Neuropathic Pain
Conditions
Keywords
Neuropathic pain, NPSI, Spinal Cord Stimulation
Brief summary
Several studies have shown the efficacy of spinal cord stimulation in reducing the intensity of neuropathic pain. This efficacy is defined as obtaining relief of at least 50% of the preoperative pain intensity assessed by the visual analog scale or the digital pain scale. No study has evaluated the efficacy of stimulation specifically on the different components of neuropathic pain, only an overall improvement in pain has been described. A specific questionnaire for neuropathic pain has been extensively validated in neuropathic pain: the Neuropathic Pain Symptom Inventory (NPSI). Thanks to the multidimensional structure of this questionnaire, investigators propose to evaluate separately and in a much more specific way the efficacy of spinal cord stimulation in the short and long term on the different components of neuropathic pain and to define responders subgroups.
Interventions
None listed
Sponsors
Hopital Foch
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Age ≥ 18 years * With neuropathic pain: * confirmed (DN4 score\> 4/10) * going back to one year at least * refractory to well-conducted medical treatments * Requiring spinal cord stimulation: the indication is validated by the multidisciplinary meeting (RCP Neuromodulation / Pain at Foch Hospital) * Having given his non-opposition
Exclusion criteria
* Patient with sepsis * Having no well-conducted prior medical treatment * With uncontrolled psychiatric disorders (active psychosis, suicidal disorders, severe depression) * with somatoform disorders * addicted to alcohol or drugs or withdrawal syndrome * Deprived of liberty or under guardianship.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of spinal cord stimulation on the various symptoms of neuropathic pain using the Neuropathic Pain Symptom Inventory (NPSI), change is being assessed. | Day 0; Day 7 after surgery; 3 months, 6 months and 12 months after surgery | Neuropathic pain score obtained by the NPSI questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Efficacy of spinal cord stimulation on the psychological level (anxiety and depression) | Day 0 and 12 months after surgery | Anxiety and depression score assessed by Hospital Anxiety and Depression (HAD) questionnaire |
| Efficacy of spinal cord stimulation on quality of life. | Day 0 and 12 months after surgery | Quality of life score assessed by EQ-5D questionnaire |
Countries
France
Contacts
Primary ContactNaoufel Ouerchefani, MD
Outcome results
None listed