Fiala Kenneth J, Kim Roy B, Martens Joshua M, Abd-Elsayed Alaa
University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI.
Department of Anesthesiology, University of Wisconsin-Madison School of Medicine and Public Health, Madison, WI.
Ochsner J. 2022 Fall;22(3):265-272. doi: 10.31486/toj.21.0115.
Low back pain affects the lives of millions of people in the United States and the world. Not only does low back pain affect the quality of life for the individual patient, but it also accounts for many emergency department and health care visits. For a subset of patients, conservative measures such as medications and physical therapy, nonsurgical interventions, and surgery are not effective. Peripheral nerve stimulation is an emerging treatment option for patients with chronic low back pain. This case series assesses 6 patients' experiences with lumbar level peripheral nerve stimulation. Three male and 3 female patients underwent lumbar level peripheral nerve stimulation as a treatment for chronic low back pain. The average age of the patients was 63.5 years, and they demonstrated an average pain reduction of 64.8%. This series provides evidence that lumbar level peripheral nerve stimulation may be an efficacious treatment for chronic low back pain that is refractory to conservative measures. Large studies are needed to assess the outcomes and durations of improvement associated with this treatment.
下背痛影响着美国乃至全世界数百万人的生活。下背痛不仅会影响个体患者的生活质量，还导致许多人前往急诊科就诊以及寻求医疗护理。对于一部分患者而言，药物治疗、物理治疗、非手术干预和手术等保守治疗措施均无效。外周神经刺激是治疗慢性下背痛患者的一种新兴治疗选择。本病例系列评估了6例患者接受腰椎水平外周神经刺激的经历。3例男性和3例女性患者接受了腰椎水平外周神经刺激以治疗慢性下背痛。患者的平均年龄为63.5岁，平均疼痛减轻了64.8%。该系列研究提供了证据，表明腰椎水平外周神经刺激可能是治疗对保守措施无效的慢性下背痛的一种有效方法。需要开展大型研究来评估这种治疗相关的疗效和改善持续时间。
