Leading the ‘Neuromodulation Revolution – 12/12/2016 – by Bob Kronemyer
Recent advances in neuromodulation and other innovative technologies have created viable alternatives to opioids for chronic pain, according to experts at a recent panel discussion.
Dr. Slavin said it is a myth that corrective spinal surgery can resolve long-term opioid use.
“In fact, there is plenty of literature that shows that people who
use opioids have pain prior to spine surgery most likely will continue to use opioids have pain after surgery and that chronic opioid use pain significantly worsens surgical outcomes,” he said.
I had to correct the paragraph above because it confuses “using opioids” with “having pain”. This confusion is widespread and confounds all opioids studies these days. Continue reading
Understanding Electromagnetic Treatments – Practical Pain Management | November 30, 2011
With so much emphasis on using alternative medicine instead of opioids, this is a treatment without chemical side effects that holds some promise, at least for the few who
- have the kind of pain these treatments can relieve.
- have insurance that covers a sufficient number of treatments and who
Below is a thorough article by Dr. Forest Tennant, explaining how electricity flows through our bodies and how electromagnetic treatments affect it.
His theory is that pain causes electricity to pool instead of flowing freely, thus initiating a cycle of increasing tissue damage, pain, and impairment. This is a long and detailed explanation of electromagnetic forces and how they relate to pain from damaged nerves:
“A fundamental to understanding electromagnetic measures is the pooling of electric charges around damaged nerves.”
Scrambler Therapy Found Promising in Pilot Study – Pain Medicine News – Aug 2016
Various forms of neuropathic pain were significantly reduced by applying scrambler therapy, according to the results of a pilot study presented at the 2016 annual scientific meeting of the American Pain Society.
“With my years of experience in pain management, I realize there is no magic bullet,” said principal investigator Ricardo Cruciani, MD, PhD, professor and chair in the Department of Neurology
Scrambler therapy (also known as Calmare Pain Therapy Treatment [Calmare Therapeutics]) is noninvasive, using electrostimulation to block the transmission of pain signals to nerve fibers. Continue reading
Advances in Cranial Electrotherapy Stimulation – Nov 2011
Cranial electrotherapy stimulation (CES) is the use of low-level microcurrent applied through the head to the brain for medical and psychiatric/psychological purposes.
Although CES is primarily used for the management of anxiety, insomnia, and depression, there is a growing body of evidence that suggests that it will play a role in pain management over the coming decades.
Indeed, in a recent report from the office of the army surgeon general, CES was included as a complementary and alternative (CAM) tier II modality. Continue reading
Vagus Nerve Stimulation, Fibromyalgia and Chronic Fatigue Syndrome (ME/CFS) – Health Rising
This overview article gives a good explanation of the functions of the vagus nerve and how it could affect chronic illness and pain.
Vagus nerve stimulation is one of the most promising chronic pain interventions under development today.
An earlier blog on Health Rising featured an astonishing story of a woman whose very severe fibromyalgia was largely ameliorated by a vagus nerve stimulator implant.
a recent three part review did an overview of our understanding of what the vagus nerve does, how vagus nerve stimulation works and how it effective it is. Continue reading
Vagus Nerve Stimulation Dramatically Reduces Inflammation | Psychology Today | Christopher Bergland / The Athlete’s Way | June 2016
Inflammatory responses play a central role in the development and persistence of many diseases and can lead to debilitating chronic pain.
In many cases, inflammation is your body’s response to stress.
Therefore, reducing “fight-or-flight” responses in the nervous system and lowering biological markers for stress can also reduce inflammation.
there’s growing evidence that another way to combat inflammation is by engaging the vagus nerve and improving “vagal tone.” Continue reading
A Novel Mini-invasive Approach to the Treatment of Neuropathic Pain: The PENS Study – January 2016
BACKGROUND: Peripheral neuromodulation is often used as chronic neuropathic pain treatment.
Percutaneous electrical nerve stimulation (PENS) is generally utilized with several probes at the same time and repeated treatments.
OBJECTIVES: Evaluate the short- and long-term efficacy of a single probe and single shot PENS approach. Continue reading
Stimulation of deep brain structure may ease chronic pain – Medical News Today | April 2016
The new study shows how electrical stimulation of the ventral tegmental area – a deep brain structure underneath the cortex that is normally associated with reward and drug abuse – may treat pain by addressing pathways that affect both the sensation and the perception of pain.
The technique, which uses a wireless device to deliver the electrical stimulation, also triggers the release of dopamine, which may help reduce the distress that often accompanies long-term pain, say the researchers. Continue reading
Occipital Nerve Stimulation: Background, Indications, Contraindications
Occipital nerve stimulation (ONS) is a form of neuromodulation therapy aimed at treating headache and craniofacial pain
This therapy involves an implantable device composed of an electrode and pulse generator.
The lead is placed into the subcutaneous tissues innervated by the greater and lesser occipital nerves, and the pulse generator is implanted into a subcutaneous pocket in the chest, abdomen, or back.
This type of therapy has been evolving as a treatment for intractable occipital headache syndromes since the first implant in 1993, and the data to support its use are robust. Continue reading
A Case for Spinal Cord Stimulation Therapy—Don’t Delay | November 21, 2013 | http://www.practicalpainmanagement.com
SCS has become an attractive addition to the pain management armamentarium because of its unique blend of efficacy supported by Level I evidence, cost-effectiveness, and minimally invasive implantation technique. Moreover, its effects are completely reversible.
SCS involves placement of one or more lead(s), consisting of a longitudinal array of contacts (electrodes), into the dorsal epidural space using either a percutaneous technique or through a small laminotomy.
The leads are powered by a battery (implantable pulse generator [IPG]), which delivers pulsed electrical energy. This electrical stimulation produces analgesia by inhibiting nociceptive transmission. Continue reading