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 |
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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. ; Hamann, W. C.</creator><creatorcontrib>Ather, M. ; Di Vadi, P. ; Light, D. ; Wedley, J. R. ; Hamann, W. C.</creatorcontrib><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.</description><identifier>ISSN: 0265-0215</identifier><identifier>EISSN: 1365-2346</identifier><identifier>DOI: 10.1017/S0265021503001194</identifier><identifier>PMID: 12974596</identifier><identifier>CODEN: EJANEG</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>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</subject><ispartof>European journal of anaesthesiology, 2003-09, Vol.20 (9), p.736-739</ispartof><rights>2003 European Society of Anaesthesiology</rights><rights>2003 European Academy of Anaesthesiology</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Cambridge University Press Sep 2003</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c3410-995650b30ee3c1ba6d6cad0497aa44aa3aae07ab7c9f12284ab7aa677d78ce443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27915,27916</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15317000$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12974596$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ather, M.</creatorcontrib><creatorcontrib>Di Vadi, P.</creatorcontrib><creatorcontrib>Light, D.</creatorcontrib><creatorcontrib>Wedley, J. 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. Conclusions: Pain relief due to spinal cord stimulation is not related to changes of skin blood flow.</description><subject>Adult</subject><subject>Aged</subject><subject>Back Pain - therapy</subject><subject>Back surgery</subject><subject>Biological and medical sciences</subject><subject>Diseases of the nervous system</subject><subject>Electric Stimulation Therapy</subject><subject>Electrodes, Implanted</subject><subject>Female</subject><subject>Humans</subject><subject>Laser-Doppler Flowmetry</subject><subject>Male</subject><subject>Medical research</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neuralgia - therapy</subject><subject>Original Article</subject><subject>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</subject><subject>Skin - blood supply</subject><subject>Spinal Cord</subject><subject>Studies</subject><subject>Time Factors</subject><issn>0265-0215</issn><issn>1365-2346</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV2L1TAQhoMo7tnVH-CNBMG9q-aryemlLH7Bgher12WaTrfZzUlq0nLw35tyCgcU8SJMJvO8w0xeQl5x9o4zbt7fMaFrJnjNJGOcN-oJ2XGp60pIpZ-S3Vqu1voFucz5gTFWF91zcsFFY1Td6B3p7yYXwFMbU0_z7A6Lh9nFQPuImYY4UztCuEc6YXLTiKmw-dEF2vkYezr4eKQlm4oIw5zp0c0jDbikWJ5GZ0vFhRfk2QA-48stXpEfnz5-v_lS3X77_PXmw21lpeKsapq6rNNJhigt70D32kLPVGMAlAKQAMgMdMY2Axdir8oVQBvTm71FpeQVuT71nVL8uWCe24PLFr2HgHHJrZFaGc3r_4KCCaH2qingmz_Ah7ik8mGF4VozLvemQPwE2RRzTji0U3IHSL9aztrVqPYvo4rm9dZ46Q7YnxWbMwV4uwGQLfghQbAun7laclMMLZw6ccfoZ0z50S9HTO2I4OexZSuilaxEiawpWVUOX2VymxkOXXL9PZ43-_fUvwGW7rl2</recordid><startdate>200309</startdate><enddate>200309</enddate><creator>Ather, M.</creator><creator>Di Vadi, P.</creator><creator>Light, D.</creator><creator>Wedley, J. R.</creator><creator>Hamann, W. C.</creator><general>Cambridge University Press</general><general>European Academy of Anaesthesiology</general><general>Lippincott Williams & Wilkins Ovid Technologies</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>K9.</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>200309</creationdate><title>Spinal cord stimulation does not change peripheral skin blood flow in patients with neuropathic pain</title><author>Ather, M. ; Di Vadi, P. ; Light, D. ; Wedley, J. R. ; Hamann, W. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3410-995650b30ee3c1ba6d6cad0497aa44aa3aae07ab7c9f12284ab7aa677d78ce443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Back Pain - therapy</topic><topic>Back surgery</topic><topic>Biological and medical sciences</topic><topic>Diseases of the nervous system</topic><topic>Electric Stimulation Therapy</topic><topic>Electrodes, Implanted</topic><topic>Female</topic><topic>Humans</topic><topic>Laser-Doppler Flowmetry</topic><topic>Male</topic><topic>Medical research</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neuralgia - therapy</topic><topic>Original Article</topic><topic>Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)</topic><topic>Skin - blood supply</topic><topic>Spinal Cord</topic><topic>Studies</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ather, M.</creatorcontrib><creatorcontrib>Di Vadi, P.</creatorcontrib><creatorcontrib>Light, D.</creatorcontrib><creatorcontrib>Wedley, J. R.</creatorcontrib><creatorcontrib>Hamann, W. C.</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>ProQuest Health & Medical Complete (Alumni)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of anaesthesiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ather, M.</au><au>Di Vadi, P.</au><au>Light, D.</au><au>Wedley, J. R.</au><au>Hamann, W. 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. 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.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>12974596</pmid><doi>10.1017/S0265021503001194</doi><tpages>4</tpages></addata></record> |
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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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