Berthold Kepplinger1,2,3, Pavol Kalina1,2,3 and Halina Baran3*
1Department of Neurology, Neuropsychiatric Hospital, Mauer-Amstetten, Austria 2Pain Center Unit, Neuropsychiatric Hospital, Mauer-Amstetten, Austria 3Karl Landsteiner Research Institute for Neurochemistry, Neuropharmacology, Neurorehabilitation and Pain Treatment Mauer-Amstetten, AustriaFulltext PDF
Epidural Spinal Cord Stimulation (ESCS) is a well-established non-destructive intervention to control human chronic pain conditions. Persisting pain after lumbar disc surgery is one of the most frequent indications to carry out ESCS. This type of pain which mainly is causes due to epidural fibrosis can also be treated by the method of Nerve Root Stimulation (NRS). We used both treatment approaches by patients with chronic radicular pain due to epidural fibrosis after disc surgery. We observed the advantage of the NRS over the ESCS. There is usually a better match between stimulus paresthesia and pain radiation with the NRS and that there is no change in the stimulus paresthesia when the patient changes position, which can play a major role in professional life.
Pain treatment; CT; Chronic radicular pain; NRS; ESCS
Kepplinger B, Kalina P, Baran H. Nerve Root Stimulation as an Alternative to Spinal Cord Stimulation in the Treatment of Chronic Radicular Pain in Human. Ann Clin Case Rep. 2022; 7: 2216..