Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 87 Warning: chmod() expects exactly 2 parameters, 3 given in /home/virtual/lib/view_data.php on line 88 Warning: fopen(/home/virtual/e-kjs/journal/upload/ip_log/ip_log_2024-05.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 95 Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 96 Management of Pain Following Spinal Cord Injury
Korean J Spine Search

CLOSE


11
Management of Pain Following Spinal Cord Injury
Jung Yul Park, M.D.
Department of Neurosurgery, College of Medicine, Korea University, Korea
Abstract
A great medical progresses over last three decades has given spinal cord injured individuals improved health and life style. However, chronic refractory pain has emerged for some as a significant challenge and the most difficult aspect with which they must cope. Spinal cord injury pain, especially the chronic persistent type, is usually central neuropathic pain that mainly requires centrally-directed treatment. Many newer medications are now being available for this type of pain, both peripheral and central, and there are several groups of drugs that may synergistically act with these medications for better control of pain and thus for aiding in functional restoration. Moreover, there are also drugs that belong to other classifications but adjunctively act for different types of symptoms(i.e., muscle spasm, rigidity, sleep disturbances, etc.). When these conservative treatments fail various surgical options are now available to provide substantial pain relief, if not all. These surgical therapeutic measurements belong either to neuroablations(e.g., dorsal root entry zone(DREZ) operation, radiofrequency dorsal root ganglion lesioning) or neuromodulaton(e.g., spinal cord stimulation, motor cortex stimulation, and drug pump). Since these pains are usually neuropathic in nature neuromodulative therapy should be considered initially. However, the neuroablative option is still cost-effective and safe thus may be considered in certain selected cases. The intention of this review is to summarize the treatment options currently available that begin with conservative medical and physical therapy progresses to neurosurgical procedures. Usually no single treatment is efficacious and instead an eclectic program is needed. Multiple treatments require a team of multi-disciplined professionals to provide the appropriate combination of ongoing care that can reduce the pain and suffering of chronic spinal cord injury pain.
Keywords: Spinal cord injuryㆍNeuropathic pain, Pain managementㆍNeuroablationㆍNeurostimulationㆍNeuromodulation


Editorial Office
CHA University, CHA School of Medicine Bundang Medical Center
59 Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do 13496, Korea
Tel: +82-31-780-1924  Fax: +82-31-780-5269  E-mail: support@e-neurospine.org
The Korean Spinal Neurosurgery Society
#407, Dong-A Villate 2nd Town, 350 Seocho-daero, Seocho-gu, Seoul 06631, Korea
Tel: +82-2-585-5455  Fax: +82-2-2-523-6812  E-mail: ksns1987@gmail.com
Business License No.: 209-82-62443

Copyright © The Korean Spinal Neurosurgery Society.

Developed in M2PI

Close layer
prev next