Pain relief and opioid usage in upper limb and neck pain patients after 10-kHz spinal cord stimulation treatment: subanalysis of USA studies

Amirdelfan, K.; Vallejo, R.; Benyamin, R.; Rosen, S.; Kosek, P.; Caraway, D.; Rotte, A.; Burgher, A.

Pain Management 11(2): 133-143

2021


ISSN/ISBN: 1758-1877
PMID: 33183130
DOI: 10.2217/pmt-2020-0074
Accession: 079007602

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Abstract
Aim: It is argued that chronic pain patients who reduce/eliminate their opioids may have compromised pain relief. This study therefore aimed to analyze if reduced opioid consumption associated with 10-kHz spinal cord stimulation adversely affected pain relief. Methods: Post hoc analysis was performed on data from two prospective studies in subjects with upper limbs and neck pain conducted in USA. Results & conclusion: A 10-kHz spinal cord stimulation treatment was associated with reduction in mean visual analog scale scores for upper limbs and neck pain and mean daily opioid consumption. Pain scores decreased in subjects who decreased opioid use and in those who maintained/increased use. Opioid reduction and pain relief was also achieved in subjects taking >90 mg morphine equivalents of opioids at baseline.