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15 papers 0 to 25 followers Transcranial magnetic stimulation for chronic pain
By N B
Federico Balagué, Anne F Mannion, Ferran Pellisé, Christine Cedraschi
Non-specific low back pain has become a major public health problem worldwide. The lifetime prevalence of low back pain is reported to be as high as 84%, and the prevalence of chronic low back pain is about 23%, with 11-12% of the population being disabled by low back pain. Mechanical factors, such as lifting and carrying, probably do not have a major pathogenic role, but genetic constitution is important. History taking and clinical examination are included in most diagnostic guidelines, but the use of clinical imaging for diagnosis should be restricted...
February 4, 2012: Lancet
Yu Jin, Guoqiang Xing, Guangming Li, Anguo Wang, Shenggang Feng, Qing Tang, Xiang Liao, Zhiwei Guo, Morgan A McClure, Qiwen Mu
BACKGROUND: Increasing evidence supports an analgesic effect of repetitive transcranial magnetic stimulation (rTMS) for neuropathic pain (NP). However, the optimal parameters of rTMS (stimulation frequency and treatment sessions) for achieving long-term analgesic effects remain unknown. This study analyzed the current findings in the literature. OBJECTIVE: The aim of this study was to assess the optimal parameters of rTMS for NP, including the rTMS sessions needed for inducing acute as well as long-term analgesic effects...
November 2015: Pain Physician
Ricardo Galhardoni, Guilherme S Correia, Haniel Araujo, Lin T Yeng, Diego T Fernandes, Helena H Kaziyama, Marco A Marcolin, Didier Bouhassira, Manoel Jacobsen Teixeira, Daniel Ciampi de Andrade
OBJECTIVE: To review the literature on the analgesic effects of repetitive transcranial magnetic stimulation (rTMS) in chronic pain according to different pain syndromes and stimulation parameters. DATA SOURCES: Publications on rTMS and chronic pain were searched in PubMed and Google Scholar using the following key words: chronic pain, analgesia, transcranial magnetic stimulation, neuropathic pain, fibromyalgia, and complex regional pain syndrome. STUDY SELECTION: This review only included double-blind, controlled studies with >10 participants in each arm that were published from 1996 to 2014 and written in English...
April 2015: Archives of Physical Medicine and Rehabilitation
Nicole A Young, Mayur Sharma, Milind Deogaonkar
Current data suggest that transcranial magnetic stimulation (TMS) has the potential to be an effective and complimentary treatment modality for patients with chronic neuropathic pain syndromes. The success of TMS for pain relief depends on the parameters of the stimulation delivered, the location of neural target, and duration of treatment. TMS can be used to excite or inhibit underlying neural tissue that depends on long-term potentiation and long-term depression, respectively. Long-term randomized controlled studies are warranted to establish the efficacy of repetitive TMS in patients with various chronic pain syndromes...
October 2014: Neurosurgery Clinics of North America
E M Khedr, H I Kotb, M G Mostafa, M F Mohamad, S A Amr, M A Ahmed, A A Karim, S M M Kamal
BACKGROUND: Significant analgesic effects of repetitive transcranial magnetic stimulation (rTMS) have been found in several studies of patients with chronic pain of various origins, but never for malignancy. The objective of this study was to assess the efficacy of 10 sessions of rTMS over the primary motor cortex (M1) in patients suffering from malignant neuropathic pain. METHODS: Thirty-four patients were randomly allocated into one of two groups to receive real (20 Hz, 10 s, 10 trains with 80% intensity) or sham rTMS daily for 10 consecutive days...
April 2015: European Journal of Pain: EJP
Ewa Papuć, Konrad Rejdak
The treatment of chronic pain syndromes may include pharmacological, physiotherapeutic, and invasive methods. Considerable number of patients do not achieve sufficient pain relief with pharmacotherapy, in these patients with neuropathic pain, electrical neurostimulation may be applied. The available neurostimulation techniques which may be offered to the patients are: transcutaneous electrical nerve stimulation (TENS), peripheral nerve stimulation (PNS), nerve root stimulation (NRS), spinal cord stimulation (SCS), deep brain stimulation (DBS), epidural motor cortex stimulation (MCS), and repetitive transcranial magnetic stimulation (rTMS)...
2013: Annals of Agricultural and Environmental Medicine: AAEM
David H Avery, Paul Zarkowski, Daniel Krashin, Wang-Ku Rho, Chandra Wajdik, Jutta M Joesch, David R Haynor, Dedra Buchwald, Peter Roy-Byrne
OBJECTIVE: Our objective was to assess transcranial magnetic stimulation (TMS) in the treatment of chronic widespread pain. METHODS: Nineteen participants were randomized into 2 groups: one group receiving active TMS (n = 7) and another group receiving sham stimulation (n = 11) applied to the left dorsolateral prefrontal cortex. During sham stimulation, subjects heard a sound similar to the sound heard by those receiving the active treatment and received an active electrical stimulus to the scalp...
March 2015: Journal of ECT
Bilge Yılmaz, Serdar Kesikburun, Evren Yaşar, Arif Kenan Tan
OBJECTIVE: To investigate the analgesic effect of repetitive transcranial magnetic stimulation (rTMS) on intractable neuropathic pain in patients with spinal cord injury (SCI). DESIGN: A single center, prospective, randomized, double-blinded, controlled study. SETTING: SCI rehabilitation unit of university rehabilitation center. PARTICIPANTS: Seventeen patients with SCI and chronic neuropathic pain who met the inclusion criteria recruited between April 2010 and January 2012...
July 2014: Journal of Spinal Cord Medicine
Cheng-Ta Li, Tung-Ping Su, Jen-Chuen Hsieh, Shung-Tai Ho
Chronic pain is a common issue worldwide and remains a big challenge to physicians, particularly when the underlying causes do not meet any specific disease for settlement. Such medically unexplained somatic symptoms of pain that lack an integrated diagnosis in medicine have a high psychiatric comorbidity such as depression, and will require a multidisciplinary treatment strategy for a better outcome. Thus, most patients deserted management in spite of being inadequately treated and even presented with high resistance to analgesic drugs...
June 2013: Acta Anaesthesiologica Taiwanica: Official Journal of the Taiwan Society of Anesthesiologists
Dominique Pérocheau, Françoise Laroche, Serge Perrot
Transcranial magnetic stimulation (TMS) is a non-invasive method for activating specific areas of the brain. There are two variants, repetitive TMS (rTMS) and direct TMS. Rapid changes in an electrical current induce a magnetic field, which in turn induces an electrical current in a nearby conductor. When a coil is positioned over the brain, rTMS delivers very brief and painless magnetic pulses to the brain. Initially, rTMS was developed as a treatment for depression. Since then, potential indications have been extended to the treatment of chronic pain, most notably in patients with rheumatic diseases...
January 2014: Joint, Bone, Spine: Revue du Rhumatisme
Fanny Jetté, Isabelle Côté, Hadj Boumediene Meziane, Catherine Mercier
BACKGROUND: Neuropathic pain often follows spinal cord injury (SCI). OBJECTIVE: To compare the effect of repetitive transcranial magnetic stimulation (rTMS) applied over different motor cortex targets (hand vs leg area) versus sham stimulation on neuropathic pain and local neurophysiological changes in patients with SCI. METHODS: A total of 16 patients with complete or incomplete motor SCI and chronic neuropathic pain participated in a double-blind, cross-over randomized study...
September 2013: Neurorehabilitation and Neural Repair
Julien Nizard, Sylvie Raoul, Jean-Paul Nguyen, Jean-Pascal Lefaucheur
Invasive neurostimulation therapies may be proposed to patients with neuropathic pain refractory to conventional medical management, in order to improve pain relief, functional capacity, and quality of life. In this review, the respective mechanisms of action and efficacy of peripheral nerve stimulation (PNS), nerve root stimulation (NRS), spinal cord stimulation (SCS), deep brain stimulation (DBS), and motor cortex stimulation (MCS) are discussed. PNS appears to be useful in various refractory neuropathic pain indications (as long as there is some preservation of sensation in the painful area), such as intractable chronic headache, pelvic and perineal pain, and low back pain, but evidence for its efficacy is not strongly conclusive, and large-scale randomized controlled studies are necessary to confirm the efficacy in the long term...
October 2012: Discovery Medicine
Julien Nizard, Jean-Pascal Lefaucheur, Marion Helbert, Edwige de Chauvigny, Jean-Paul Nguyen
Drug-refractory pain is an indication for neurostimulation therapy, which can be either non-invasive [mainly transcutaneous electrical nerve stimulation (TENS), repetitive Transcranial Magnetic Stimulation (rTMS), and transcranial direct current stimulation (tDCS)] or invasive which requires the intervention of a surgeon to implant electrodes and a pulse generator [peripheral nerve stimulation (PNS), nerve root stimulation (NRS), spinal cord stimulation (SCS), deep brain stimulation (DBS), and motor cortex stimulation (MCS)]...
July 2012: Discovery Medicine
Mohamed A Ahmed, Sahar A Mohamed, Douaa Sayed
OBJECTIVES: To assess the long-term analgesic effect of repetitive transcranial stimulation (rTMS) on chronic phantom pain using high frequency stimulation and to measure the serum beta-endorphin level pre- and post-rTMS. MATERIAL AND METHODS: The study included 27 patients with unilateral amputation; all patients had chronic phantom pain. The patients were classified into two groups. Seventeen patients received 10 minutes real rTMS over the hand area of motor cortex (20 Hz, 10 second trains, intensity 80% of motor threshold) every day for five consecutive days and 10 patients received sham stimulation...
November 2011: Neurological Research
E Baron Short, Jeffrey J Borckardt, Berry S Anderson, Heather Frohman, William Beam, Scott T Reeves, Mark S George
Transcranial magnetic stimulation (TMS) of the prefrontal cortex can cause changes in acute pain perception. Several weeks of daily left prefrontal TMS has been shown to treat depression. We recruited 20 patients with fibromyalgia, defined by American College of Rheumatology criteria, and randomized them to receive 4000 pulses at 10 Hz TMS (n=10), or sham TMS (n=10) treatment for 10 sessions over 2 weeks along with their standard medications, which were fixed and stable for at least 4 weeks before starting sessions...
November 2011: Pain
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