Spinal cord stimulation as a treatment option for complex regional pain syndrome: a narrative review.
Mariana De J OliveiraGeorgios K MatisPublished in: British journal of neurosurgery (2022)
Objectives : This review aims to analyze the last years' experience of applying spinal cord stimulation (SCS) in complex regional pain syndrome (CRPS) patients with persistent or refractory chronic pain. Methods : This is a narrative review which was executed based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and was carried out through the following databases: PUBMED and Cochrane Library. Also, a search for trials in the metaRegister of controlled trials (www.clinicaltrials.gov) was performed. Results : SCS provides pain reduction and improves sensory, vasomotor and sudomotor symptoms. It can reduce opioid using, offering better life quality for the patients. Conclusions : SCS found to be an excellent therapeutic alternative for patients with CRPS. It offers immediate pain relief and allows patients to regain functionality and have a better quality of life.
Keyphrases
- chronic pain
- spinal cord
- end stage renal disease
- pain management
- chronic kidney disease
- ejection fraction
- neuropathic pain
- newly diagnosed
- spinal cord injury
- systematic review
- peritoneal dialysis
- emergency department
- randomized controlled trial
- prognostic factors
- machine learning
- depressive symptoms
- weight loss
- patient reported outcomes
- bariatric surgery
- clinical practice
- big data
- adverse drug