title: Spinal cord stimulation for severe degenerative joint disease of the shoulder in a patient with severe chronic obstructive pulmonary disease: a new indication?
abstract: Approximately 70% of the United States population older than 65 yr has osteoarthritis. Chronic obstructive pulmonary disease (COPD) is also more prevalent in the elderly, and thus, the likelihood of having elderly patients with osteoarthritis and COPD in clinical settings is significant. COPD may preclude the optimum use of opioids, thus the potential to provide pain control with nonpharmacological treatment modalities becomes a valuable option. We present the case of an elderly woman with severe degenerative joint disease of the shoulder and severe COPD in whom spinal cord stimulation was used to provide pain control.
authors.affiliation: Department of Anesthesiology, Johns Hopkins School of Medicine, 550 North Broadway, Suite 309A, Baltimore, MD 21205, USA. kwilli64@jhmi.edu
authors.forename: Kayode A
authors.initials: KA
authors.lastname: Williams
authors.forename: Mosunmola
authors.initials: M
authors.lastname: Babade
authors.forename: Steven P
authors.initials: SP
authors.lastname: Cohen
mesh_terms: D000368:Aged; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D004824:Epidural Space / Q000000981:diagnostic imaging / Q000502:physiology; D005260:Female; D006801:Humans; D010003:Osteoarthritis / Q000150:complications* / Q000000981:diagnostic imaging; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications* / Q000000981:diagnostic imaging; D011859:Radiography; D020069:Shoulder Pain / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D013116:Spinal Cord / Q000000981:diagnostic imaging / Q000502:physiology*; D004561:Transcutaneous Electric Nerve Stimulation