Dorsal root ganglion stimulation for treatment of complex regional pain syndrome of the foot

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2024-1-2 09:27

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Dorsal root ganglion stimulation for treatment of complex regional pain syndrome of the foot Kevin Hines, MD, Fadi Al Saiegh, MD, Aria Mahtabfar, MD, Kavantissa M. Keppetipola, MD, Caio M. Matias, MD, PhD, Chengyuan Wu, MD, MSBmE, and Ashwini Sharan, MD Department of Neurosurgery, Thomas Jefferson University and Jefferson Hospital for Neuroscience, Philadelphia, Pennsylvania This is a case of a 54-year-old man presenting with complex regional pain syndrome (CRPS) type 1 of the right lower extremity, which was most debilitating in the plantar aspect of the right foot. The patient had prior treatment with thoracic spinal cord stimulation; however, the foot pain remained intractable. Given that his pain was predominantly in his foot and remained debilitating despite thoracic spinal cord stimulation, it was recommended that the patient undergo a trial of dorsal root ganglion (DRG) stimulation. The surgical technique for placement of dorsal root ganglion stimulators is demonstrated in this operative video.

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