The efficacy and safety of dorsal root ganglion stimulation as a treatment for neuropathic pain: a literature review
Objective Dorsal root ganglion stimulation (DRGS) received its first regulatory approval (CE marking in Europe) in late 2011, and so its use is now almost six years old. Several thousand patients have already been treated, and a landmark trial in lower limb complex regional pain syndrome (CRPS) and...
| Main Authors: | , , , , |
|---|---|
| Format: | Journal article |
| Language: | English |
| Published: |
Wiley
2017
|
| _version_ | 1826265229695123456 |
|---|---|
| author | Harrison, C Epton, S Bojanic, S Green, A Fitzgerald, J |
| author_facet | Harrison, C Epton, S Bojanic, S Green, A Fitzgerald, J |
| author_sort | Harrison, C |
| collection | OXFORD |
| description | Objective Dorsal root ganglion stimulation (DRGS) received its first regulatory approval (CE marking in Europe) in late 2011, and so its use is now almost six years old. Several thousand patients have already been treated, and a landmark trial in lower limb complex regional pain syndrome (CRPS) and causalgia has recently been published. Methods In this review we have summarized the literature to date on the use of DRGS in the treatment of neuropathic pain. Results The results so far are encouraging, with reports of successful use in treating a wide range of indications including postsurgical pain, CRPS, and phantom pain. Treatment of failed back surgery syndrome (FBSS) appears less successful. The therapy is still young, and long term results are not yet available. There is now good randomized clinical trial (RCT) evidence that DRGS provides superior pain relief to spinal cord stimulation for CRPS and causalgia of the lower limb, and produces stimulation that is more posturally stable, with more precise paraesthesia coverage. However evidence of this quality for other indications and pain locations is lacking. Conclusion There is now Class A RCT evidence that DRGS provides superior pain relief to SCS for CRPS and causalgia of the lower limb. In the coming years we hope that randomized controlled trials will be performed on an indication‐by‐indication basis, which, together with the publication of longer term follow‐up data, will provide a more complete understanding of the role of DRGS in the treatment of neuropathic pain syndromes. |
| first_indexed | 2024-03-06T20:20:23Z |
| format | Journal article |
| id | oxford-uuid:2d9a43d4-16b2-49e7-8b7d-962c6baa1904 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T20:20:23Z |
| publishDate | 2017 |
| publisher | Wiley |
| record_format | dspace |
| spelling | oxford-uuid:2d9a43d4-16b2-49e7-8b7d-962c6baa19042022-03-26T12:43:54ZThe efficacy and safety of dorsal root ganglion stimulation as a treatment for neuropathic pain: a literature reviewJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2d9a43d4-16b2-49e7-8b7d-962c6baa1904EnglishSymplectic Elements at OxfordWiley2017Harrison, CEpton, SBojanic, SGreen, AFitzgerald, JObjective Dorsal root ganglion stimulation (DRGS) received its first regulatory approval (CE marking in Europe) in late 2011, and so its use is now almost six years old. Several thousand patients have already been treated, and a landmark trial in lower limb complex regional pain syndrome (CRPS) and causalgia has recently been published. Methods In this review we have summarized the literature to date on the use of DRGS in the treatment of neuropathic pain. Results The results so far are encouraging, with reports of successful use in treating a wide range of indications including postsurgical pain, CRPS, and phantom pain. Treatment of failed back surgery syndrome (FBSS) appears less successful. The therapy is still young, and long term results are not yet available. There is now good randomized clinical trial (RCT) evidence that DRGS provides superior pain relief to spinal cord stimulation for CRPS and causalgia of the lower limb, and produces stimulation that is more posturally stable, with more precise paraesthesia coverage. However evidence of this quality for other indications and pain locations is lacking. Conclusion There is now Class A RCT evidence that DRGS provides superior pain relief to SCS for CRPS and causalgia of the lower limb. In the coming years we hope that randomized controlled trials will be performed on an indication‐by‐indication basis, which, together with the publication of longer term follow‐up data, will provide a more complete understanding of the role of DRGS in the treatment of neuropathic pain syndromes. |
| spellingShingle | Harrison, C Epton, S Bojanic, S Green, A Fitzgerald, J The efficacy and safety of dorsal root ganglion stimulation as a treatment for neuropathic pain: a literature review |
| title | The efficacy and safety of dorsal root ganglion stimulation as a treatment for neuropathic pain: a literature review |
| title_full | The efficacy and safety of dorsal root ganglion stimulation as a treatment for neuropathic pain: a literature review |
| title_fullStr | The efficacy and safety of dorsal root ganglion stimulation as a treatment for neuropathic pain: a literature review |
| title_full_unstemmed | The efficacy and safety of dorsal root ganglion stimulation as a treatment for neuropathic pain: a literature review |
| title_short | The efficacy and safety of dorsal root ganglion stimulation as a treatment for neuropathic pain: a literature review |
| title_sort | efficacy and safety of dorsal root ganglion stimulation as a treatment for neuropathic pain a literature review |
| work_keys_str_mv | AT harrisonc theefficacyandsafetyofdorsalrootganglionstimulationasatreatmentforneuropathicpainaliteraturereview AT eptons theefficacyandsafetyofdorsalrootganglionstimulationasatreatmentforneuropathicpainaliteraturereview AT bojanics theefficacyandsafetyofdorsalrootganglionstimulationasatreatmentforneuropathicpainaliteraturereview AT greena theefficacyandsafetyofdorsalrootganglionstimulationasatreatmentforneuropathicpainaliteraturereview AT fitzgeraldj theefficacyandsafetyofdorsalrootganglionstimulationasatreatmentforneuropathicpainaliteraturereview AT harrisonc efficacyandsafetyofdorsalrootganglionstimulationasatreatmentforneuropathicpainaliteraturereview AT eptons efficacyandsafetyofdorsalrootganglionstimulationasatreatmentforneuropathicpainaliteraturereview AT bojanics efficacyandsafetyofdorsalrootganglionstimulationasatreatmentforneuropathicpainaliteraturereview AT greena efficacyandsafetyofdorsalrootganglionstimulationasatreatmentforneuropathicpainaliteraturereview AT fitzgeraldj efficacyandsafetyofdorsalrootganglionstimulationasatreatmentforneuropathicpainaliteraturereview |