transcranial Direct Current Stimulation (tDCS) for the treatment and investigation of Phantom Limb Pain (PLP).
Shahrzad DamercheliMalin RamneMax Ortiz-CatalanPublished in: Psychoradiology (2022)
Phantom limb pain (PLP) is a complex medical condition that is often difficult to treat, and thus can become detrimental to patients' quality of life. No standardized clinical treatments exist and there is no conclusive understanding of the underlying mechanisms causing it. Noninvasive brain stimulation (NIBS) has been used to find correlations between changes in brain activity and various brain conditions, including neurological disease, mental illnesses, and brain disorders. Studies have also shown that NIBS can be effective in alleviating pain. Here, we examined the literature on a particular type of NIBS, known as transcranial direct current stimulation (tDCS), and its application to the treatment of PLP. We first discuss the current hypotheses on the working mechanism of tDCS and then we examine published evidence of its efficacy to treat PLP. We conclude this article by discussing how tDCS alone, and in combination with brain imaging techniques such as electroencephalography (EEG) and magnetic resonance imagining, could be applied to further investigate the mechanisms underlying PLP.
Keyphrases
- transcranial direct current stimulation
- working memory
- resting state
- chronic pain
- white matter
- functional connectivity
- magnetic resonance
- pain management
- neuropathic pain
- cerebral ischemia
- end stage renal disease
- high resolution
- healthcare
- systematic review
- chronic kidney disease
- multiple sclerosis
- newly diagnosed
- spinal cord injury
- mental health
- mass spectrometry
- subarachnoid hemorrhage
- high density