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Published in: Chiropractic & Manual Therapies 1/2017

Open Access 01-12-2017 | Case report

Chiropractic management of post spinal cord stimulator spine pain: a case report

Authors: Rachel M. Perrucci, Christopher M. Coulis

Published in: Chiropractic & Manual Therapies | Issue 1/2017

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Abstract

Background

A brief overview of failed back surgery syndrome, with emphasis on low back pain status post spinal cord stimulation, and post-surgical spinal manipulation is presented.

Case Presentation

Four cases of patients within the VA Connecticut Health Care System presenting between July 2014 and July 2015 reporting low back pain after surgical insertion of spinal cord stimulators are discussed. This study describes the outcomes experienced by four patients with low back pain status post implanted spinal cord stimulators receiving manual therapy in the form of lumbar spine manipulation or mobilization.

Conclusion

All four patients denied adverse effects to spinal manipulation/mobilization and onset of new symptoms after treatment; two patients reported durable reduction in low back pain with increased tolerance to walking, standing, or lying down, one reported temporary relief of low back pain, and one reported no change in symptoms. Further investigation is needed to determine the benefit of spinal manipulation in patients with implanted spinal cord stimulators, but this study has shown the absence of adverse effects from manipulation or mobilization treatment, in regards to SCS.
Literature
1.
go back to reference Turner JA, Loeser JD, Deyo RA, Sanders SB. Spinal cord stimulation for patients with failed back surgery syndrome or complex regional pain syndrome: a systematic review of effectiveness and complications. Pain. 2004;108:137–47.CrossRefPubMed Turner JA, Loeser JD, Deyo RA, Sanders SB. Spinal cord stimulation for patients with failed back surgery syndrome or complex regional pain syndrome: a systematic review of effectiveness and complications. Pain. 2004;108:137–47.CrossRefPubMed
2.
go back to reference Taylor RS, Buscher E, Van Buyten J-P. Spinal cord stimulation for chronic back and leg pain and failed back surgery syndrome: A systematic review and analysis of prognostic factors. Spine. 2005;30:152–60.CrossRefPubMed Taylor RS, Buscher E, Van Buyten J-P. Spinal cord stimulation for chronic back and leg pain and failed back surgery syndrome: A systematic review and analysis of prognostic factors. Spine. 2005;30:152–60.CrossRefPubMed
3.
go back to reference Song JJ, Popescu A, Bell RL. Present and potential use of spinal cord stimulation to control chronic pain. Pain Physician. 2014;17:235–46.PubMed Song JJ, Popescu A, Bell RL. Present and potential use of spinal cord stimulation to control chronic pain. Pain Physician. 2014;17:235–46.PubMed
4.
go back to reference Frey ME, Manchikanti L, Benyamin RM, Schultz DM, Smith HS, Cohen SP. Spinal cord stimulation for patients with failed back surgery syndrome: a systematic review. Pain Physician. 2009;12:379–97.PubMed Frey ME, Manchikanti L, Benyamin RM, Schultz DM, Smith HS, Cohen SP. Spinal cord stimulation for patients with failed back surgery syndrome: a systematic review. Pain Physician. 2009;12:379–97.PubMed
5.
go back to reference Kumar K, North RB, Taylor RS, et al. Spinal cord stimulation versus conventional medical management: a prospective, randomized, controlled multicenter study of patients with failed back surgery syndrome (PROCESS study). Neuromodulation. 2005;8:213–8.CrossRefPubMed Kumar K, North RB, Taylor RS, et al. Spinal cord stimulation versus conventional medical management: a prospective, randomized, controlled multicenter study of patients with failed back surgery syndrome (PROCESS study). Neuromodulation. 2005;8:213–8.CrossRefPubMed
6.
go back to reference Kumar K, Caraway DL, Rizvi S, Bishop S. Current challenges in spinal cord stimulation. Neuromodulation. 2014;17:22–35.CrossRefPubMed Kumar K, Caraway DL, Rizvi S, Bishop S. Current challenges in spinal cord stimulation. Neuromodulation. 2014;17:22–35.CrossRefPubMed
7.
go back to reference Stidd DA, Rivero S, Weinand ME. Spinal cord stimulation with implanted epidural paddle lead relieves chronic axial low back pain. J Pain Research. 2014;7:465–70.CrossRef Stidd DA, Rivero S, Weinand ME. Spinal cord stimulation with implanted epidural paddle lead relieves chronic axial low back pain. J Pain Research. 2014;7:465–70.CrossRef
8.
go back to reference Taylor RS. Spinal cord stimulation in complex regional pain syndrome and refractory neuropathic back and leg pain/failed back surgery syndrome: results of a systematic review and meta-analysis. J Pain Symptom Manage. 2006;31(4S):13–9.CrossRef Taylor RS. Spinal cord stimulation in complex regional pain syndrome and refractory neuropathic back and leg pain/failed back surgery syndrome: results of a systematic review and meta-analysis. J Pain Symptom Manage. 2006;31(4S):13–9.CrossRef
9.
go back to reference Kumar K, Buchser E, Linderoth B, Meglio M, Van Buyten JP. Avoiding complications from spinal cord stimulation: practical recommendations from an international panel of experts. Neuromodulation. 2007;10:24–33.CrossRefPubMed Kumar K, Buchser E, Linderoth B, Meglio M, Van Buyten JP. Avoiding complications from spinal cord stimulation: practical recommendations from an international panel of experts. Neuromodulation. 2007;10:24–33.CrossRefPubMed
10.
go back to reference Manca A, Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, Thomson S, O’Callahghan J, Eisenberg E, Milbouw G, Buchser E, Fortini G, Richardson J, Taylor RJ, Goeree R, Schulpher MJ. Quality of life, resource consumption and costs of spinal cord simulation versus conventional medical management in neuropathic pain patients with failed back surgery syndrome (PROCESS trial). Eur J Pain. 2008;12:1047–58.CrossRefPubMed Manca A, Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, Molet J, Thomson S, O’Callahghan J, Eisenberg E, Milbouw G, Buchser E, Fortini G, Richardson J, Taylor RJ, Goeree R, Schulpher MJ. Quality of life, resource consumption and costs of spinal cord simulation versus conventional medical management in neuropathic pain patients with failed back surgery syndrome (PROCESS trial). Eur J Pain. 2008;12:1047–58.CrossRefPubMed
11.
go back to reference Taylor RS, Desai MJ, Rigoard P, Taylor RJ. Predictors of pain relief following spinal cord stimulation in chronic back and leg pain and failed back surgery syndrome: a systematic review and meta-analysis. Pain Practice. 2014;14(6):489–505.CrossRefPubMed Taylor RS, Desai MJ, Rigoard P, Taylor RJ. Predictors of pain relief following spinal cord stimulation in chronic back and leg pain and failed back surgery syndrome: a systematic review and meta-analysis. Pain Practice. 2014;14(6):489–505.CrossRefPubMed
12.
go back to reference Hayek SM, Veizi E, Hanes M. Treatment-limiting complications of percutaneous spinal cord stimulator implants: a review of eight years of experience from an academic center database. Neuromodulation. 2015; doi:10.1111/ner.12312 Hayek SM, Veizi E, Hanes M. Treatment-limiting complications of percutaneous spinal cord stimulator implants: a review of eight years of experience from an academic center database. Neuromodulation. 2015; doi:10.​1111/​ner.​12312
13.
go back to reference Deer TR, Mekhail N, Provenzano D, et al. The appropriate use of neurostimulation: avoidance and treatment of complications of neurostimulation therapies for the treatment of chronic pain. Neuromodulation. 2014;17:571–98.CrossRefPubMed Deer TR, Mekhail N, Provenzano D, et al. The appropriate use of neurostimulation: avoidance and treatment of complications of neurostimulation therapies for the treatment of chronic pain. Neuromodulation. 2014;17:571–98.CrossRefPubMed
14.
go back to reference Evans DW. Mechanisms and effects of spinal high-velocity, low-amplitude thrust manipulation: previous theories. J Manipulative Physiol Ther. 2002;25(4):251–62.CrossRefPubMed Evans DW. Mechanisms and effects of spinal high-velocity, low-amplitude thrust manipulation: previous theories. J Manipulative Physiol Ther. 2002;25(4):251–62.CrossRefPubMed
15.
go back to reference Bronfort G, Haas M, Evans RL, Bouter LM. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence systhesis. Spine J. 2004;4:335–56.CrossRefPubMed Bronfort G, Haas M, Evans RL, Bouter LM. Efficacy of spinal manipulation and mobilization for low back pain and neck pain: a systematic review and best evidence systhesis. Spine J. 2004;4:335–56.CrossRefPubMed
16.
go back to reference Chou R, Qaseem A, Snow V, Casey D, Cross JT, Shekelle P, Owens DK. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147(7):478–94.CrossRefPubMed Chou R, Qaseem A, Snow V, Casey D, Cross JT, Shekelle P, Owens DK. Diagnosis and treatment of low back pain: a joint clinical practice guideline from the American College of Physicians and the American Pain Society. Ann Intern Med. 2007;147(7):478–94.CrossRefPubMed
17.
go back to reference Senstad O, Leboeuf-Yde C, Borchgrevink C. Frequency and characteristics of side effects of spinal manipulative therapy. Spine. 1997;22:435–41.CrossRefPubMed Senstad O, Leboeuf-Yde C, Borchgrevink C. Frequency and characteristics of side effects of spinal manipulative therapy. Spine. 1997;22:435–41.CrossRefPubMed
18.
go back to reference Leboeuf-Yde C, Hennius B, Rudberg E, Leufvenmark P, Thunman M. Side effects of chiropractic treatment: a prospective study. J Manipulative Physiol Ther. 1997;20:511–5.PubMed Leboeuf-Yde C, Hennius B, Rudberg E, Leufvenmark P, Thunman M. Side effects of chiropractic treatment: a prospective study. J Manipulative Physiol Ther. 1997;20:511–5.PubMed
20.
go back to reference Carey TS, Evans A, Hadler N, Kalsbeek W, McLaughlin C, Fryer J. Care seeking among individuals with chronic low back pain. Spine. 1995;20(3):312–7.CrossRefPubMed Carey TS, Evans A, Hadler N, Kalsbeek W, McLaughlin C, Fryer J. Care seeking among individuals with chronic low back pain. Spine. 1995;20(3):312–7.CrossRefPubMed
21.
go back to reference O’Shaughnessy J, Drolet M, Roy JF, Descarreaux M. Chiropractic management of patients post–disc arthroplasty: eight case reports. Chiropr Osteopat. 2010;18:7.CrossRefPubMedPubMedCentral O’Shaughnessy J, Drolet M, Roy JF, Descarreaux M. Chiropractic management of patients post–disc arthroplasty: eight case reports. Chiropr Osteopat. 2010;18:7.CrossRefPubMedPubMedCentral
22.
go back to reference Carragee EJ, Han MY, Suen PW, Kim D. Clinical outcomes after lumbar discectomy for sciatica: the effects of fragment type and anular competence. J Bone Joint Surg Am. 2003;85(1):102–8.CrossRefPubMed Carragee EJ, Han MY, Suen PW, Kim D. Clinical outcomes after lumbar discectomy for sciatica: the effects of fragment type and anular competence. J Bone Joint Surg Am. 2003;85(1):102–8.CrossRefPubMed
24.
go back to reference Fritsch EW, Heisel J, Rupp S. The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Spine. 1996;21(5):626–33.CrossRefPubMed Fritsch EW, Heisel J, Rupp S. The failed back surgery syndrome: reasons, intraoperative findings, and long-term results: a report of 182 operative treatments. Spine. 1996;21(5):626–33.CrossRefPubMed
25.
go back to reference Aspegren DD, Burt AL. A study of postspinal surgery cases in chiropractic offices. J Manipulative Physiol Ther. 1994;17(2):88–92.PubMed Aspegren DD, Burt AL. A study of postspinal surgery cases in chiropractic offices. J Manipulative Physiol Ther. 1994;17(2):88–92.PubMed
26.
go back to reference Hurwitz EL, Coulter ID, Adams AH, Genovese BJ, Shekelle PG. Use of chiropractic services from 1985 through 1991 in the United States and Canada. Am J Pub Health. 1998;88(5):771–6.CrossRef Hurwitz EL, Coulter ID, Adams AH, Genovese BJ, Shekelle PG. Use of chiropractic services from 1985 through 1991 in the United States and Canada. Am J Pub Health. 1998;88(5):771–6.CrossRef
27.
go back to reference Stern PJ, Cote P, Cassidy JD. A series of consecutive cases of low back pain with radiating leg pain treated by chiropractors. J Manipulative Physiol Ther. 1995;18(6):335–42.PubMed Stern PJ, Cote P, Cassidy JD. A series of consecutive cases of low back pain with radiating leg pain treated by chiropractors. J Manipulative Physiol Ther. 1995;18(6):335–42.PubMed
28.
go back to reference Kruse RA, Cambron J. Chiropractic management of postsurgical lumbar spine pain; a retrospective study of 32 cases. J Manipulative Physiol Ther. 2011;34(6):408–12.CrossRefPubMed Kruse RA, Cambron J. Chiropractic management of postsurgical lumbar spine pain; a retrospective study of 32 cases. J Manipulative Physiol Ther. 2011;34(6):408–12.CrossRefPubMed
29.
go back to reference Morningstar MW, Strauchman MN. Manipulation under anesthesia for patients with failed back surgery: retrospective report of three cases with 1-year follow-up. J Chiropr Med. 2012;11(1):30–5.CrossRefPubMedPubMedCentral Morningstar MW, Strauchman MN. Manipulation under anesthesia for patients with failed back surgery: retrospective report of three cases with 1-year follow-up. J Chiropr Med. 2012;11(1):30–5.CrossRefPubMedPubMedCentral
30.
go back to reference Polkinghorn BS, Colloca CJ. Chiropractic treatment of postsurgical neck syndrome with mechanical force, manually assisted short-lever spinal adjustments. J Manipulative Physiol Ther. 2001;24(9):589–95.CrossRefPubMed Polkinghorn BS, Colloca CJ. Chiropractic treatment of postsurgical neck syndrome with mechanical force, manually assisted short-lever spinal adjustments. J Manipulative Physiol Ther. 2001;24(9):589–95.CrossRefPubMed
31.
go back to reference McGregor M, Cassidy JD. Post-surgical sacroiliac joint syndrome. J Manipulative Physiol Ther. 1983;6(1):1–11.PubMed McGregor M, Cassidy JD. Post-surgical sacroiliac joint syndrome. J Manipulative Physiol Ther. 1983;6(1):1–11.PubMed
32.
go back to reference Shaw TW. Chiropractic rehabilitation of the retraumatized post surgical lumbar spine with radiculopathy. J Chiropr Res Clin Invest. 1994;9:108–111. Shaw TW. Chiropractic rehabilitation of the retraumatized post surgical lumbar spine with radiculopathy. J Chiropr Res Clin Invest. 1994;9:108–111.
33.
go back to reference Gluck NI. Passive care and active rehabilitation in a patient with failed back surgery syndrome. J Manipulative Physiol Ther. 1996;19(1):41–7.PubMed Gluck NI. Passive care and active rehabilitation in a patient with failed back surgery syndrome. J Manipulative Physiol Ther. 1996;19(1):41–7.PubMed
34.
go back to reference Lisi AJ, Bhardwaj MK. Chiropractic high velocity low amplitude spinal manipulation in the treatment of a patient with chronic cauda equina syndrome: an evidence-based case report. J Manipulative Physiol Ther. 2004;27(9):574–8.CrossRefPubMed Lisi AJ, Bhardwaj MK. Chiropractic high velocity low amplitude spinal manipulation in the treatment of a patient with chronic cauda equina syndrome: an evidence-based case report. J Manipulative Physiol Ther. 2004;27(9):574–8.CrossRefPubMed
35.
36.
go back to reference Trautmann S, Goodwin L, Hofler M, Jacobi F, Strehle J, Zimmerman P, Wittchen HU. Prevalence and severity of mental disorders in military personnel: a standardized comparison with civilians. Epidemiol Psychiatr Sci. 2016;18:1–10.CrossRef Trautmann S, Goodwin L, Hofler M, Jacobi F, Strehle J, Zimmerman P, Wittchen HU. Prevalence and severity of mental disorders in military personnel: a standardized comparison with civilians. Epidemiol Psychiatr Sci. 2016;18:1–10.CrossRef
Metadata
Title
Chiropractic management of post spinal cord stimulator spine pain: a case report
Authors
Rachel M. Perrucci
Christopher M. Coulis
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Chiropractic & Manual Therapies / Issue 1/2017
Electronic ISSN: 2045-709X
DOI
https://doi.org/10.1186/s12998-017-0136-0

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