Back pain is one of the most common reasons a patient comes to a pain management physician's clinic due to spine facet osteoarthritis. Radiofrequency ablation of the spinal facet joints represents the standard of care for long term pain relief.
Charcot-Marie-Tooth (CMT) disease is one of the most common hereditary neuropathies affecting one in 2500 people in the United States. CMT disease is associated with moderate to severe chronic extremity pain. We present the case of a young man with chronic intractable lower extremity pain associated with CMT disease treated with spinal cord stimulation (SCS). This was an Institutional Review Board-approved case study involving a 37-year-old man diagnosed with CMT disease with pain of more than 20 years. He was implanted with an SCS device and patient pain and quality of life was assessed one and six months later using the SF-McGill Pain Questionnaire, Visual Analog Scale, Oswestry Disability Questionnaire, Pain Disability Index, and SF-36. Baseline measures were obtained retrospectively. Qualitative data were collected from the medical record. SCS was effective in decreasing pain, improving quality of life and reducing medication consumption at both one and six months post-implant. In addition, the patient was satisfied with SCS treatment. SCS produced favorable results in a patient with CMT and should be considered a treatment option for pain resulting from this condition.
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Back pain is one of the most common reasons a patient comes to a pain management physician's clinic due to spine facet osteoarthritis. Radiofrequency ablation of the spinal facet joints represents the standard of care for long term pain relief.
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When people experience pain in their legs, it can fall into two major categories: acute or chronic. Acute pain comes on suddenly and is often caused by injury or damage to the bones, tendons or ligaments in the legs.
The body’s nervous system can be thought of as a “hub and spoke” model, where the hub (the brain) serves as the central control room that sends and receives messages from the spokes, the nerves in the spinal cord, skin, muscles and other parts of the body.
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