Dalal Suhani, Chitneni Ahish, Mahmood Syed, Kaye Alan D, Hasoon Jamal
Department of Anesthesiology, A.T. Still University School of Medicine, Mesa, AZ.
Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.
Orthop Rev (Pavia). 2022 Feb 14;14(1):31891. doi: 10.52965/001c.31891. eCollection 2022.
Back pain is one of the most common healthcare burdens in the United States and is the number one cause of disability worldwide. Treatment options for back pain usually emphasizes conservative modalities such as reassurance, education, physical therapy, cognitive behavioral therapy, medication management, and interventional pain procedures. Spinal cord stimulation (SCS) is a minimally invasive and reversible therapy used to treat various pain syndromes. The primary indications for SCS therapy are failed back surgery syndrome and complex regional pain syndrome. However, recent advances in therapy have expanded the use of SCS for a variety of chronic pain conditions including nonsurgical back pain and radiculopathy. We present the case of a patient with low back and lumbar radicular pain complaints that were not responsive to traditional conservative and interventional options who was successfully treated with 10 kHz spinal cord stimulation.
背痛是美国最常见的医疗负担之一，也是全球致残的首要原因。背痛的治疗方案通常侧重于保守治疗方式，如安慰、教育、物理治疗、认知行为疗法、药物管理和介入性疼痛治疗程序。脊髓刺激（SCS）是一种用于治疗各种疼痛综合征的微创且可逆的疗法。SCS治疗的主要适应症是腰椎手术失败综合征和复杂性区域疼痛综合征。然而，近年来治疗方法的进展扩大了SCS在各种慢性疼痛疾病中的应用，包括非手术性背痛和神经根病。我们报告了一例下背部和腰部神经根性疼痛患者的病例，该患者对传统保守治疗和介入治疗均无反应，但通过10kHz脊髓刺激成功治愈。
