High Frequency Spinal Cord Stimulation for Complex Regional Pain Syndrome: A Case Report

Complex regional pain syndrome (CRPS) is a chronic, debilitating, neuropathic pain condition which is often misdiagnosed, difficult to manage, and lacks proven methods for remission. Most available methods provide some relief to a small percentage of patients. Recent FDA approval and superiority of...

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Bibliographic Details
Published in:Pain physician 2017-01, Vol.20 (1), p.E177-E182
Main Authors: Crapanzano, Joseph T, Harrison-Bernard, Lisa M, Jones, Mark R, Kaye, Alan D, Richter, Erich O, Potash, Mordeci N
Format: Article
Language:English
Subjects:
Case reports
Chronic Pain - therapy
Complex Regional Pain Syndromes - physiopathology
Complex Regional Pain Syndromes - therapy
Electric stimulation therapy
FDA approval
Female
Humans
Middle Aged
Neuralgia
Pain
Pain Management
Spinal Cord
Spinal Cord Stimulation
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Summary:Complex regional pain syndrome (CRPS) is a chronic, debilitating, neuropathic pain condition which is often misdiagnosed, difficult to manage, and lacks proven methods for remission. Most available methods provide some relief to a small percentage of patients. Recent FDA approval and superiority of the Nevro Senza 10-kHz high frequency (HF10) spinal cord stimulation (SCS) therapy over traditional low-frequency spinal cord stimulation for treatment of chronic back and leg pain may provide a new interventional therapeutic option for patients suffering from CRPS. We provide a case report of a 53-year-old Caucasian woman who suffered with CRPS in the right knee and thigh for over 7 years. Implantation of the HF10 device provided over 75% relief of pain, erythema, heat, swelling, and tissue necrosis to the entire region within 1 month of treatment. Because the HP10 therapy provides pain relief without paresthesia typical of traditional low-frequency, this system may provide relief for patients suffering from chronic pain.Key words: Complex regional pain syndrome, spinal cord stimulation, Nevro Senza HF10, erythema, knee, thigh.
ISSN:1533-3159
2150-1149