Chronic pain: interventional treatments

Evidence-based neurology checklist on chronic pain: interventional treatments: Botulinum toxin: pain indications Postherpetic neuralgia Post-operative neuropathic pain Posttraumatic neuropathic pain Painful diabetic neuropathy Chronic neuropathic pain It may be effective subcutaneously and…

Botulinum toxin: pain indications

  • Postherpetic neuralgia
  • Post-operative neuropathic pain
  • Posttraumatic neuropathic pain
  • Painful diabetic neuropathy
  • Chronic neuropathic pain
  • It may be effective subcutaneously and perineuraly

Spinal cord stimulation: main indications

Spinal cord stimulation: weak indications

Transcranial direct electrical stimulation (tDCS): targets

Repetitive transcranial magnetic stimulation (rTMS): indications

Epidural motor cortex stimulation (MCS): indication

References

  1. Francisco GE, Tan H, Green M. Do botulinum toxins have a role in the management of neuropathic pain?: a focused review. Am J Phys Med Rehabil 2012; 91:899-909.
  2. Ranoux D, Attal N, Morain F, Bouhassira D. Botulinum toxin type A induces direct analgesic effects in chronic neuropathic pain. Ann Neuro 2008; 64:274-283.
  3. Fabregat G, De Andrés J, Villanueva-Pérez VL, Asensio-Samper JM. Subcutaneous and perineural botulinum toxin type A for neuropathic pain: a descriptive review. Clin J Pain 2013; 29:1006-1012.
  4. NICE technology appraisal guidance (TAG) 159. Spinal cord stimulation for chronic pain of neuropathic or ischaemic origin. October 2008.
  5. Cruccu G, Garcia-Larrea L, Hansson P, et al. EAN guidelines on central neurostimulation therapy in chronic pain conditions. Eur J Neurol 2016; 23:1489-1499. 

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