SCRAMBLER THERAPY: A NOVEL TREATMENT FOR ACUTE PAIN MANAGEMENT AFTER SPINAL FUSION SURGERY

Lê Viết Thắng1,2,, Đỗ trọng Phước2, Đào Nguyễn Trung Luân2
1 University of Medicine and Pharmacy at Ho Chi Minh City
2 University Medical Center Ho Chi Minh City

Main Article Content

Abstract

Objective: Pain control after lumbar fusion surgery with neuromodulation. Subjects and method: We are reporting a 68-year-old female patient who underwent spinal fusion surgery: D10-L2 fixation and she was received Scrambler Therapy because of her severe pain post operating with the opioid intolerant situation. Results: The technique has proven to provide quick and sustained pain relief for months of pain management for acute pain after spinal fusion surgery. Conclusion: Acute pain at the surgical site after spinal surgery is one of the mains complaints of patients. This pain often lasts at least three to four days. In some cases, it can be moderate or severe pain, affects recovery, prolongs hospital stay, and becomes chronic pain if the patient is not received optimal pain management. Therefore, multimodal pain treatment is necessary.

Article Details

References

1. Finnerup NB, Attal N, Haroutounian S, McNicol E, Baron R, Dworkin RH et al. Pharmacotherapy for neuropathic pain in adults: a systematic review and meta-analysis. Lancet Neurol, 14: 162-173, 2015. https://doi.org/10.1016/S1474-4422(14)70251-0.
2. Ko YK, Lee HY, Lee WY: Clinical experiences on the effect of Scrambler Therapy for patients with postherpetic neuralgia. Korean J Pain, 26: 98-101, 2013. https://doi.org/10.3344/kjp.2013.26.1.98.
3. Majithia N, Smith TJ, Coyne PJ, Abdi S, Pachman DR, Lachance D et al: Scrambler Therapy for the management of chronic pain. Support Care Cancer, 24: 2807-2814, 2016. https://doi.org/10.1007/s00520-016-3177-3.
4. Marineo G: Inside the Scrambler Therapy, a noninNRSive treatment of chronic neuropathic and cancer pain: from the gate control theory to the active principle of information. Integr Cancer Ther, 18: 1534735419845143, 2019. https://doi.org/10.1177%2F1534735419845143.
5. Murphy T, Erdek M, Smith T J: Scrambler Therapy for the Treatment of Pain in Schwannomatosis. Cureus, 14(3): e23124, 2022. doi:10.7759/cureus.23124.
6. Raucci U, Tomasello C, Marri M, Salzano M, Gasparini A, Conicella E: Scrambler Therapy(®) MC-5A for complex regional pain syndrome: case reports. Pain Pract, 16: E103-109, 2016. https://doi.org/10.1111/papr.12474.
7. Rodríguez RiNRS U, Vilà Barriuso E, Trillo Urrutia L, Soldevilla García M, García Álvarez J: Postoperative ketamine efficacy in patients receiving chronic opioids undergoing spinal surgery. Rev Soc Esp Dolor, 28(2): 92-99, 2021. doi: 10.20986/resed.2021.3825/2020.
8. Smith TJ, Marineo G: Treatment of postherpetic pain with Scrambler Therapy, a patient-specific neurocutaneous electrical stimulation device. Am J Hosp Palliat Care, 35: 812-813, 2018. https://doi.org/10.1177%2F1049909113494002.