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10 kHz cervical SCS for chronic neck and upper limb pain: 12 months’ results
OBJECTIVE: Spinal Cord Stimulation (SCS) overlaps painful areas with paresthesia to alleviate pain. Ten kHz High‐Frequency SCS (HF10 cSCS) constitutes a treatment option that can provide pain relief without inducing paresthesia. In this retrospective, open‐label study, we evaluated the efficacy of H...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6856764/ https://www.ncbi.nlm.nih.gov/pubmed/31595717 http://dx.doi.org/10.1002/acn3.50915 |
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author | El Majdoub, Faycal Neudorfer, Clemens Richter, Ronald Schieferdecker, Simon Maarouf, Mohammad |
author_facet | El Majdoub, Faycal Neudorfer, Clemens Richter, Ronald Schieferdecker, Simon Maarouf, Mohammad |
author_sort | El Majdoub, Faycal |
collection | PubMed |
description | OBJECTIVE: Spinal Cord Stimulation (SCS) overlaps painful areas with paresthesia to alleviate pain. Ten kHz High‐Frequency SCS (HF10 cSCS) constitutes a treatment option that can provide pain relief without inducing paresthesia. In this retrospective, open‐label study, we evaluated the efficacy of HF10 cSCS in chronic neck and/or upper limb pain. METHODS: Between May 2015 and August 2017, 24 consecutive patients with neck and/or upper limb pain were treated with HF10 cSCS. The patients’ mean age was 61.4 years (range: 40.1–82.6 years). The mean neck and upper limb pain at baseline was 8.8 (range: 7.0–10) and 7.5 (range: 6.0–9.0) according to the visual analog scale (VAS). Functionality was evaluated using the Oswestry Disability Index (ODI). To assess health‐related psychological impairment, we used the Global Assessment of Functioning questionnaire. RESULTS: Twenty‐three patients responded to treatment. Pain intensity reduced significantly to a mean score of VAS 2.5 (range: 2.0–4.0) for neck and 2.0 (range: 1.0–3.0) for upper limb pain after 6 months. At 12 months, VAS scores for neck and upper limb pain reduced to 2.2 (range: 1.0–3.0) and 1.7 (range: 1.0–3.0), respectively. Mean ODI scores decreased from 31 (range: 21–42) at baseline to 19.9 (range: 8–26) after 12 months. In three patients, infection of the IPG pocket occurred r and 8.7 months after surgery. One patient has had lead migration resulting in a surgical revision. INTERPRETATION: HF10 cSCS therapy has proven to be effective in reducing neck and upper limb pain significantly and increasing functional capacity. These results warrant further studies with larger patient series and longer follow‐ups. |
format | Online Article Text |
id | pubmed-6856764 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-68567642019-12-12 10 kHz cervical SCS for chronic neck and upper limb pain: 12 months’ results El Majdoub, Faycal Neudorfer, Clemens Richter, Ronald Schieferdecker, Simon Maarouf, Mohammad Ann Clin Transl Neurol Research Articles OBJECTIVE: Spinal Cord Stimulation (SCS) overlaps painful areas with paresthesia to alleviate pain. Ten kHz High‐Frequency SCS (HF10 cSCS) constitutes a treatment option that can provide pain relief without inducing paresthesia. In this retrospective, open‐label study, we evaluated the efficacy of HF10 cSCS in chronic neck and/or upper limb pain. METHODS: Between May 2015 and August 2017, 24 consecutive patients with neck and/or upper limb pain were treated with HF10 cSCS. The patients’ mean age was 61.4 years (range: 40.1–82.6 years). The mean neck and upper limb pain at baseline was 8.8 (range: 7.0–10) and 7.5 (range: 6.0–9.0) according to the visual analog scale (VAS). Functionality was evaluated using the Oswestry Disability Index (ODI). To assess health‐related psychological impairment, we used the Global Assessment of Functioning questionnaire. RESULTS: Twenty‐three patients responded to treatment. Pain intensity reduced significantly to a mean score of VAS 2.5 (range: 2.0–4.0) for neck and 2.0 (range: 1.0–3.0) for upper limb pain after 6 months. At 12 months, VAS scores for neck and upper limb pain reduced to 2.2 (range: 1.0–3.0) and 1.7 (range: 1.0–3.0), respectively. Mean ODI scores decreased from 31 (range: 21–42) at baseline to 19.9 (range: 8–26) after 12 months. In three patients, infection of the IPG pocket occurred r and 8.7 months after surgery. One patient has had lead migration resulting in a surgical revision. INTERPRETATION: HF10 cSCS therapy has proven to be effective in reducing neck and upper limb pain significantly and increasing functional capacity. These results warrant further studies with larger patient series and longer follow‐ups. John Wiley and Sons Inc. 2019-10-08 /pmc/articles/PMC6856764/ /pubmed/31595717 http://dx.doi.org/10.1002/acn3.50915 Text en © 2019 The Authors. Annals of Clinical and Translational Neurology published by Wiley Periodicals, Inc on behalf of American Neurological Association. This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Research Articles El Majdoub, Faycal Neudorfer, Clemens Richter, Ronald Schieferdecker, Simon Maarouf, Mohammad 10 kHz cervical SCS for chronic neck and upper limb pain: 12 months’ results |
title | 10 kHz cervical SCS for chronic neck and upper limb pain: 12 months’ results |
title_full | 10 kHz cervical SCS for chronic neck and upper limb pain: 12 months’ results |
title_fullStr | 10 kHz cervical SCS for chronic neck and upper limb pain: 12 months’ results |
title_full_unstemmed | 10 kHz cervical SCS for chronic neck and upper limb pain: 12 months’ results |
title_short | 10 kHz cervical SCS for chronic neck and upper limb pain: 12 months’ results |
title_sort | 10 khz cervical scs for chronic neck and upper limb pain: 12 months’ results |
topic | Research Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6856764/ https://www.ncbi.nlm.nih.gov/pubmed/31595717 http://dx.doi.org/10.1002/acn3.50915 |
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