Chronic refractory back and/or leg pain syndrome
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Diagnosis of chronic refractory pain syndrome (back and/or leg pain) requiring implantation of an SCS system - Verbal and written declaration of consent
Exclusion criteria
Exclusion criteria: - Neurological disorders, current and/or in the past (incl. severe traumatic brain injury) - History or current abuse of or dependence on psychotropic substances including alcohol (except nicotine) - Serious psychiatric disorders in the past or currently - Serious physical illnesses, in particular unstable cardiovascular diseases - Pregnancy (female gender) - underlying malignant disease and acute and/or chronic infections - Additionally for the OCT examination: Known ocular diseases that lead to a change in the neurosensory retina or optic nerve, clinically significant opacities of the cornea, lens and/or vitreous body and intraocular surgery within the last 3 months - Additionally for MRI examinations: Contraindications for MRI; contraindications for contrast administration - Additionally for MEG examinations: Contraindications for MEG
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Prior to surgery and 3, 6 and 12 months after the surgery, back/leg pain is assessed using the Visual Analogue Scale (VAS). In addition, sleep quality is measured using the Pittsburgh Sleep Quality Inventory (PSQI), depressive mood using the Beck Depression Inventory (BDI) and quality of life using the Oswestry Disability Index (ODI) is also recorded. At the same time points, inflammatory mediators in the blood are determined (BDNF, BNDP, interleukins, MMP, MIP) and MRI and OCT and MEG are performed to determine structural and functional changes in the brain and the fundus of the eye. Quantitative sensorimotor testing (QST) is also carried out. | — |
Countries
Germany
Contacts
Universitätsmedizin Mannheim