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High Frequency Spinal Cord Stimulation for Complex Regional Pain Syndrome: A Case Report.
Joseph T Crapanzano1, Lisa M Harrison-Bernard2, Mark R Jones3
1Department of Anesthesiology, East Jefferson General Hospital.
Pain Physician
|January 11, 2017
Summary
High-frequency spinal cord stimulation (HF10 SCS) offers new hope for complex regional pain syndrome (CRPS) patients. A case report shows HF10 SCS significantly relieved pain and symptoms in a CRPS patient unresponsive to other treatments.
Area of Science:
- Neurology
- Pain Management
- Medical Devices
Background:
- Complex regional pain syndrome (CRPS) is a severe neuropathic pain condition with limited treatment options.
- Current treatments offer minimal relief for many CRPS patients.
- Spinal cord stimulation (SCS) is an evolving therapy for chronic pain.
Observation:
- A 53-year-old woman with a 7-year history of CRPS in her right knee and thigh experienced significant symptom relief.
- The patient had previously found little relief from other treatments.
- High-frequency 10-kHz (HF10) spinal cord stimulation (SCS) was implanted.
Findings:
- The HF10 SCS device provided over 75% relief from pain, erythema, heat, swelling, and tissue necrosis within one month.
- Pain relief was achieved without the paresthesia typically associated with traditional low-frequency SCS.
- The Nevro Senza HF10 system demonstrated effectiveness in managing severe CRPS symptoms.
Implications:
- HF10 SCS may represent a novel therapeutic option for patients suffering from refractory CRPS.
- This therapy could offer a new pathway for managing chronic neuropathic pain conditions.
- Further research into HF10 SCS for CRPS is warranted.
