Neurostimulation for Chronic Low Back Pain during Pregnancy
Implications for Child and Mother Safety
Bibliographic Data
| ID | 15480935 |
|---|---|
| Authors | Massimo Antonio Innamorato (0000-0001-8127-2355, Ospedale "Santa Maria delle Croci" di Ravenna, corresponding author), Marco Cascella (0000-0002-5236-3132, Istituto Nazionale Tumori IRCCS "Fondazione G. Pascale"), Elena Bignami (0000-0002-8199-7791, University of Parma), Elena Giovanna Bignami (University of Parma), Paolo Perna (0000-0001-8537-4834, Ospedale "Santa Maria delle Croci" di Ravenna), Emiliano Petrucci (San Salvatore Hospital), Franco Marinangeli (0000-0002-4931-7717, University of L'Aquila), Alessandro Vittori (0000-0002-2377-3765, Bambino Gesù Children's Hospital) |
| Year | 2022 |
| Volume | 19 |
| Issue | 23 |
| Pages | 15488-15488 |
| Publication date | 2022-11-22 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph192315488 |
| PMID | 36497567 |
| OpenAlex | W4309712791 |
| Language | EN |
| References cited | 49 |
Pain therapy for low back pain in pregnancy is a very topical issue. In fact, it is necessary to balance the patient's needs to control pain with the need to manage a pregnancy without negative effects on the fetus. We report a case of a 37-year-old woman with low back pain treated with neurostimulation before pregnancy. She described severe chronic low back pain unresponsive to pharmacologic treatments. We first implanted a subcutaneous stimulator into the patient, and then a definitive stimulator resulting in excellent pain control. The improvement in her quality of life allowed the woman to become pregnant. We decided to stop neurostimulation with the patient during pregnancy. The patient completed her pregnancy without complications and the baby was born healthy. During the pregnancy, the woman took only paracetamol when needed. However, this painful symptomatology, completely anecdotal, is not attributable solely to the previous spine problem but probably also to the changes occurring during pregnancy. At the end of pregnancy, the neurostimulator was reactivated without any discomfort for the patient, who is now pain free. This case report provides a first line of evidence of a possible treatment of low back pain in women intending to become pregnant, with risk-free management for both the patient and the child
Alternative medicine · Low back pain · Neurostimulation · Physical therapy · Pregnancy · Medicine · Musculoskeletal pain and rehabilitation · Pregnancy-related medical research · Spine and Intervertebral Disc Pathology · Internal Medicine
| Citation velocity | historical |
|---|---|
| Highly cited | No |