Category Archives: Stimulation

What can One Do For Severe Limb Pain? Epidural Motor Cortex Stimulation

Severe limb pain unresponsive to treatment ends up a surgical problem with spinal or ganglion stimulation becoming more common. A pain pump is an option. Motor cortex stimulation is as well, if pain is localized.  This is technically more difficult … Continue reading

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Will Dorsal Root Ganglion Stimulation Surpass Spinal Stimulation re Pain RX?

Spinal stimulators are often used in resistant pain cases. Where there is a peripheral source like CRPS of knee, a dorsal root ganglion stimulator was much preferred over spinal stimulator

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Persistent Plantar Fasciitis – TENS Like Stimulation of Low Impedance Spots Helps Resolve

Point stimulation has been found helpful in nummular headaches: Small Spot Body Pain Treatment – Pen like Electrical Skin Stimulation This case, involved treatment of persistent plantar fasciitis. Using a point probe (like an acupuncture point locator), Spots of … Continue reading

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Failure Back Surgery Post Laminectomy Pain Treatment- New High Frequency or Burst Mode Spinal Stimulation

Spinal stimulation is primarily for the sciatica -only 1/2 of back pains respond.. This leave a subgroup, with predominately back pain, with a need for options. High 10 Kz frequency stimulation and Burst stimulation are two options.

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Complex Regional Pain Syndrome (CRPS) – Finding Immune Mechanims Offers New Treatments

Finding high levels of  beta2 adrenergic receptor autoantibodies in CRPS cases might explain why steroids, tumour necrosis factor (TNF)-alpha antagonist Adalimumab, IV Immmunoglobulins, and in present article Plasmapheresis can help in selected cases. In present study, these antibody titres fell … Continue reading

Posted in Botox, complex regional pain, Drugs, Injection, IV therapy, neuropathic, Pain Dystrophy, Stimulation | 1 Comment

Cranial Electrical Stimulation (CES) Helps Post Spinal Cord Injury(SCI) Pain

Skin surface CES therapy is usually 2 milliamp therapy with anode over motor cortex strip (C3) (on skin) with a cathode lead on forehead. In SCI patients it resulted in significant pain relief (P<0.03 versus sham). They found the effect … Continue reading

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Several Scoliosis Operations and Still Pain – Spinal Cord Stimulation May Help

I have one gentleman with multiple surgical procedures including fusions and Harrington rod placements who is left with chronic pain. He has to stand up most of the time. I’m presuming there is a pseudoarthrosis at one level but there … Continue reading

Posted in Back Pain, Mechanical aids, Stimulation | 1 Comment

Treatment Plan For Fresh Osteoporotoc Compression Fractures

Now that Kyphoplasty has become widespread, these techniques might be outdated. However, there are cases where you cannot do kyphoplasty, and these techniques would apply – they involve caudal or epidural catheter blocks, intercostal nerve blocks, trigger injections, and  near infrared radiation … Continue reading

Posted in Back Pain, Injection, Mechanical aids, neuropathic, osteoporosis, Stimulation | Leave a comment

Bad Thoracic Back Pain and Desperate? -Early Case of Peripheral Nerve Field Stimulation

Some cases of thoracic back pains can get horrendous – partially because there are pain generators coming form both thoracic spine and neck, and because postural and instability effects are rampant there as well. It seems that measures may only … Continue reading

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Small Spot Body Pain Treatment – Pen like Electrical Skin Stimulation

In the scalp, when there are small spots of severe pain, they call it nummular headache areas – they are remarkably resistant to treatments (botox helps though). Similar painful areas the size of the palm were treated with a 2 … Continue reading

Posted in complex regional pain, Mechanical aids, neuropathic, post herpetic neuralgia, Stimulation | 1 Comment

Spinal Cord Stimulation – Good Control of Post Hernia Pains

15 Cases of intractable chronic post-operative groin pain post hernia surgery had spinal cord stimulation leads implanted. All experience >75% reduction in pain and in some cases back pain was covered some as well.  11 stopped painkillers; the other 4 … Continue reading

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Subcutaneous (Under Skin) Electrical Stimulation For Chronic Back Pain

Back Spinal leads – Spinal cord stimulation (SCS) is useful for leg pains where you can elicit Funny feeling “paresthesias” with implanted leads. Obtaining the same for back pain has been more difficult. In cases where they were unable to … Continue reading

Posted in Back Pain, Stimulation | 1 Comment

Sacral Nerve Root Stimulation Helps Coccygodynia

Sacral Nerve Root Stimulation (SNS) was compared with Peripheral Subcutaneous Field Stimulation (PSFS).  SNS attenuated pain 50 – 60% at low stimulation with good patient satisfaction.

Posted in Back Pain, coccygodynia, Stimulation | 1 Comment