Neuromodulation of the Dorsal Root Ganglion for Chronic Postsurgical Pain

There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

Abstract

Objective

The objective of this study is to review the available evidence for dorsal root ganglion (DRG) stimulation for the treatment of complex regional pain syndrome type II (CRPS II; peripheral causalgia) associated with chronic neuropathic postsurgical pain (NPP).

Design

Available literature was identified through a search of the US National Library of Medicine’s Medline database, PubMed.gov. References from published articles also were reviewed for relevant citations.

Results

The data published to date support the use of DRG stimulation to treat chronic NPP of the groin, knee, and foot. NPP following procedures such as thoracotomy, hernia surgery, and knee replacement surgery were identified as some of the conditions for which DRG stimulation is likely to be effective.

Conclusion

DRG stimulation is known to be an effective treatment for focal neuropathic pain. Currently, NPP of the foot, groin, and knee all appear to be the conditions with the most clinical experience, backed by a limited but growing body of evidence. However, prospective studies lag behind real-world clinical experience and are needed to confirm these findings.

Related collections

Most cited references 52

Record: found
Abstract: found
Article: not found

Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates.

R Liberman, R Lipschutz, J Steege … (1996)

To determine the prevalence of chronic pelvic pain in U.S. women aged 18-50 years, and to examine its association with health-related quality of life, work productivity, and health care utilization. In April and May 1994, the Gallup Organization telephoned 17,927 U.S. households to identify women aged 18-50 years who experienced chronic pelvic pain, ie, of at least 6 months' duration. Those who reported chronic pelvic pain were surveyed on severity, frequency, and diagnosis; quality of life; work loss and productivity; and health care utilization. Among 5263 eligible women who agreed to participate, 773 (14.7%) reported chronic pelvic pain within the past 3 months. Those who reported chronic pelvic pain had significantly lower mean scores for general health than those who did not (70.5 versus 78.8,P<.05), and 61% of those with chronic pelvic pain reported that the etiology was unknown. Women diagnosed with endometriosis reported the most health distress, pain during or after intercourse, and interference with activities because of pain. Estimated direct medical costs for outpatient visits for chronic pelvic pain for the U.S population of women aged 18-50 years are $881.5 million per year. Among 548 employed respondents, 15% reported time lost from paid work and 45% reported reduced work productivity. Frequently, the cause of chronic pain is undiagnosed, although it affects approximately one in seven U.S. women. Increased awareness of its cost and impact on quality of life should promote increased medical attention to this problem.

0 comments Cited 157 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: found

Is Open Access

Dorsal root ganglion stimulation yielded higher treatment success rate for complex regional pain syndrome and causalgia at 3 and 12 months: a randomized comparative trial

Timothy R Deer, Robert Levy, Jeffery Kramer … (2016)

A comparative effectiveness trial indicates that dorsal root ganglion stimulation provided a higher rate of treatment success with less postural variation in paresthesia intensity compared to spinal cord stimulation.

0 comments Cited 149 times – based on 0 reviews      Review now

Bookmark

Record: found
Abstract: found
Article: not found

Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs.

R Roine, Pekka Paavolainen, Anna-Maija Koivisto … (2007)

Concurrent head-to-head comparisons of healthcare interventions regarding cost-utility are rare. The concept of favorable cost-effectiveness of total hip or knee arthroplasty is thus inadequately verified. In a trial involving several thousand patients from 10 medical specialties, 223 patients who were enrolled for hip or knee replacement surgery were asked to fill in the 15D health-related quality of life (HRQoL) survey before and after operation. Mean (SD) HRQoL score (on a 0-1 scale) increased in primary hip replacement patients (n = 96) from 0.81 (0.084) preoperatively to 0.86 (0.12) at 12 months (p < 0.001). In revision hip replacement (n = 24) the corresponding scores were 0.81 (0.086) and 0.82 (0.097) respectively (p = 0.4), and in knee replacement (n = 103) the scores were 0.81 (0.093) and 0.84 (0.11) respectively (p < 0.001). Of 15 health dimensions, there were statistically significant improvements in moving, usual activities, discomfort and symptoms, distress, and vitality in both primary replacement groups. Mean cost per quality-adjusted life year (QALY) gained during a 1-year period was euro 6,710 for primary hip replacement, euro 52,274 for revision hip replacement, and euro 13,995 for primary knee replacement. Hip and knee replacement both improve HRQoL. The cost per QALY gained from knee replacement is twice that gained from hip replacement.

0 comments Cited 98 times – based on 0 reviews      Review now

Bookmark

All references

Author and article information

Journal

Journal ID (nlm-ta): Pain Med

Journal ID (iso-abbrev): Pain Med

Journal ID (publisher-id): painmedicine

Title: Pain Medicine: The Official Journal of the American Academy of Pain Medicine

Publisher: Oxford University Press

ISSN (Print): 1526-2375

ISSN (Electronic): 1526-4637

Publication date (Print): June 2019

Publication date (Electronic): 01 June 2019

Publication date PMC-release: 01 June 2019

Volume: 20

Issue: Suppl 1 , Neuromodulation of the Spine and Nervous System

Pages: S41-S46

Affiliations

[1 ] University of Florida College of Medicine, Gainesville, Florida, USA

[2 ] Krankenhaus Neuwerk “Maria von den Aposteln,” Mönchengladbach, Germany

[3 ] Louisiana Pain Specialists, New Orleans, Louisiana, USA

[4 ] Metro Pain Group, Victoria, Australia

[5 ] Ainsworth Institute of Pain Management, New York, New York

[6 ] Institute for Neuromodulation, Boca Raton, Florida, USA

Author notes

Correspondence to: Ajay Antony, MD, University of Florida College of Medicine, 306 NE 7th Ave, Gainesville, FL 32601, USA. Tel: 352-219-1346; Fax: 352-627-4668; E-mail: aantony@ 123456anest.ufl.edu .

Article

Publisher ID: pnz072

DOI: 10.1093/pm/pnz072

PMC ID: 6733040

PubMed ID: 31152174

SO-VID: 39eea04c-816c-4fb3-a666-ec204216b028

License:

This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.

History

Page count

Pages: 8

Funding

Funded by: Abbott 10.13039/100001316

Comments

Comment on this article

scite_

Cited by 6

See all cited by

Most referenced authors 545

See all reference authors

Neuromodulation of the Dorsal Root Ganglion for Chronic Postsurgical Pain

Read this article at

Abstract

Objective

Design

Results

Conclusion

Related collections

Irish Journal of Paramedicine

Most cited references 52

Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates.

Dorsal root ganglion stimulation yielded higher treatment success rate for complex regional pain syndrome and causalgia at 3 and 12 months: a randomized comparative trial

Effectiveness of hip or knee replacement surgery in terms of quality-adjusted life years and costs.

Author and article information

Journal

Affiliations

Author notes

Article

History

Page count

Funding

Categories

Comments

Comment on this article

Similar content 555

Cited by 6

Most referenced authors 545