Premium
Spinal Cord Stimulation for Loin Pain Hematuria Syndrome: Clinical Report
Author(s) -
Richter Bertram,
Bergman Jeff,
Pierre James,
Tomycz Nestor D.
Publication year - 2019
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/papr.12755
Subject(s) - medicine , neuromodulation , surgery , spinal cord , anesthesia , stimulation , psychiatry
Loin pain hematuria syndrome ( LPHS ) is a rare condition characterized by cryptogenic debilitating flank pain and microscopic or macroscopic hematuria. The pathophysiology of LPHS remains poorly understood, and diagnosis is made largely by exclusion of alternate pathology. Management strategies can vary widely and include chronic opioid medication and a variety of invasive procedures, including regional nerve blocks, transcutaneous electrical nerve stimulation, local capsaicin infusion, and surgical renal denervation. Neuromodulation may provide a new paradigm of treatment for LPHS , potentially sparing patients from long‐term complications of opiate therapy and invasive surgery. This report demonstrates the first case of successful symptomatic management of LPHS using spinal cord stimulation.