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Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report
Systemic sclerosis is a complex disease characterized by extensive fibrosis, microvascular alterations, and additional sequelae. Microvascular alterations can cause painful ulcers and necrosis; however, conservative or surgical treatment is often challenging in terms of healing. The study aimed to d...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Fukushima Society of Medical Science
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9071355/ https://www.ncbi.nlm.nih.gov/pubmed/35228457 http://dx.doi.org/10.5387/fms.2021-33 |
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author | Ito, Hiroyuki Tanei, Takafumi Sugawara, Kyoko Sando, Yu Hori, Naohiro |
author_facet | Ito, Hiroyuki Tanei, Takafumi Sugawara, Kyoko Sando, Yu Hori, Naohiro |
author_sort | Ito, Hiroyuki |
collection | PubMed |
description | Systemic sclerosis is a complex disease characterized by extensive fibrosis, microvascular alterations, and additional sequelae. Microvascular alterations can cause painful ulcers and necrosis; however, conservative or surgical treatment is often challenging in terms of healing. The study aimed to describe a toe ulcer with systemic sclerosis and its’ successful treatment with spinal cord stimulation. An 83-year-old woman, who was diagnosed with systemic sclerosis over the past decade, was distressed by a non-healing toe ulcer for an extended period of time. The patient underwent spinal cord stimulation treatment with the expectation of pain relief and an improvement in microcirculatory insufficiency. Her pain scales and microcirculation improved, and the toe ulcer healed. Furthermore, the frequency of Raynaud’s symptoms was reduced, and the patient’s pain decreased. There was no recurrence of the ulcer and she no longer needed a cane for walking. |
format | Online Article Text |
id | pubmed-9071355 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | The Fukushima Society of Medical Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-90713552022-05-17 Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report Ito, Hiroyuki Tanei, Takafumi Sugawara, Kyoko Sando, Yu Hori, Naohiro Fukushima J Med Sci Case Report Systemic sclerosis is a complex disease characterized by extensive fibrosis, microvascular alterations, and additional sequelae. Microvascular alterations can cause painful ulcers and necrosis; however, conservative or surgical treatment is often challenging in terms of healing. The study aimed to describe a toe ulcer with systemic sclerosis and its’ successful treatment with spinal cord stimulation. An 83-year-old woman, who was diagnosed with systemic sclerosis over the past decade, was distressed by a non-healing toe ulcer for an extended period of time. The patient underwent spinal cord stimulation treatment with the expectation of pain relief and an improvement in microcirculatory insufficiency. Her pain scales and microcirculation improved, and the toe ulcer healed. Furthermore, the frequency of Raynaud’s symptoms was reduced, and the patient’s pain decreased. There was no recurrence of the ulcer and she no longer needed a cane for walking. The Fukushima Society of Medical Science 2022-02-25 2022 /pmc/articles/PMC9071355/ /pubmed/35228457 http://dx.doi.org/10.5387/fms.2021-33 Text en © 2022 The Fukushima Society of Medical Science https://creativecommons.org/licenses/by-nc-sa/4.0/This article is licensed under a Creative Commons [Attribution-NonCommercial-ShareAlike 4.0 International] license. https://creativecommons.org/licenses/by-nc-sa/4.0/ |
spellingShingle | Case Report Ito, Hiroyuki Tanei, Takafumi Sugawara, Kyoko Sando, Yu Hori, Naohiro Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report |
title | Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report |
title_full | Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report |
title_fullStr | Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report |
title_full_unstemmed | Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report |
title_short | Spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report |
title_sort | spinal cord stimulation for the treatment of pain and toe ulceration associated with systemic sclerosis: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9071355/ https://www.ncbi.nlm.nih.gov/pubmed/35228457 http://dx.doi.org/10.5387/fms.2021-33 |
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