RESUMEN
Chronic pain is consistently listed as one of the most costly and disabling health problems worldwide. In an effort to treat these suffering individuals, significant amounts of time and energy have been devoted to discover safe and effective pain relieving treatments. Dorsal root ganglion stimulation is the newest treatment modality to be created for chronic intractable pain. In this manuscript, we review the history and development, published research and safety profile of the Proclaim™ DRG Neurostimulator System (Abbott, TX, USA). At last, we offer our outlook on future developments with dorsal root ganglion stimulation.
Asunto(s)
Dolor Crónico/terapia , Síndromes de Dolor Regional Complejo/terapia , Terapia por Estimulación Eléctrica , Diseño de Equipo , Ganglios Espinales , Neuroestimuladores Implantables , Dolor Intratable/terapia , Pie/inervación , Pie/fisiopatología , Ingle/inervación , Ingle/fisiopatología , Humanos , Rodilla/inervación , Rodilla/fisiopatologíaRESUMEN
OBJECTIVES: To assess the effect of peripheral nerve stimulation on neuropathic testicular pain. MATERIAL AND METHODS: A 30-year-old man with a four-year history of chronic testicular pain following scrotal hydrocele surgery had two percutaneous leads implanted in his groin and low-frequency stimulation of the cutaneous branch of the ilioinguinal and genital branch of the genitofemoral nerves. RESULT: At seven-month follow-up, the pain intensity had declined from 9/10 to 2/10 on the numeric rating scale. CONCLUSION: We report the successful implantation of an ilioinguinal and genitofemoral nerve stimulator for sustained suppression of intractable neuropathic testicular pain.
Asunto(s)
Dolor Postoperatorio/terapia , Nervios Periféricos/fisiología , Enfermedades Testiculares/terapia , Estimulación Eléctrica Transcutánea del Nervio/métodos , Adulto , Dolor Crónico , Estudios de Seguimiento , Ingle/inervación , Humanos , Conducto Inguinal/inervación , Masculino , Dolor Postoperatorio/complicaciones , Enfermedades Testiculares/complicacionesRESUMEN
BACKGROUND: Chronic groin and scrotal pain is a common entity plaguing a significant population of young athletic individuals. Aside from urologic and visceral etiologies, there is a vast array of underlying musculoskeletal and spinal abnormalities that may be found in these individuals. FINDINGS: Presented is a patient found to have chronic, spine-related groin and scrotal pain diagnosed with lower lumbar discogenic disease by physical examination findings, imaging studies and multi-level chronic radiculopathy by electrodiagnostic studies who was treated with twitch-obtaining intramuscular stimulation (TOIMS). Symptoms of groin and scrotal pain abated with therapy. CONCLUSION: Twitch-obtaining intramuscular stimulation has a promising role in the treatment of groin and scrotal pain of radiculopathic origin.