神经刺激和神经调节对于疼痛的神经:一个叙事审查
Anthony Machi1, Ankur Patel2, Einar Ottestad3
1Stanford University, Stanford, USA. amachi@stanford.edu.
International orthopaedics
|March 20, 2025
概括
电刺激疗法,包括TENS,PENS和PNS,通过调节疼痛信号,为神经病痛提供有效的疼痛缓解. 这些方法提供非侵入性的针对性神经刺激,有利于运动员和慢性疼痛患者.
科学领域:
- 疼痛管理和神经调节
- 神经科学与临床应用
背景情况:
- 神经损伤会导致神经病变性疼痛,潜在的带有nociplastic或nociceptive元素.
- 电刺激对神经病痛是有效的,可能也适用于其他类型的疼痛.
- 门控制理论解释了电刺激通过Aβ纤维激活的镇痛作用.
研究的目的:
- 为了提供一个讲述的概述的皮肤电神经刺激 (TENS),皮肤电神经刺激 (PENS) 和外周神经刺激 (PNS).
- 专注于应用这些电刺激模式用于神经病痛管理,特别是在运动员中.
- 审查TENS,PENS和PNS的机制,指示,算法,并发症和限制.
主要方法:
- 通过皮肤进行电神经刺激 (TENS) 作为一种非侵入性表面电极技术的审查.
- 通过微创针插入进行皮肤电神经刺激 (PENS) 的分析.
- 检查周围神经刺激 (PNS) 涉及植入电极直接神经准.
主要成果:
- TENS,PENS和PNS用于各种疼痛状况,包括慢性肌肉骨和神经病痛.
- TENS提供一种非药物,自我管理的选择;PENS与电针相结合;PNS允许精确的神经向.
- 这些模式应用于用于疼痛管理的诊断和治疗算法.
结论:
- 电刺激疗法 (TENS,PENS,PNS) 是管理神经病痛的宝贵工具.
- 这些方法提供了从非侵入性到高度向的神经刺激的各种方法.
- 一个案例研究表明,使用各种电刺激技术成功解决疼痛.
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