title: High Frequency Spinal Cord Stimulation for Complex Regional Pain Syndrome: A Case Report.
abstract: Complex regional pain syndrome (CRPS) is a chronic, debilitating, neuropathic pain condition which is often misdiagnosed, difficult to manage, and lacks proven methods for remission. Most available methods provide some relief to a small percentage of patients. Recent FDA approval and superiority of the Nevro Senza 10-kHz high frequency (HF10) spinal cord stimulation (SCS) therapy over traditional low-frequency spinal cord stimulation for treatment of chronic back and leg pain may provide a new interventional therapeutic option for patients suffering from CRPS. We provide a case report of a 53-year-old Caucasian woman who suffered with CRPS in the right knee and thigh for over 7 years. Implantation of the HF10 device provided over 75% relief of pain, erythema, heat, swelling, and tissue necrosis to the entire region within 1 month of treatment. Because the HP10 therapy provides pain relief without paresthesia typical of traditional low-frequency, this system may provide relief for patients suffering from chronic pain.Key words: Complex regional pain syndrome, spinal cord stimulation, Nevro Senza HF10, erythema, knee, thigh.
authors.affiliation: Department of Anesthesiology, East Jefferson General Hospital.
authors.forename: Joseph T
authors.initials: JT
authors.lastname: Crapanzano
authors.affiliation: Department of Physiology, Louisiana State University Health New Orleans.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Harrison-Bernard
authors.affiliation: Department of Anesthesiology, Louisiana State University Health New Orleans.
authors.forename: Mark R
authors.initials: MR
authors.lastname: Jones
authors.forename: Alan D
authors.initials: AD
authors.lastname: Kaye
authors.affiliation: Department of Neurosurgery, Louisiana State University Health New Orleans.
authors.forename: Erich O
authors.initials: EO
authors.lastname: Richter
authors.affiliation: Tulane University School of Medicine, Department of Psychiatry.
authors.forename: Mordeci N
authors.initials: MN
authors.lastname: Potash
mesh_terms: D059350:Chronic Pain / Q000628:therapy; D020918:Complex Regional Pain Syndromes / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009437:Neuralgia; D059408:Pain Management; D013116:Spinal Cord; D062187:Spinal Cord Stimulation