![]() ![]() While these studies help to establish SCS as a reliable treatment for small fiber neuropathic pain, our case report hopes to illustrate a unique use of two SCS implants and four leads to treat whole body pain in a patient with small fiber neuropathy. described a case of a patient with small fiber neuropathy whose pain was treated successfully with spinal cord stimulation but that was using dorsal root ganglion stimulation and treating pain in only one limb (left foot). found that out of the 345 patients who underwent SCS trial, 18 patients had a SCS implanted for small fiber neuropathic pain. In 2015, a retrospective study by Hayek et al. SCS is already being used for small fiber neuropathy. SCS has increasingly been used in various neuropathic pain syndromes when standard treatments had already failed. Recently, SCS have been used to effectively treat diabetic peripheral neuropathy. Now as the use of spinal cord stimulators has increased so have the potential indications. Spinal cord stimulators (SCS) have been commonly used to treat multiple pain conditions including complex regional pain syndrome (CRPS), failed laminectomy/failed back surgery syndrome (FBSS), and severe low back pain refractory to other treatments. In our context, the desire is to decrease pain signaling. Neuromodulation has been classically defined by the International Neuromodulation Society as “the alteration of nerve activity through targeted delivery of a stimulus, such as electrical stimulation or chemical agents, to specific neurological sites in the body” and spinal cord stimulation is a type of neuromodulation where epidural leads are placed in the body and attached to an implanted pulse generator to create a current that helps modify different types of neural signals. This case report hopes to illustrate a unique use of multiple spinal cord stimulators in treating widespread neuropathic pain caused by small fiber neuropathy. He now attends graduate school full time. The patient is very pleased and has increased his activity. The patient uses the stimulator intermittently as needed, in an abortive fashion for pain flares. The patient continues to report excellent pain relief. After two spinal cord stimulators were implanted, the patient began to report an improvement in pain. He had a spinal cord stimulator trial involving both cervical and lower thoracic percutaneous leads. He was diagnosed with small fiber neuropathy with anhydrosis, suggestive of idiopathic erythromelalgia. The pain would last moments to hours at least daily. His pain was an intermittent burning, stinging quality that originally focused in both of his feet and progressed to include his legs and arms and eventually involved his entire body. This case report concerns patient JJ who first presented with generalized neuropathic pain. This case report represents a unique case of using multiple spinal cord stimulators for widespread small fiber neuropathy pain. Spinal cord stimulators have commonly been used to treat multiple pain conditions.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |