关键词: Transcutaneous nerve stimulation musculoskeletal pain thermography

来  源:   DOI:10.1177/2050313X241249058   PDF(Pubmed)

Abstract:
Low back pain affects over 20% of individuals during their lifetime, and in some patients, it may be associated with scar tissue formation after surgery. Small-fiber neuropathy and scar tissue dysfunction can lead to localized pain by affecting signals to the thalamus. Transcutaneous neuromodulation using Tape with Magnetic Particles shows promise in relieving perceived pain, modulating vascularization and the autonomic nervous system, and reducing dermal temperature. In the present case, a 24-year-old woman with L5-S1 disk herniation experienced low back pain and leg pressure. The surgical intervention provided temporary relief, but scar restrictions caused pain recurrence. Tape with Magnetic Particles application initially induced scar hypothermia and pressure tolerance during posteroanterior tests on lumbar spinous processes increased, reducing pain perception for at least 12 h. Transcutaneous neuromodulation with Tape with Magnetic Particles modulated dermal temperature immediately and for 12 h, reducing perceived pain and sustaining improvement thereafter. This highlights the potential of Tape with Magnetic Particles in managing chronic low back pain associated with scar tissue.
摘要:
腰背痛影响了20%以上的人,在一些患者中,它可能与手术后的瘢痕组织形成有关。小纤维神经病变和瘢痕组织功能障碍可通过影响丘脑的信号而导致局部疼痛。使用带磁性颗粒的经皮神经调节显示出缓解感知疼痛的希望,调节血管形成和自主神经系统,降低皮肤温度。在目前的情况下,一名24岁的L5-S1椎间盘突出患者出现腰痛和腿部压力。手术干预提供了暂时的救济,但是疤痕限制导致疼痛复发。在腰椎棘突前路试验中,最初使用磁性颗粒胶带引起的瘢痕低温和压力耐受性增加,减少疼痛感知至少12小时。使用带磁性颗粒的经皮神经调节立即调节皮肤温度并持续12小时,减少感知到的疼痛,并在此后保持改善。这突出了带磁性颗粒的胶带在管理与瘢痕组织相关的慢性下腰痛方面的潜力。
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