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Scrambler Therapy for Patients With Complex Regional Pain Syndrome: A Case Series
Annie T Wang1, Eric J Wang1, Thomas J Smith2
1Department of Anesthesiology and Pain Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Journal of Palliative Medicine
|July 21, 2023
Summary
Scrambler therapy (ST) offers a novel, noninvasive neuromodulation approach for chronic pain. This study suggests ST may effectively manage complex regional pain syndrome (CRPS) refractory to traditional treatments, improving patient function and quality of life.
Area of Science:
- Neurology
- Pain Medicine
- Biomedical Engineering
Background:
- Complex regional pain syndrome (CRPS) is a chronic, debilitating pain disorder with varied presentations and unclear pathophysiology.
- Current treatments, including pharmacotherapy and interventional procedures, are often insufficient for refractory cases.
- Scrambler therapy (ST) is a noninvasive neuromodulation technique shown to alleviate neuropathic pain by altering pain signaling.
Purpose of the Study:
- To investigate the efficacy of Scrambler therapy (ST) in managing complex regional pain syndrome (CRPS).
- To assess the impact of ST on pain reduction, functional improvement, and quality of life in CRPS patients.
Main Methods:
- Case study of two patients diagnosed with complex regional pain syndrome affecting the right lower extremity.
- Application of Scrambler therapy (ST), a noninvasive neuromodulation technique using cutaneous electrodes.
- Evaluation of patient outcomes, including pain levels, functional capacity, and quality of life post-treatment.
Main Results:
- Both patients experienced significant pain relief following Scrambler therapy.
- Improvements in functional ability and overall quality of life were observed in both cases.
- Scrambler therapy demonstrated potential as a treatment option for refractory CRPS.
Conclusions:
- Scrambler therapy may be a viable noninvasive treatment for complex regional pain syndrome.
- Further research is warranted to establish ST's role in CRPS management.
- ST offers a promising alternative for patients with pain refractory to conventional therapies.

