The chronic neuropathic pain of spinal cord injury: which efficiency of neuropathic stimulation?

Ann Phys Rehabil Med. 2009 Mar;52(2):180-7. doi: 10.1016/j.rehab.2008.12.010. Epub 2009 Apr 3.

Abstract

Objective: Determine the efficacy of spinal cord stimulation (SCS) for treating neuropathic pain in spinal cord injury (SCI) patients.

Material and methods: We proceeded with a data analysis of the French and English medical literature with the following keywords: chronic neuropathic pain, spinal cord stimulation. The quality of every selected article was analyzed according to criteria established by the French National Health Authority (HAS).

Results: Eighty-three articles were read, 27 of them report clinical studies on SCS on at least one SCI patient. No article had a level of proof lower than 4.

Conclusion: There is no significant level of proof to recommend the use of this technique in this indication. Conducting further studies, either physiological or clinical, could help to promote this technique with very minor adverse effects in an indication which, to this day, has no gold standard.

Publication types

  • Consensus Development Conference

MeSH terms

  • Chronic Disease
  • Electric Stimulation Therapy*
  • Humans
  • Neuralgia / etiology*
  • Neuralgia / therapy*
  • Spinal Cord Injuries / complications*