% confidence interval (CI) were calculated for pain intensity after different treatment sessions (from 1 to 10) and follow-up of one or 2 months after rTMS treatment using random effect models. Results: Twenty-five studies (including 32 trials and 589 patients) were selected for the metaanalysis according to the inclusion and exclusion criteria. All 3 HF-rTMS treatments (5, 10, and 20 Hz) produced pain reduction, while there were no differences between them, with the maximal pain reduction found after one and 5 sessions of rTMS treatment. Further, this significant analgesic effect remained forone month after 5 sessions of rTMS treatment. Limitations: There are limitations of this meta-analysis. For example, the long-term analgesic effects of different HF-rTMS and low frequency (LF) rTMS sessions, including the single session of rTMS on different NP of varying origins have yet not been evaluated; the full degree of pain relief is still unclear for many rTMS studies. Conclusions: HF-rTMS stimulation on primary motor cortex is effective in relieving pain in NP patients. Although 5 sessions of rTMS treatment produced a maximal analgesic effect and may be maintained for at least one month, further large-scale and well-controlled trials are needed to determine if this enhanced effect is specific to certain types of NP such as post-stroke related central NP. Key words: High frequency, repetitive transcranial magnetic stimulation, neuropathic pain, single stimulation, multiple stimulation, meta-analysis


2021 ◽  
Author(s):  
G Stillianesis ◽  
R Cavaleri ◽  
SJ Summers ◽  
CY Tang

Abstract Background: Repetitive transcranial magnetic stimulation (rTMS), a form of non-invasive brain stimulation, represents a novel avenue for the management of chronic musculoskeletal pain. Despite evidence for the effectiveness of rTMS in chronic pain conditions, the clinical uptake of rTMS remains limited. One plausible reason for this discrepancy may be a lack of understanding regarding patient perceptions and their willingness to engage with rTMS. Therefore, this study aimed to explore patient perceptions of rTMS as a treatment for chronic musculoskeletal pain. Methods: Using a phenomenological approach, this qualitative study utilised a semi-structured interview to explore overall knowledge, pre-conceived concerns and attitudes regarding rTMS as a treatment for chronic musculoskeletal pain. All participants had a diagnosis of chronic musculoskeletal pain, a history of seeking treatment, and no prior experience with rTMS. The interviews were transcribed verbatim and analysed thematically. Results: Majority of the participants were willing to consider the use of rTMS as a treatment option, with most having high expectations regarding the effectiveness of the treatment due to its sophisticated appearance. Acceptance to utilise rTMS was influenced by knowledge of pain, cost and travel, and the perceived sophistication of the intervention.Conclusions: This is the first qualitative study to the authors’ knowledge that explores the perception of rTMS as a treatment among people with chronic musculoskeletal pain, a key gap in the current literature. Repetitive transcranial magnetic stimulation appears to be accepted as a treatment option amongst individuals with chronic musculoskeletal pain. Adequate levels of funding support, accessibility and the need for medical professions to endorse the treatment are important considerations that influenced uptake. Developing targeted strategies to address these considerations may encourage use of rTMS in a clinical chronic pain setting.


2002 ◽  
Vol 48 (1) ◽  
pp. 6-10 ◽  
Author(s):  
Jens D. Rollnik ◽  
Stefanie Wüstefeld ◽  
Jan Däuper ◽  
Matthias Karst ◽  
Matthias Fink ◽  
...  

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