Paresthesia‐Free Spinal Nerve Root Stimulation for the Treatment of Chronic Neuropathic Pain

2020 ◽  
Vol 23 (6) ◽  
pp. 831-837
Author(s):  
Mohamad Abbass ◽  
Brendan G. Santyr ◽  
Andrew G. Parrent ◽  
Keith W. MacDougall ◽  
Michael D. Staudt
Keyword(s):  
Neuropathic Pain ◽  
Nerve Root ◽  
Spinal Nerve ◽  
Spinal Nerve Root ◽  
Chronic Neuropathic Pain ◽  
Root Stimulation

Spinal nerve root stimulation

2006 ◽  
Vol 21 (6) ◽  
pp. 1-7 ◽  
Author(s):  
Raqeeb Haque ◽  
Christopher J. Winfree
Keyword(s):  
Nerve Root ◽  
Electrical Current ◽  
Spinal Nerve ◽  
Spinal Nerve Root ◽  
Nerve Roots ◽  
Advantages And Disadvantages ◽  
Dorsal Columns ◽  
Chronic Pain Conditions ◽  
Electrical Impulses ◽  
Root Stimulation

✓Spinal nerve root stimulation is a recently developed form of neuromodulation used for the treatment of chronic pain conditions. Unlike spinal cord stimulation, in which electrical impulses are directed at the dorsal columns, spinal nerve root stimulation guides electrical current directly to one or more nerve roots. There are a variety of techniques by which this can be accomplished, yet no consistent terminology to describe these variations exists. In this review, the authors group the various techniques according to anatomical approach, define each category, describe and illustrate each of the techniques, review the available reports on their uses, and discuss the advantages and disadvantages of each one.

S711 SPINAL NERVE ROOT STIMULATION IN THE MANAGEMENT OF INTRACTABLE LOIN PAIN. A CASE SERIES

2011 ◽  
Vol 5 (S1) ◽  
pp. 289-289
Author(s):  
A. Al-Kaisy ◽  
A. Shetty ◽  
S. Palmisani ◽  
T. Smith ◽  
S. Harris
Keyword(s):  
Nerve Root ◽  
Case Series ◽  
Spinal Nerve ◽  
Spinal Nerve Root ◽  
Loin Pain ◽  
Root Stimulation

The Usefulness of Selective Spinal Nerve Root Block in Neuropathic Pain Patients with Radiculopathy

2015 ◽  
Vol 50 (2) ◽  
pp. 116 ◽  
Author(s):  
Dae Moo Shim ◽  
Tae Kun Kim ◽  
Seung Yeop Song ◽  
Chang Su Kim ◽  
Byung Taek Kwon ◽  
...  
Keyword(s):  
Neuropathic Pain ◽  
Nerve Root ◽  
Spinal Nerve ◽  
Spinal Nerve Root ◽  
Nerve Root Block ◽  
Pain Patients

Spinal Nerve Root Stimulation

2011 ◽  
pp. 180-188 ◽  
Author(s):  
Christopher P. Kellner ◽  
Michael A. Kellner ◽  
Christopher J. Winfree
Keyword(s):  
Nerve Root ◽  
Spinal Nerve ◽  
Spinal Nerve Root ◽  
Root Stimulation

scholarly journals Successful Long-term Nerve Root Stimulation for Chronic Neuropathic Pain: A Real World, Single Center Canadian Experience

2017 ◽  
Vol 2 (20;2) ◽  
pp. 95-106
Author(s):  
Keith W. MacDougall
Keyword(s):  
Neuropathic Pain ◽  
Nerve Root ◽  
Chronic Neuropathic Pain ◽  
Sf 36 ◽  
Permanent Implants ◽  
Dorsal Nerve ◽  
Root Stimulation

Background: Spinal cord stimulation (SCS) is a well-established treatment for chronic neuropathic pain in the lower limbs. However, some patients have pain in distributions that are difficult to target specifically and consistently with SCS. This often involves pain in the groin or upper limbs, or pain limited to a specific dermatome. We hypothesized that dorsal nerve root stimulation (DNRS) would provide similar pain relief for these patients, compared to our results using SCS. Objectives: In this study we report our experience treating patients with chronic neuropathic pain using SCS and DNRS. 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. Methods: One hundred thirty-two consecutive patients had trials of spinal stimulation. Seventy-six patients went on to permanent implants, of which 26 received only DNRS, 47 only SCS, and 3 both. The technique was selected based on clinical assessment and intraoperative test stimulation. Other than pain location and diagnosis, the DNRS and SCS groups had similar baseline characteristics. Follow-up is reported at 12 months. Patients were assessed using a visual analogue scale (VAS) for pain, the SF-36 for quality of life, and the morphine equivalent daily dose (MEDD). Results: At 12 months, the average VAS score for the DNRS group had decreased from 7.5 (SD 1.4) to 4.4 (SD 2.6) and 47% of patients with permanent implants achieved > 50% pain reduction. There were improvements in all subscores and component summary scores of the SF-36. The MEDD had been reduced in 55% of the patients with available data. There was no significant difference in complication or revision rates between the 2 groups. Limitations: Patients were not randomized to treatment groups, and instead were assigned to SCS or DNRS based on what was expected to provide superior pain coverage. There is incomplete follow-up data for some patients due to missed clinic visits. Conclusion: In our study, DNRS provided excellent pain reduction, quality of life improvement, and opioid medication use decreases. We conclude that it is an effective long-term treatment for chronic neuropathic pain. Key words: Spinal cord stimulation, dorsal nerve root stimulation, lumbar, thoracic, cervical, neuropathic pain, neuromodulation, clinical effectiveness, chronic pain, visual analogue scale

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