Raucci Umberto, Tomasello Caterina, Marri Marcello, Salzano Marco, Gasparini Augusto, Conicella Elena
Emergency Department, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Anaesthesia and Intensive Care Department, Pain Center, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.
Pain Pract. 2016 Sep;16(7):E103-9. doi: 10.1111/papr.12474. Epub 2016 Jul 2.
Complex regional pain syndrome (CRPS) is a disorder that is often challenging to treat and can be associated with a prolonged course of severe pain. Therapy of CRPS remains controversial; the pain often can be very difficult to control, and treatment includes medications, physical therapy, regional anesthesia, and neuromodulation.
We evaluated Scrambler Therapy(®) (ST) in terms of efficacy, safety, and durability of treatment effect in patients suffering from CRPS.
We report the response to ST in four patients with CRPS referred to the Pain Center of Bambino Gesù Children's Hospital. The patients previously did not respond to conventional and nonconventional medical treatments.
The treatment with ST was found effective in all four of our patients; they obtained pain relief for long periods and an improvement in their quality of life. We observed a progressive improvement with complete disappearance of neuropathic pain. Patients also reported a muscle strength increase that allowed them to resume normal daily activities.
We conclude that ST may offer a therapeutic opportunity for patients with neuropathic pain resulting from CRPS, without side effects and with minimal discomfort during treatment. The observed pain relief indicates that ST could be an effective option for such patients.
复杂性区域疼痛综合征(CRPS)是一种治疗起来往往具有挑战性的疾病,可能伴有长期的剧烈疼痛。CRPS的治疗仍然存在争议;疼痛通常很难控制,治疗方法包括药物治疗、物理治疗、区域麻醉和神经调节。
我们评估了扰频器疗法(Scrambler Therapy®,ST)对CRPS患者治疗效果的有效性、安全性和持久性。
我们报告了4例转诊至 Bambino Gesù儿童医院疼痛中心的CRPS患者对ST的反应。这些患者之前对传统和非传统药物治疗均无反应。
我们发现ST治疗对所有4例患者均有效;他们长期疼痛缓解,生活质量得到改善。我们观察到病情逐渐改善,神经性疼痛完全消失。患者还报告肌肉力量增强,使他们能够恢复正常日常活动。
我们得出结论,ST可能为CRPS所致神经性疼痛患者提供一种治疗机会,治疗期间无副作用且不适最小。观察到的疼痛缓解表明ST可能是这类患者的有效选择。