scholarly journals A Prospective, Multi‐Center, Clinical Trial of a 10‐kHz Spinal Cord Stimulation System in the Treatment of Chronic Pelvic Pain

Pain Practice ◽  
2020 ◽  
Author(s):  
Jordan L. Tate ◽  
Thomas Stauss ◽  
Sean Li ◽  
Anand Rotte ◽  
Jeyakumar Subbaroyan
2020 ◽  
Vol 25 ◽  
pp. e00171 ◽  
Author(s):  
Jamal Hasoon ◽  
Amnon A. Berger ◽  
Ivan Urits ◽  
Vwaire Orhurhu ◽  
Omar Viswanath ◽  
...  

Medicine ◽  
2021 ◽  
Vol 100 (52) ◽  
pp. e28379
Author(s):  
Estefanía Romero-Serrano ◽  
José Miguel Esparza-Miñana

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 ◽  
...  

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.


2011 ◽  
Vol 29 (1) ◽  
pp. 40-46 ◽  
Author(s):  
Shaun Wen Huey Lee ◽  
Men Long Liong ◽  
Kah Hay Yuen ◽  
Wing Seng Leong ◽  
Nurzalina Karim Khan ◽  
...  

1985 ◽  
Vol 62 (4) ◽  
pp. 558-562 ◽  
Author(s):  
Giancarlo Barolat-Romana ◽  
Joel B. Myklebust ◽  
David C. Hemmy ◽  
Barbara Myklebust ◽  
William Wenninger

✓ Six patients with intractable spasms after spinal cord injury underwent implantation of an epidural spinal cord stimulation system. All the patients experienced good relief postoperatively. In three patients spinal cord stimulation consistently produced immediate inhibition of the spasms. This was evident within less than 1 minute of stimulation. Conversely, the spasms reappeared within less than 1 minute after cessation of the stimulation. The clinical observations were confirmed by polygraphic electromyographic recordings.


Sign in / Sign up

Export Citation Format

Share Document