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• W1996842344 abstract "O ver the past two decades, nervous system stimulation at different levels has been introduced into the arsenal of valuable analgesic procedures used in chronic pain management. Nervous system stimulation includes peripheral nervous system stimulation (TENS) and two different types of central nervous system stimulation: spinal cord stimulation (SCS) and deep brain stimulation (DBS). All of these procedures present several positive features. First, they are alternatives for pain management in patients in whom conventional surgical and pharmacological procedures were not sufficient to relieve pain. Also, contrary to conventional procedures, the side effects are rare. In addition, the control of the stimulation onset and parameters permits a certain independence of the patient. Finally, there is no contraindication to the use of these analgesic procedures in parallel with other rehabilitation procedures. Despite the similarities between these procedures, one important difference between peripheral (TENS) and central nervous system stimulation (SCS and DBS) is the invasiveness of the latter. However, although central nervous system stimulation does require the surgical implantation of a device near the dorsal column in the case of SCS and in the brain's structures in DBS, it is less invasive than nonreversible surgical lesion. The invasiveness of central nervous system stimulation can be justified by the fact that it is normally an end-of-line procedure used when other forms of conventional pain treatment, including TENS, have been unsuccessful." @default.
• W1996842344 created "2016-06-24" @default.
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• W1996842344 date "1993-06-01" @default.
• W1996842344 modified "2023-09-26" @default.
• W1996842344 title "Nervous system stimulation for pain relief" @default.
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• W1996842344 doi "https://doi.org/10.1016/s1058-9139(05)80125-1" @default.
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