Imaging-guided hyperstimulation analgesia in low back pain | Zendy

Miguel Gorenberg | Zendy; Kobi Schwartz | Zendy

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Imaging-guided hyperstimulation analgesia in low back pain

Author(s) -

Miguel Gorenberg,

Kobi Schwartz

Publication year - 2013

Publication title -

journal of pain research

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.888

H-Index - 49

ISSN - 1178-7090

DOI - 10.2147/jpr.s47540

Subject(s) - medicine , neurostimulation , myofascial pain , anesthesia , nociception , peripheral , endorphins , sedation , stimulation , physical therapy , receptor

Low back pain in patients with myofascial pain syndrome is characterized by painful active myofascial trigger points (ATPs) in muscles. This article reviews a novel, noninvasive modality that combines simultaneous imaging and treatment, thus taking advantage of the electrodermal information available from imaged ATPs to deliver localized neurostimulation, to stimulate peripheral nerve endings (Aδ fibers) and in turn, to release endogenous endorphins. "Hyperstimulation analgesia" with localized, intense, low-rate electrical pulses applied to painful ATPs was found to be effective in 95% patients with chronic nonspecific low back pain, in a clinical validation study.

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