Evolving Role for Neurostimulation to Overview Chronic Spinal Pain Revisiting Diagnostic Categories and Exploring

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Evolving Role for Neurostimulation to Overview Chronic Spinal Pain Revisiting Diagnostic Categories and Exploring

Chronic pain conditions, which affect the axial back and radiate to the extremities, affect a large population. The results in pronounced disability and a high socioeconomic burden. The understanding of the underlying mechanisms of chronic pain was limited.

To prevent a comprehensive diagnostic approach the evidence from high-level clinical trials supporting treatments for chronic spinal pain is also insufficient. Literature searched through PubMed searches or already known to the author. The research was reviewed and summarised, indicating the strength of evidence available for many treatment modalities. A very few studies published that evaluated behavioural moderations for chronic spinal pain, one long-term study assessed chronic pharmacological treatments. The data suggest an unacceptably high failure rate on the success of spinal surgeries to relieve chronic spinal pain. The best evidence (Level I) currently available indicates that spinal cord stimulation is a safe, efficient, and durable treatment for chronic spinal pain. Recent clinical data support further investigation of innovations and earlier therapeutic consideration of currently employed approaches. Now, physicians are limited in the practice of evidence-based medicine regarding chronic spinal pain treatments due to both the lack of data available and an inconsistent diagnostic nomenclature. The introduction of new neurostimulation modalities found promising but requires better characterisation.

Source:

Spine (Phila Pa 1976). 2017 Jul 15;42 Suppl 14:S35-S40

Link to the source

https://www.ncbi.nlm.nih.gov/pubmed/28441315

Original title of the article:

An Overview of Chronic Spinal Pain: Revisiting Diagnostic Categories and Exploring an Evolving Role for Neurostimulation

Authors:

Sharan A. et. al.

SearchTags: 
Exploratory, Pain, Spinal, Chronic, Meta-analysis, Efficacy, Safety
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