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A Palliative Care Clinic's Early Experience with Scrambler Therapy
Renato V Samala1, Chirag Patel1, Catherine Pappin1
1The Lois U. and Harry R. Horvitz Palliative Medicine Program, Department of Palliative and Supportive Care, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Journal of Palliative Medicine
|May 19, 2025
Summary
Scrambler therapy (ST) shows potential for chronic neuropathic pain relief, with some patients experiencing reduced pain and opioid use. However, treatment accessibility is limited by cost.
Area of Science:
- Neurology
- Pain Management
- Palliative Care
Background:
- Chronic neuropathic pain presents a significant challenge in palliative care.
- Scrambler therapy (ST) is an emerging non-invasive treatment for neuropathic pain.
- Limited data exists on ST program outcomes in a palliative care setting.
Purpose of the Study:
- To describe a palliative care clinic's Scrambler therapy program.
- To report on referral and treatment outcomes during the initial eight months of the program.
Main Methods:
- Retrospective pilot study design.
- Inclusion of patients with chronic neuropathy in a Midwest U.S. palliative care clinic.
- Data collection included demographics, opioid dosage, and pain levels pre- and post-treatment.
Main Results:
- 78 referrals received; 12 patients completed full treatment.
- Majority of treated patients were male, with a mean age of 59, often presenting with chemotherapy-induced neuropathy and on opioid therapy.
- Seven out of 12 patients reported satisfactory pain reduction; five noted decreased opioid analgesic use.
Conclusions:
- Early outcomes of Scrambler therapy in this palliative care cohort indicate variable patient response.
- The high cost of Scrambler therapy treatment presents a significant barrier to patient access and program scalability.
Keywords:
chemotherapy-induced peripheral neuropathychronic neuropathyneuropathic painpalliative carescrambler therapyMore Related Videos
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