![]() ![]() What should I expect after DCS?Īlthough the response to any treatment varies from individual to individual, the outcomes after application of DCS reported in the literature are quite satisfactory. It is an implantable neuromodulation modality, aiming to decrease the intensity and frequency of the pain. Can DCS cure the underlying conditions?ĭCS is not a cure for the disease that causes the pain. The whole system is controlled by the patient with the use of the generator remote control.Īlthough DCS was developed on the basis of the gate control theory, the exact mechanisms of action are not fully understood. There are three components of the DCS system: the stimulating electrodes, an electrical pulse generator with the conducting wires connecting the electrodes to the generator, and the generator remote control.Īfter implantation of the system, electricity is delivered on the posterior part of the spinal cord through the stimulating electrodes, resulting in improvement of pain. The aim of DCS is to reduce the intensity, duration, and frequency of pain associated with the above conditions. Other conditions where DCS is used are refractory angina pectoris and peripheral vascular disease. ![]() Through an implanted electrode, electricity is delivered to the posterior elements of the spinal cord in order to relieve the pain associated with failed-back surgery syndrome (FBSS) and complex regional pain syndrome (CRPS). 2003 4:289–97.For more information, please visit our Center for Neuromodulation What is DCS and which conditions are treated with DCS?ĭorsal Column Spinal cord stimulation (DCS) is a technique used in the management of certain chronic pain syndromes. Patterning cell types in the dorsal spinal cord: what the mouse mutants say. One-year outcomes of spinal cord stimulation of the dorsal root ganglion in the treatment of chronic neuropathic pain. Liem L, Russo M, Huygen FJ, Van Buyten JP, Smet I, Verrills P, et al. The cost-effectiveness of spinal cord stimulation in the treatment of failed back surgery syndrome. Taylor RS, Ryan J, O’Donnell R, Eldabe S, Kumar K, North RB. Axium neurostimulator system procedure guide. Axium neurostimulator system physician implant manual. New Orleans, LA: Southern Academic Press. Neurostimulation of the dorsal root ganglion (DRG) by spinal cord stimulation (SCS): a review of proper patient selection. Accessed ĭeer TR, Liem AL, Pope J, et al. Approval order statement: axium neurostimulator system. Hyperexcitability of convergent colon and bladder dorsal root ganglion neurons after colonic inflammation: mechanism for pelvic organ cross-talk. Malykhina AP, Qin C, Greenwood-Van Meerveld B, Foreman RC, Lupu F, Akbarali HI. ![]() Sensory innervation of the dorsal portion of the lumbar intervertebral disc in rats. Ohtori S, Takahashi Y, Takahashi K, Yamagata M, Chiba T, Tanaka K, et al. An evidence-based approach to human dermatomes. Which neuronal elements are activated directly by spinal cord stimulation. Morphometry of dorsal root ganglion in chronic experimental diabetic neuropathy. Gosselin RD, Suter MR, Ji RR, Decosterd I. Identification of gene expression profile of dorsal root ganglion in the rat peripheral axotomy model of neuropathic pain. Xiao HS, Huang QH, Zhang FX, Bao L, Lu YJ, Guo C, et al. Uninjured c-fiber nociceptors develop spontaneous activity and alpha-adrenergic sensitivity following L6 spinal nerve ligation in monkey. ![]() 1992 138:225–8.Īli Z, Ringkamp M, Hartke TV, Chien HF, Flavahan NA, Campbell JN, Meyer RA. Spontaneous discharge originates in the dorsal root ganglion at the onset of a painful peripheral neuropathy in the rat. The dorsal root ganglion as a therapeutic target for chronic pain. Liem L, van Dongen E, Huygen FJ, Staats P, Kramer J. The neuropathic pain triad: neurons, immune cells and glia. Satellite glial cells in sensory ganglia: from form to function. Unexplained peculiarities of the dorsal root ganglion. Modulation of activity in dorsal root ganglion neurons by sympathetic activation in nerve-injured rats. Peripheral and spinal mechanisms of nociception. Stimulation of the peripheral nervous system. A systematic review: current and future directions of dorsal root ganglion therapeutics to treat chronic pain. Morphometric analysis of the lumbosacral nerve roots and dorsal root ganglia by magnetic resonance imaging. Morphologic analysis of normal human lumbar dorsal root ganglion by 3D MR imaging. ![]()
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