Mohomad Al Sawah, Mohammad Rimawi, Chusid Eileen, Trepal Michael, Battaglia Fortunato
J Am Podiatr Med Assoc. 2015 Mar;105(2):173-6. doi: 10.7547/0003-0538-105.2.173.
Recently, transcranial direct current stimulation (tDCS), a noninvasive brain stimulation technique, was proposed as a suitable method for the treatment of several chronic pain syndromes. We describe a case of severe heel pain in a diabetic patient with plantar fasciitis successfully treated with tDCS.
The present study investigated whether tDCS treatment could reduce pain and pain-related anxiety in a 65-year-old diabetic man affected by treatment-resistant right heel pain due to plantar fasciitis. The patient underwent five tDCS treatment sessions on 5 consecutive days. Each session consisted of 20-min anodal tDCS over the left primary motor cortex leg area.
The neurostimulation protocol induced a decrease in pain intensity and pain-related anxiety that outlasted the stimulation (1 week). Furthermore, the patient stopped the intake of opioid medication.
Therapeutic neuromodulation with tDCS may represent an alternative option for treating severe lower-extremity pain.
最近，经颅直流电刺激（tDCS），一种非侵入性脑刺激技术，被提议作为治疗几种慢性疼痛综合征的合适方法。我们描述了一例患有足底筋膜炎的糖尿病患者的严重足跟痛，经tDCS成功治疗。
本研究调查了tDCS治疗是否能减轻一名65岁患有因足底筋膜炎导致的难治性右足跟痛的糖尿病男性的疼痛及与疼痛相关的焦虑。患者连续5天接受了5次tDCS治疗。每次治疗包括在左侧初级运动皮层腿部区域进行20分钟的阳极tDCS。
神经刺激方案导致疼痛强度和与疼痛相关的焦虑降低，且这种降低在刺激结束后持续了1周。此外，患者停止了阿片类药物的摄入。
tDCS治疗性神经调节可能是治疗严重下肢疼痛的一种替代选择。
