Clinical feasibility and changes in chronic intractable pain intensity in patients treated with spinal neurostimulation.
DOI:
https://doi.org/10.47924/neurotarget2017151Keywords:
Quality of life, Neurostimulation, Physical disability, painAbstract
Introduction: Electrical spinal stimulation (ESS) therapy is an important option to treatment of disease that course with chronic pain such as: failed back surgery syndrome, complex regional pain syndrome type 1 and refractory angina. The algiology unit of the “Dr. Arnulfo Arias Madrid” Hospitalary Complex is place of neurostimulation implants procedures in Panama.
Objetive: Determinate the clinical utility and intractable chronic pain intensity in patients who has a neurostimulator implanted on our institution (January 2010-July 2015).
Methods: It was realized a retrospective case series. Sample size was 15 patients to whom were interrogated about the pain intensity scales for VAS, Owestry physical disability questionnaire and fastespiditest quality of life (QOL) test before and after placement of the definitive ESS implant.
Results: There were favorable variations on pain scales by VAS and on physical disability by Owestry test before and after the ESS implant placement. Patients rate their quality of life post-implant (according to fast-espiditest questionnaire) as “bad health state” with moderated pain that requires occasional help on diaries activities. Conclusions: This first study about spinal neurostimulation in patients with chronic pain in Panama shows similar benefits with worldwide investigations on decrese pain scale intensity, less physical disability and better QOL according to worldwide reports benefits on the use of neuromodulation therapy.
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