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Neurostimulation in pain management 

Neurostimulation in pain management
Chapter:
Neurostimulation in pain management
Author(s):

Joy Hao

, Rae Lynne Kinler

, Eliezer Soto

, Helena Knotkova

, and Ricardo A. Cruciani

DOI:
10.1093/med/9780199656097.003.0099
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date: 07 May 2021

Neurostimulation describes an array of interventions that involve targeted stimulation of peripheral nerve, spinal cord, or the brain. Although few high-quality studies of neurostimulation techniques have been done and the techniques are seldom used in the management of pain related to serious illness, a better understanding of the available treatments and the emergence of newer technologies may increase access and use in the future. Transcutaneous electrical nerve stimulation is considered to be safe and may be used as an adjunct to pharmacotherapy in the routine management of chronic pain. Concerns about electrode placement near tumour masses continue, however, despite reassuring data, and for now, this approach should be used cautiously in those with metastatic disease. The recent advent of non-invasive central nervous system neurostimulation therapies-transcranial direct current stimulation and transcranial magnetic stimulation-offers promising new treatments for pain.

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