Functional_ specific syndromes or diseases treated

Question 1

SCS - 5 specifika tillstånd som behandlas

Answer 1

1. FBSS - failed back surgery syndrome
2. CRPS - complex regional pain syndrome
3. Perihperal vascular disease
4. Angina pectoris
5. Diabetic neuropathy

Question 2

SCS for FBSS

Answer 2

• improves pain control over either PT or medical management alone. (24mo)
• As effective as reoperation in treating radicular pain. No difference in ADL or work status.

Question 3

SCS for CRPS

Answer 3

• May be effective during the first few years but no significance at 5 y follow up.

Question 4

What is CRPS?

Answer 4

Complex regional pain syndrome
cChronic. continous. disabling. aching or burning.

Question 5

What are the 2 groups of CRPS

Answer 5

Complex regional pain syndrome
I. Nonspecific soft-tissue pain w no known nerve injury.

II. (+p501) follows nerve injury.
Disproportionate spontaneous, hyperpathia and allodynia.
Unknown pathophysiology.
Very difficlut to treat. SCS works best but usually only a few years.

Question 6

SCS for peripheral vascular disease

Answer 6

• help with pain due to inoperable limb ischemia
• may or may not improve healing of pressure ulcers.

Question 7

SCS for angina pectoris

Answer 7

! As effective as CABG in controlling refractory angina.
! As effective as CABG to protect against MI.
! SCS improves excericise capacity by unkown mechanism.

Question 8

SCS for diabetic neuropathy

Answer 8

Limited knowledge. May be viable for refractory pain.