Spinal cord stimulation: Mechanisms of action
A literature review and synthesis were performed. To present the current understanding of the mechanisms of spinal cord stimulation in relation to the physiology of pain. Spinal cord stimulation has been used for more than 30 years in the armamentarium of the interventional pain specialist to treat...
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| Veröffentlicht in: | Spine (Philadelphia, PA. 1976) PA. 1976), 2002-11, Vol.27 (22), p.2574-2583 |
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| container_issue | 22 |
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| container_title | Spine (Philadelphia, PA. 1976) |
| container_volume | 27 |
| creator | OAKLEY, John C PRAGER, Joshua P |
| description | A literature review and synthesis were performed.
To present the current understanding of the mechanisms of spinal cord stimulation in relation to the physiology of pain.
Spinal cord stimulation has been used for more than 30 years in the armamentarium of the interventional pain specialist to treat a variety of pain syndromes. Traditionally used for persisting leg pain after lumbar spinal surgery, it has been applied successfully in the treatment of angina pectoris, ischemic pain in the extremity, complex regional pain syndrome Types 1 and 2, and a variety of other pain states. This review presents the current status of what is known concerning how electrical stimulation of the spinal cord may achieve pain relief.
A literature review was conducted.
The literature supports the theory that the mechanism of spinal cord stimulation cannot be completely explained by one model. It is likely that multiple mechanisms operate sequentially or simultaneously.
Some clinical or experimental support can be found in the literature for 10 specific mechanisms or proposed mechanisms of spinal cord stimulation. |
| doi_str_mv | 10.1097/00007632-200211150-00034 |
| format | Article |
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To present the current understanding of the mechanisms of spinal cord stimulation in relation to the physiology of pain.
Spinal cord stimulation has been used for more than 30 years in the armamentarium of the interventional pain specialist to treat a variety of pain syndromes. Traditionally used for persisting leg pain after lumbar spinal surgery, it has been applied successfully in the treatment of angina pectoris, ischemic pain in the extremity, complex regional pain syndrome Types 1 and 2, and a variety of other pain states. This review presents the current status of what is known concerning how electrical stimulation of the spinal cord may achieve pain relief.
A literature review was conducted.
The literature supports the theory that the mechanism of spinal cord stimulation cannot be completely explained by one model. It is likely that multiple mechanisms operate sequentially or simultaneously.
Some clinical or experimental support can be found in the literature for 10 specific mechanisms or proposed mechanisms of spinal cord stimulation.</description><identifier>ISSN: 0362-2436</identifier><identifier>EISSN: 1528-1159</identifier><identifier>DOI: 10.1097/00007632-200211150-00034</identifier><identifier>PMID: 12435996</identifier><identifier>CODEN: SPINDD</identifier><language>eng</language><publisher>Philadelphia, PA: Lippincott</publisher><subject>Anesthesia ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Animals ; Biological and medical sciences ; Computer Simulation ; Disease Models, Animal ; Electric Stimulation Therapy ; Humans ; Local anesthesia. Pain (treatment) ; Medical sciences ; Models, Neurological ; Pain - etiology ; Pain Management ; Spinal Cord - physiology ; Spinal Cord - physiopathology ; Spinal Cord Diseases - complications ; Spinal Cord Diseases - physiopathology ; Sympathetic Nervous System - physiology ; Treatment Outcome</subject><ispartof>Spine (Philadelphia, PA. 1976), 2002-11, Vol.27 (22), p.2574-2583</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c315t-3445ea22c1ea7d196037acf6ec8440db5076fc700025bc0059dc63e9bbb70c803</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>309,310,314,780,784,789,790,23929,23930,25139,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14414210$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12435996$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>OAKLEY, John C</creatorcontrib><creatorcontrib>PRAGER, Joshua P</creatorcontrib><title>Spinal cord stimulation: Mechanisms of action</title><title>Spine (Philadelphia, PA. 1976)</title><addtitle>Spine (Phila Pa 1976)</addtitle><description>A literature review and synthesis were performed.
To present the current understanding of the mechanisms of spinal cord stimulation in relation to the physiology of pain.
Spinal cord stimulation has been used for more than 30 years in the armamentarium of the interventional pain specialist to treat a variety of pain syndromes. Traditionally used for persisting leg pain after lumbar spinal surgery, it has been applied successfully in the treatment of angina pectoris, ischemic pain in the extremity, complex regional pain syndrome Types 1 and 2, and a variety of other pain states. This review presents the current status of what is known concerning how electrical stimulation of the spinal cord may achieve pain relief.
A literature review was conducted.
The literature supports the theory that the mechanism of spinal cord stimulation cannot be completely explained by one model. It is likely that multiple mechanisms operate sequentially or simultaneously.
Some clinical or experimental support can be found in the literature for 10 specific mechanisms or proposed mechanisms of spinal cord stimulation.</description><subject>Anesthesia</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Computer Simulation</subject><subject>Disease Models, Animal</subject><subject>Electric Stimulation Therapy</subject><subject>Humans</subject><subject>Local anesthesia. Pain (treatment)</subject><subject>Medical sciences</subject><subject>Models, Neurological</subject><subject>Pain - etiology</subject><subject>Pain Management</subject><subject>Spinal Cord - physiology</subject><subject>Spinal Cord - physiopathology</subject><subject>Spinal Cord Diseases - complications</subject><subject>Spinal Cord Diseases - physiopathology</subject><subject>Sympathetic Nervous System - physiology</subject><subject>Treatment Outcome</subject><issn>0362-2436</issn><issn>1528-1159</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkMlOwzAQhi0EoqXwCigXuAXGa2JuqGKTijgAZ8uZOCIoG3Zy4O1xaaBzGenXN4s-QhIKVxR0dg2xMsVZygAYpVRCGhMuDsiSSpanMdGHZAlcRURwtSAnIXxGRHGqj8mCxlBqrZYkfR3qzjYJ9r5Mwli3U2PHuu9ukmeHH7arQxuSvkosbtNTclTZJrizua_I-_3d2_ox3bw8PK1vNylyKseUCyGdZQyps1lJtQKeWayUw1wIKAsZn68wi_8wWSCA1CUq7nRRFBlgDnxFLnd7B99_TS6Mpq0DuqaxneunYDKmdJ6DjGC-A9H3IXhXmcHXrfXfhoLZqjJ_qsy_KvOrKo6ezzemonXlfnB2E4GLGbABbVN522Ed9pwQVDAK_AfgBW9A</recordid><startdate>20021115</startdate><enddate>20021115</enddate><creator>OAKLEY, John C</creator><creator>PRAGER, Joshua P</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20021115</creationdate><title>Spinal cord stimulation: Mechanisms of action</title><author>OAKLEY, John C ; PRAGER, Joshua P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c315t-3445ea22c1ea7d196037acf6ec8440db5076fc700025bc0059dc63e9bbb70c803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Anesthesia</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Computer Simulation</topic><topic>Disease Models, Animal</topic><topic>Electric Stimulation Therapy</topic><topic>Humans</topic><topic>Local anesthesia. Pain (treatment)</topic><topic>Medical sciences</topic><topic>Models, Neurological</topic><topic>Pain - etiology</topic><topic>Pain Management</topic><topic>Spinal Cord - physiology</topic><topic>Spinal Cord - physiopathology</topic><topic>Spinal Cord Diseases - complications</topic><topic>Spinal Cord Diseases - physiopathology</topic><topic>Sympathetic Nervous System - physiology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>OAKLEY, John C</creatorcontrib><creatorcontrib>PRAGER, Joshua P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Spine (Philadelphia, PA. 1976)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>OAKLEY, John C</au><au>PRAGER, Joshua P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spinal cord stimulation: Mechanisms of action</atitle><jtitle>Spine (Philadelphia, PA. 1976)</jtitle><addtitle>Spine (Phila Pa 1976)</addtitle><date>2002-11-15</date><risdate>2002</risdate><volume>27</volume><issue>22</issue><spage>2574</spage><epage>2583</epage><pages>2574-2583</pages><issn>0362-2436</issn><eissn>1528-1159</eissn><coden>SPINDD</coden><abstract>A literature review and synthesis were performed.
To present the current understanding of the mechanisms of spinal cord stimulation in relation to the physiology of pain.
Spinal cord stimulation has been used for more than 30 years in the armamentarium of the interventional pain specialist to treat a variety of pain syndromes. Traditionally used for persisting leg pain after lumbar spinal surgery, it has been applied successfully in the treatment of angina pectoris, ischemic pain in the extremity, complex regional pain syndrome Types 1 and 2, and a variety of other pain states. This review presents the current status of what is known concerning how electrical stimulation of the spinal cord may achieve pain relief.
A literature review was conducted.
The literature supports the theory that the mechanism of spinal cord stimulation cannot be completely explained by one model. It is likely that multiple mechanisms operate sequentially or simultaneously.
Some clinical or experimental support can be found in the literature for 10 specific mechanisms or proposed mechanisms of spinal cord stimulation.</abstract><cop>Philadelphia, PA</cop><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>12435996</pmid><doi>10.1097/00007632-200211150-00034</doi><tpages>10</tpages></addata></record> |
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| identifier | ISSN: 0362-2436 |
| ispartof | Spine (Philadelphia, PA. 1976), 2002-11, Vol.27 (22), p.2574-2583 |
| issn | 0362-2436 1528-1159 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Anesthesia Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Animals Biological and medical sciences Computer Simulation Disease Models, Animal Electric Stimulation Therapy Humans Local anesthesia. Pain (treatment) Medical sciences Models, Neurological Pain - etiology Pain Management Spinal Cord - physiology Spinal Cord - physiopathology Spinal Cord Diseases - complications Spinal Cord Diseases - physiopathology Sympathetic Nervous System - physiology Treatment Outcome |
| title | Spinal cord stimulation: Mechanisms of action |
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