Posted on 02/01/2023 7:32:28 PM PST by ConservativeMind
Often debilitating, chronic pain is one of the most common reasons individuals seek medical help. Between 67 to 88 percent of them also suffer from sleep disturbances, including longer and more frequent nocturnal awakenings and poorer sleep quality.
Because chronic pain and sleep are thought to be correlated, treatment of one could be beneficial to the other. One such treatment is spinal cord stimulation, which shows mounting evidence it improves aspects of sleep and has demonstrated efficacy in treating a multitude of chronic pain conditions. This treatment involves an implantable spinal cord stimulator that sends low levels of electricity directly into the spinal cord to relieve pain.
The study successfully established minimally clinical important difference ranges for the insomnia severity index outcome measure to help gauge improvement in insomnia after spinal cord stimulation.
Results showed insomnia severity index improvement of 30 percent or more in 39.1 percent of the participants and an Epworth sleepiness scale of 30 percent or more in 28.1 percent of the participants. Minimally clinical important difference values of 2.4 to 2.6 correlated with improvement in disability and depression in the participants. The study revealed associations with sleep and both pain and depression, but no correlation between sleep and spinal cord stimulation success.
Spinal cord stimulation success was measured by the change between the pre-operative scores and the scores between six to 12 months post-operatively. The insomnia severity index asks seven questions to assess an individual's level of insomnia, with higher scores indicating increased nocturnal sleep disturbance.
The Epworth sleepiness scale quantifies day-time sleepiness based on a patient's likelihood to doze off during eight daily activities, with higher scores indicating increased daytime sleepiness. To determine which patients had improved sleep, researchers looked at improvement in insomnia severity index or Epworth sleepiness scale of 30 percent or more.
(Excerpt) Read more at medicalxpress.com ...
Ping to you.
I was offered this, but when I was told that I had to have a psychiatric evaluation and a precondition, I turned it down.
What in nickle-plated Hell does my psychological state have to do with my back pain?????
-—— AS a precondition.......
Exactly. Why do you need a shrink’s approval?
I have peripheral neuropathy and it keeps me up. I’d love to try this implant, but like you, won’t see a shrink.
Did a neurologist recommend this implant to you?
Don't let that stop you from back relief. Have fun with it. Claim to be a flaming homosexual with pro LGBQT+ activist views and saving the planet is your passion. You live off of tofu and crickets and Chinese take-out. You absolutely hate guns and you are a Biden man all the way. They'll welcome you with open arms.
Yes, and he claimed that it was a requirement pushed on them by Medicare
What state do you live in?
Unfortunately, there are too many doctors who think chronic pain is a psychological problem. Even when they know there’s a physical cause, some level of their brain still tries to force it into the psychiatric cubbyhole.
I’m wondering if there might be a way to stimulate the spine enough to get some benefit, without the need for an implant? I’ve been getting good results from over the counter TENS devices. Maybe something like that, with specific diagrams of where to place it?
Spinal Device Yields Surprise Orgasm from ABC News.
I think that this medical news from 2001 was responsible for (at least) one, thousand-post thread.
You can thank me later.
bkmk
Gabapentin has eliminate my peripheral neuropathy 100%
I tried it but it made me drowsy and dizzy.
Did you see this study?
Supplementation with amino acid serine eases neuropathy in diabetic mice (Adding glycine may be helpful)
https://freerepublic.com/focus/f-chat/4127298/posts
I turn this down annually. I have been on pain meds constantly since 1995. My sister had this and hated it.
I am not going off pain meds and then have to fight to get them again.
It produces varying degrees of comfort....
I hurt darn near every minute of my life. At least pain killers take the edge off.
I know my brain has altered. I know 12 hours after the 8 hour dose my “body” is dependent upon it, as well as my mind. Quitting only puts my body into a broken down state akin to needing Spine and Joint lubricant.
Rheumatoid arthritis
Cervical arthritis
Left knee has consistency of potato soup
Wish there was a fix it sides pred and percs
LOL. Boston Scientific must have conducted this study. Over 22 years, I’ve has three stimulators, each one supposedly better than the last. I’m sure there are people who have been helped by them, but for me they were just expensive gimmicks. I finally had it removed so I could get an MRI after torquing my back in a slip and fall. Eventually, it was a three-level lumbar fusion that eased most of my pain.
Insomnia has been a chronic problem for me, and stimulators definitely did not help. My pain mgmt doctor says opioids stimulate the brain a good deal, and make you restless when trying to sleep.
Have you tried boron? If you have an osteoarthritis component, it looks helpful:
https://freerepublic.com/focus/f-chat/3761669/posts?page=39#39
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