Spinal Cord Stimulation for Pain Treatment After Spinal Cord Injury.
Analgesia
Neuromodulation
Pain
Spinal cord injury
Spinal cord stimulation
Trauma
Journal
Neuroscience bulletin
ISSN: 1995-8218
Titre abrégé: Neurosci Bull
Pays: Singapore
ID NLM: 101256850
Informations de publication
Date de publication:
Jun 2019
Jun 2019
Historique:
received:
12
07
2018
accepted:
11
08
2018
pubmed:
19
12
2018
medline:
27
6
2019
entrez:
19
12
2018
Statut:
ppublish
Résumé
In addition to restoration of bladder, bowel, and motor functions, alleviating the accompanying debilitating pain is equally important for improving the quality of life of patients with spinal cord injury (SCI). Currently, however, the treatment of chronic pain after SCI remains a largely unmet need. Electrical spinal cord stimulation (SCS) has been used to manage a variety of chronic pain conditions that are refractory to pharmacotherapy. Yet, its efficacy, benefit profiles, and mechanisms of action in SCI pain remain elusive, due to limited research, methodological weaknesses in previous clinical studies, and a lack of mechanistic exploration of SCS for SCI pain control. We aim to review recent studies and outline the therapeutic potential of different SCS paradigms for traumatic SCI pain. We begin with an overview of its manifestations, classification, potential underlying etiology, and current challenges for its treatment. The clinical evidence for using SCS in SCI pain is then reviewed. Finally, future perspectives of pre-clinical research and clinical study of SCS for SCI pain treatment are discussed.
Identifiants
pubmed: 30560438
doi: 10.1007/s12264-018-0320-9
pii: 10.1007/s12264-018-0320-9
pmc: PMC6527651
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
527-539Subventions
Organisme : NCCIH NIH HHS
ID : R01 AT009401
Pays : United States
Organisme : NINDS NIH HHS
ID : R01 NS070814
Pays : United States
Organisme : NINDS NIH HHS
ID : R21 NS099879
Pays : United States
Organisme : NIGMS NIH HHS
ID : T32 GM075774
Pays : United States
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