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

Abstract
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.
AuthorsJoseph T Crapanzano, Lisa M Harrison-Bernard, Mark R Jones, Alan D Kaye, Erich O Richter, Mordeci N Potash
JournalPain physician (Pain Physician) 2017 Jan-Feb Vol. 20 Issue 1 Pg. E177-E182 ISSN: 2150-1149 [Electronic] United States
PMID28072810 (Publication Type: Case Reports, Journal Article)
Topics
  • Chronic Pain (therapy)
  • Complex Regional Pain Syndromes (physiopathology, therapy)
  • Female
  • Humans
  • Middle Aged
  • Neuralgia
  • Pain Management
  • Spinal Cord
  • Spinal Cord Stimulation

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