Spinal cord stimulation does not change peripheral skin blood flow in patients with neuropathic pain

Summary Background and objective: Spinal cord stimulation has been used successfully for many years in the management of neuropathic pain. Nociceptive pathways are closely integrated into many autonomic reflexes. The aim was to test the hypothesis that pain relief caused by spinal cord stimulation i...

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Veröffentlicht in:European journal of anaesthesiology 2003-09, Vol.20 (9), p.736-739
Hauptverfasser: Ather, M., Di Vadi, P., Light, D., Wedley, J. R., Hamann, W. C.
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container_end_page 739
container_issue 9
container_start_page 736
container_title European journal of anaesthesiology
container_volume 20
creator Ather, M.
Di Vadi, P.
Light, D.
Wedley, J. R.
Hamann, W. C.
description Summary Background and objective: Spinal cord stimulation has been used successfully for many years in the management of neuropathic pain. Nociceptive pathways are closely integrated into many autonomic reflexes. The aim was to test the hypothesis that pain relief caused by spinal cord stimulation is related to changes in peripheral skin blood flow. Methods: Twelve patients with spinal cord stimulators implanted as a treatment for neuropathic pain were entered into the study. Laser Doppler perfusion scanning was used as a direct method for selective measurement of changes in skin (peripheral) blood flow. Measurements were taken before and after the onset of spinal cord stimulation over the site of its sensory projection. The degree of pain relief due to spinal cord stimulation and the skin temperature of each patient were also recorded. Results: Apart from one patient, spinal cord stimulation did not change skin blood flow in a statistically significant manner. Conclusions: Pain relief due to spinal cord stimulation is not related to changes of skin blood flow.
doi_str_mv 10.1017/S0265021503001194
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R.</creatorcontrib><creatorcontrib>Hamann, W. C.</creatorcontrib><title>Spinal cord stimulation does not change peripheral skin blood flow in patients with neuropathic pain</title><title>European journal of anaesthesiology</title><addtitle>Eur J Anaesthesiol</addtitle><description>Summary Background and objective: Spinal cord stimulation has been used successfully for many years in the management of neuropathic pain. Nociceptive pathways are closely integrated into many autonomic reflexes. The aim was to test the hypothesis that pain relief caused by spinal cord stimulation is related to changes in peripheral skin blood flow. Methods: Twelve patients with spinal cord stimulators implanted as a treatment for neuropathic pain were entered into the study. Laser Doppler perfusion scanning was used as a direct method for selective measurement of changes in skin (peripheral) blood flow. Measurements were taken before and after the onset of spinal cord stimulation over the site of its sensory projection. The degree of pain relief due to spinal cord stimulation and the skin temperature of each patient were also recorded. Results: Apart from one patient, spinal cord stimulation did not change skin blood flow in a statistically significant manner. 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C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spinal cord stimulation does not change peripheral skin blood flow in patients with neuropathic pain</atitle><jtitle>European journal of anaesthesiology</jtitle><addtitle>Eur J Anaesthesiol</addtitle><date>2003-09</date><risdate>2003</risdate><volume>20</volume><issue>9</issue><spage>736</spage><epage>739</epage><pages>736-739</pages><issn>0265-0215</issn><eissn>1365-2346</eissn><coden>EJANEG</coden><abstract>Summary Background and objective: Spinal cord stimulation has been used successfully for many years in the management of neuropathic pain. Nociceptive pathways are closely integrated into many autonomic reflexes. The aim was to test the hypothesis that pain relief caused by spinal cord stimulation is related to changes in peripheral skin blood flow. Methods: Twelve patients with spinal cord stimulators implanted as a treatment for neuropathic pain were entered into the study. 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source MEDLINE; Journals@Ovid Ovid Autoload
subjects Adult
Aged
Back Pain - therapy
Back surgery
Biological and medical sciences
Diseases of the nervous system
Electric Stimulation Therapy
Electrodes, Implanted
Female
Humans
Laser-Doppler Flowmetry
Male
Medical research
Medical sciences
Middle Aged
Neuralgia - therapy
Original Article
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
Skin - blood supply
Spinal Cord
Studies
Time Factors
title Spinal cord stimulation does not change peripheral skin blood flow in patients with neuropathic pain
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