title: Management of chronic symphysis pubis pain following child birth with spinal cord stimulator.
abstract: The case of a 39 year old woman who had diastasis of pubic symphysis following childbirth and later developed severe chronic neuropathic pain and disability is presented. She received extensive surgical and medical treatment for 6 years with no improvement of symptoms. The VNRS (Visual Numerical Rating Scale) pain score was 7/10 or more most of the time. This was quite disabling in terms of her quality of life. A spinal cord stimulator was inserted after failure of other modalities of pain management which resulted in dramatic improvement in the quality of life measured with SF-36 questionnaire. Her pain score became 0/10 VNRS and she was free from opioids and psychotropic medications within 3 months post insertion. Spinal cord stimulator can be considered for the management of pain due to diastasis of pubic symphysis, not amenable to other therapies.
authors.affiliation: Department of Anaesthesia & Pain, Our Lady of Lourdes Hospital, Drogheda, Ireland.
authors.forename: Ahsan
authors.initials: A
authors.lastname: Idrees
mesh_terms: D000328:Adult; D059350:Chronic Pain / Q000150:complications / Q000628:therapy*; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000628:therapy; D059408:Pain Management; D036801:Parturition; D011247:Pregnancy; D011631:Pubic Symphysis / Q000000981:diagnostic imaging / Q000293:injuries; D046548:Pubic Symphysis Diastasis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D011859:Radiography; D013116:Spinal Cord; D016896:Treatment Outcome; D014463:Ultrasonography