A Unique Case for Spinal Cord Stimulation: Successful Treatment of Small Fiber Neuropathy Pain Using Multiple Spinal Cord Stimulators

Spinal cord stimulators have commonly been used to treat multiple pain conditions. This case report represents a unique case of using multiple spinal cord stimulators for widespread small fiber neuropathy pain. This case report concerns patient JJ who first presented with generalized neuropathic pai...

Full description

Saved in:
Bibliographic Details
Main Authors: Maxim Eckmann, Alexander Papanastassiou, Mark Awad
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2017/6969285
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832553759622823936
author Maxim Eckmann
Alexander Papanastassiou
Mark Awad
author_facet Maxim Eckmann
Alexander Papanastassiou
Mark Awad
author_sort Maxim Eckmann
collection DOAJ
description Spinal cord stimulators have commonly been used to treat multiple pain conditions. This case report represents a unique case of using multiple spinal cord stimulators for widespread small fiber neuropathy pain. This case report concerns patient JJ who first presented with generalized neuropathic pain. His pain was an intermittent burning, stinging quality that originally focused in both of his feet and progressed to include his legs and arms and eventually involved his entire body. The pain would last moments to hours at least daily. He reported a poor quality of life. He was diagnosed with small fiber neuropathy with anhydrosis, suggestive of idiopathic erythromelalgia. He had a spinal cord stimulator trial involving both cervical and lower thoracic percutaneous leads. After two spinal cord stimulators were implanted, the patient began to report an improvement in pain. The patient continues to report excellent pain relief. The patient uses the stimulator intermittently as needed, in an abortive fashion for pain flares. The patient is very pleased and has increased his activity. He now attends graduate school full time. This case report hopes to illustrate a unique use of multiple spinal cord stimulators in treating widespread neuropathic pain caused by small fiber neuropathy.
format Article
id doaj-art-79ff29912ffb45599ede85eac9087097
institution Kabale University
issn 1687-9627
1687-9635
language English
publishDate 2017-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-79ff29912ffb45599ede85eac90870972025-02-03T05:53:18ZengWileyCase Reports in Medicine1687-96271687-96352017-01-01201710.1155/2017/69692856969285A Unique Case for Spinal Cord Stimulation: Successful Treatment of Small Fiber Neuropathy Pain Using Multiple Spinal Cord StimulatorsMaxim Eckmann0Alexander Papanastassiou1Mark Awad2University of Texas Health Sciences Campus in San Antonio (UTHSCSA), San Antonio, TX, USAUniversity of Texas Health Sciences Campus in San Antonio (UTHSCSA), San Antonio, TX, USAUniversity of Texas Health Sciences Campus in San Antonio (UTHSCSA), San Antonio, TX, USASpinal cord stimulators have commonly been used to treat multiple pain conditions. This case report represents a unique case of using multiple spinal cord stimulators for widespread small fiber neuropathy pain. This case report concerns patient JJ who first presented with generalized neuropathic pain. His pain was an intermittent burning, stinging quality that originally focused in both of his feet and progressed to include his legs and arms and eventually involved his entire body. The pain would last moments to hours at least daily. He reported a poor quality of life. He was diagnosed with small fiber neuropathy with anhydrosis, suggestive of idiopathic erythromelalgia. He had a spinal cord stimulator trial involving both cervical and lower thoracic percutaneous leads. After two spinal cord stimulators were implanted, the patient began to report an improvement in pain. The patient continues to report excellent pain relief. The patient uses the stimulator intermittently as needed, in an abortive fashion for pain flares. The patient is very pleased and has increased his activity. He now attends graduate school full time. This case report hopes to illustrate a unique use of multiple spinal cord stimulators in treating widespread neuropathic pain caused by small fiber neuropathy.http://dx.doi.org/10.1155/2017/6969285
spellingShingle Maxim Eckmann
Alexander Papanastassiou
Mark Awad
A Unique Case for Spinal Cord Stimulation: Successful Treatment of Small Fiber Neuropathy Pain Using Multiple Spinal Cord Stimulators
Case Reports in Medicine
title A Unique Case for Spinal Cord Stimulation: Successful Treatment of Small Fiber Neuropathy Pain Using Multiple Spinal Cord Stimulators
title_full A Unique Case for Spinal Cord Stimulation: Successful Treatment of Small Fiber Neuropathy Pain Using Multiple Spinal Cord Stimulators
title_fullStr A Unique Case for Spinal Cord Stimulation: Successful Treatment of Small Fiber Neuropathy Pain Using Multiple Spinal Cord Stimulators
title_full_unstemmed A Unique Case for Spinal Cord Stimulation: Successful Treatment of Small Fiber Neuropathy Pain Using Multiple Spinal Cord Stimulators
title_short A Unique Case for Spinal Cord Stimulation: Successful Treatment of Small Fiber Neuropathy Pain Using Multiple Spinal Cord Stimulators
title_sort unique case for spinal cord stimulation successful treatment of small fiber neuropathy pain using multiple spinal cord stimulators
url http://dx.doi.org/10.1155/2017/6969285
work_keys_str_mv AT maximeckmann auniquecaseforspinalcordstimulationsuccessfultreatmentofsmallfiberneuropathypainusingmultiplespinalcordstimulators
AT alexanderpapanastassiou auniquecaseforspinalcordstimulationsuccessfultreatmentofsmallfiberneuropathypainusingmultiplespinalcordstimulators
AT markawad auniquecaseforspinalcordstimulationsuccessfultreatmentofsmallfiberneuropathypainusingmultiplespinalcordstimulators
AT maximeckmann uniquecaseforspinalcordstimulationsuccessfultreatmentofsmallfiberneuropathypainusingmultiplespinalcordstimulators
AT alexanderpapanastassiou uniquecaseforspinalcordstimulationsuccessfultreatmentofsmallfiberneuropathypainusingmultiplespinalcordstimulators
AT markawad uniquecaseforspinalcordstimulationsuccessfultreatmentofsmallfiberneuropathypainusingmultiplespinalcordstimulators