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Transcutaneous electrical nerve stimulation in chronic pain after peripheral nerve injury

Summary

Transcutaneous electrical stimulation was tested in 24 patients with chronic pain following a peripheral nerve injury in an extremity, in 10 patients with a good effect. All of these 10 patients displayed signs of increased sympathetic activity in addition to hyperalgesia. Sympathetic block gave complete freedom from pain. In 14 patients with the same symptomatology but without an increased or with only very slightly increased sympathetic activity, no or an insignificant effect was obtained. Sympathetic block did not relieve the pain in this group. Transcutaneous electrical stimulation should be tried as an alternative to sympathectomy in causalgia major or minor.

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References

  • Litwin, M. S., Postsympathectomy neuralgia. Arch. Surg.84 (1962), 121–125.

    Google Scholar 

  • Long, D. M., Carolan, M. T., Cutaneous afferent stimulation in the treatment of chronic pain. Advanc. Neurol.4 (1974), 755–759. New York: Raven Press.

    Google Scholar 

  • Meyer, G. A., Fields, H. L., Causalgia treated by selective large fibre stimulation of peripheral nerve. Brain95 (1972), 163–168.

    PubMed  Google Scholar 

  • Melzack, R., Wall, P. D., Pain mechanism: A new theory. Science150 (1965), 971–979.

    PubMed  Google Scholar 

  • Patman, R. D., Thompson, J. E., Persson, A. V., Management of post-traumatic pain syndromes: Report of 113 cases. Ann. Surg.177 (1973), 780–787.

    PubMed  Google Scholar 

  • Sweet, W. H., Wepsic, J. G., Treatment of chronic pain by stimulation of fibers of primary afferent neurons. Trans. Amer. Neurol. Ass.93 (1968), 103–107.

    PubMed  Google Scholar 

  • Wallin, G., Torebjörk, E., Hallin, R., Preliminary observation on the patho-physiology of hyperalgesia in the causalgic pain syndrome. From Wenner-Gren Volume 27, p. 489–502. Oxford-New York: Pergamon Press. 1976.

    Google Scholar 

  • White, J. C., Sympathectomy for relief of pain. Advanc. Neurol.4 (1974), 629–638.

    Google Scholar 

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Bohm, E. Transcutaneous electrical nerve stimulation in chronic pain after peripheral nerve injury. Acta neurochir 40, 277–283 (1978). https://doi.org/10.1007/BF01774752

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  • DOI: https://doi.org/10.1007/BF01774752

Keywords

  • Public Health
  • Chronic Pain
  • Electrical Stimulation
  • Peripheral Nerve
  • Interventional Radiology