Peripheral Neuropathy Causes, Symptoms and Treatment

Peripheral neuropathy is a condition that affects millions of people worldwide, causing pain, numbness, and weakness in the extremities. There are many different causes of peripheral neuropathy, ranging from diabetes to chemotherapy to genetic disorders. Despite the many treatments available for peripheral neuropathy, some patients continue to experience debilitating symptoms. In recent years, spinal cord stimulators have emerged as a promising therapy for these patients.

Spinal cord stimulators (SCS) are devices that are implanted under the skin of the lower back and deliver low-voltage electrical impulses to the spinal cord. These electrical impulses block pain signals before they reach the brain, thereby reducing the sensation of pain. The SCS can be programmed to deliver different patterns of electrical impulses depending on the patient's pain symptoms, allowing for personalized pain management.

SCS has been shown to be effective in reducing chronic pain in patients with peripheral neuropathy. One study found that 50% of patients with peripheral neuropathy who received SCS reported significant pain relief. Another study found that SCS was effective in reducing pain and improving quality of life in patients with chemotherapy-induced peripheral neuropathy. 

 AAN 2023: Spinal Cord Stimulation Relieves Pain in Patients With Painful Diabetic Neuropathy

One of the advantages of SCS is that it has few side effects and is non-addictive, unlike many other pain medications. Additionally, SCS is reversible, meaning that it can be removed if it is no longer effective or if the patient experiences side effects.

However, SCS is not a cure for peripheral neuropathy, and it may not be appropriate for all patients. Patients who have pacemakers or other implanted devices may not be able to receive SCS, and patients who are allergic to metal may not be able to receive the device. Additionally, patients must be willing and able to comply with the post-implantation care instructions, which include avoiding certain activities and keeping the device dry.

As with any medical treatment, it is important to discuss the risks and benefits of SCS with your doctor. A neurologist can help determine if SCS is an appropriate treatment for your peripheral neuropathy and can help you manage your pain symptoms.

In conclusion, spinal cord stimulators are a promising therapy for patients with peripheral neuropathy who have not found relief from other treatments. SCS can provide significant pain relief with few side effects, and it can be tailored to the patient's individual pain symptoms. While SCS may not be appropriate for all patients, it is an important option for those who are suffering from chronic pain due to peripheral neuropathy.

Author
Integrated Neurology Services

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