Neuromodulation : journal of the International Neuromodulation Society
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Study Design. This is a prospective study designed to identify psychological factors associated with response to spinal cord stimulation (SCS) trial. Summary of Background Data. ⋯ Conclusions. Patient mood state is an important predictor of trial outcome. Specific indicators of SCS trial outcome are the MMPI depression and mania subscale scores with successful trials being associated with individuals who are less depressed and have higher energy levels.
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Objective. To evaluate the effectiveness of spinal cord stimulation using multiple independent programmable electrode selections compared to simple continuous stimulation. Design. ⋯ Conclusions. Continuous stimulation was not selected by any patient in favor of multi-stimulation or patient-controlled stimulation. This study indicates that in spinal cord stimulation the use of multiple electrodes together with advanced programmability increases paresthesia overlap, reduces pain scores, reduces revision rates, and improves patient satisfaction with spinal cord stimulation therapy.
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Centers for Disease Control (CDC) data indicate that the incidence of tetanus in the United States is highest among the elderly. Conventional therapies for the control of accompanying generalized muscle spasms include large doses of oral or intravenous GABA agonists as antispasticity agents. ⋯ Accordingly, we report the first placement of a permanent implanted infusion pump for this disease. This modality offers advantage for continuous long-term titration of medication for spasms or rigidity control without the systemic sedative effects of conventional therapy.
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Objectives. To test the efficacy and safety of intraspinal opioids for patients with nonmalignant pain. Design. ⋯ Conclusions. Long-term intrathecal opioids are efficacious, practical, and safe for the treatment of nonmalignant pain syndromes. FBSS patients respond similarly to intraspinal analgesia as the patients with neuropathic pain, while the group with mixed pain from other non-FBSS causes respond similarly to the nociceptive pain patients.