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Current Neurostimulation Therapies for Chronic Pain Conditions.

作者信息

Shlobin Nathan A, Wu Chengyuan

机构信息

Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Department of Neurological Surgery, Thomas Jefferson University Hospitals, 909 Walnut Street, Floor 2, Philadelphia, PA, 19107, USA.

出版信息

Curr Pain Headache Rep. 2023 Nov;27(11):719-728. doi: 10.1007/s11916-023-01168-5. Epub 2023 Sep 20.


DOI:10.1007/s11916-023-01168-5
PMID:37728863
Abstract

PURPOSE OF REVIEW: Neurostimulation treatment options have become more commonly used for chronic pain conditions refractory to these options. In this review, we characterize current neurostimulation therapies for chronic pain conditions and provide an analysis of their effectiveness and clinical adoption. This manuscript will inform clinicians of treatment options for chronic pain. RECENT FINDINGS: Non-invasive neurostimulation includes transcranial direct current stimulation and repetitive transcranial magnetic stimulation, while more invasive options include spinal cord stimulation (SCS), peripheral nerve stimulation (PNS), dorsal root ganglion stimulation, motor cortex stimulation, and deep brain stimulation. Developments in transcranial direct current stimulation, repetitive transcranial magnetic stimulation, spinal cord stimulation, and peripheral nerve stimulation render these modalities most promising for the alleviating chronic pain. Neurostimulation for chronic pain involves non-invasive and invasive modalities with varying efficacy. Well-designed randomized controlled trials are required to delineate the outcomes of neurostimulatory modalities more precisely.

摘要

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引用本文的文献

[1]
The safety and feasibility of a pilot randomized clinical trial using combined exercise and neurostimulation for post-stroke pain: the EXERT-Stroke study.

Front Neurol. 2025-4-24

本文引用的文献

[1]
A randomised sham-controlled study evaluating rTMS analgesic efficacy for postherpetic neuralgia.

Front Neurosci. 2023-5-11

[2]
Evidence-based consensus guidelines on patient selection and trial stimulation for spinal cord stimulation therapy for chronic non-cancer pain.

Reg Anesth Pain Med. 2023-6

[3]
Deep Brain Stimulation for Chronic Facial Pain: An Individual Participant Data (IPD) Meta-Analysis.

Brain Sci. 2023-3-14

[4]
Advances in Spinal Cord Stimulation.

Bioengineering (Basel). 2023-2-1

[5]
High-Frequency versus Low-Frequency Spinal Cord Stimulation in Treatment of Chronic Limb-Threatening Ischemia: Short-Term Results of a Randomized Trial.

Stereotact Funct Neurosurg. 2023

[6]
Treating Chronic Pain with Deep Brain Stimulation.

Curr Pain Headache Rep. 2023-1

[7]
Is transcranial direct current stimulation beneficial for treating pain, depression, and anxiety symptoms in patients with chronic pain? A systematic review and meta-analysis.

Front Mol Neurosci. 2022-12-1

[8]
Systematic Review and Meta-Analysis of High-Frequency rTMS over the Dorsolateral Prefrontal Cortex .on Chronic Pain and Chronic-Pain-Accompanied Depression.

ACS Chem Neurosci. 2022-9-7

[9]
High-Frequency 10-kHz Spinal Cord Stimulation Improves Health-Related Quality of Life in Patients With Refractory Painful Diabetic Neuropathy: 12-Month Results From a Randomized Controlled Trial.

Mayo Clin Proc Innov Qual Outcomes. 2022-7-1

[10]
Non-invasive Brain Stimulation for Chronic Pain: State of the Art and Future Directions.

Front Mol Neurosci. 2022-5-26

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