ARTICLE
Neuropathic pain after spinal cord injury resistant to conventional therapies - case report
1
Zakład Badania i Leczenia Bólu, Katedra i Klinika Anestezjologii, Intensywnej Terapii i Medycyny Ratunkowej, Wydział Lekarski z Oddziałem Lekarsko-Dentystycznym w Zabrzu ŚUM w Katowicach
2
Wydział Lekarski z Oddziałem Lekarsko-Dentystycznym w Zabrzu, Katedra i Oddział Kliniczny Psychiatrii w Tarnowskich Górach ŚUM w Katowicach
3
Poradnia Leczenia Bólu, Samodzielny Publiczny Zespół Opieki Zdrowotnej w Mońkach
4
Gabinet Psychoterapii, Calle Equador 95, Barcelona, Hiszpania
5
Katedra i Klinika Anestezjologii, Intensywnej Terapii i Medycyny Ratunkowej, Wydział Lekarski z Oddziałem Lekarsko-Dentystycznym w Zabrzu ŚUM w Katowicach
Submission date: 2014-07-28
Final revision date: 2015-03-06
Acceptance date: 2015-03-12
Publication date: 2016-04-30
Corresponding author
Andrzej Daszkiewicz
Zakład Badania i Leczenia Bólu, Katedra i Klinika Anestezjologii, Intensywnej Terapii i Medycyny Ratunkowej, Wydział Lekarski z Oddziałem Lekarsko-Dentystycznym w Zabrzu, Śląski Uniwersytet Medyczny w Katowicach, ul. 3go Maja 13-15, 41-800 Zabrze, Polska
Zakład Badania i Leczenia Bólu, Katedra i Klinika Anestezjologii, Intensywnej Terapii i Medycyny Ratunkowej, Wydział Lekarski z Oddziałem Lekarsko-Dentystycznym w Zabrzu, Śląski Uniwersytet Medyczny w Katowicach, ul. 3go Maja 13-15, 41-800 Zabrze, Polska
Psychiatr Pol 2016;50(2):345-355
KEYWORDS
TOPICS
ABSTRACT
Objectives:
There are patients with neuropathic pain in whom the treatment is ineffective, despite the fact that is conducted with adherence to the current guidelines. In these patients alternative treatment methods such as hypnosis could be effective.
Methods:
The paper presents a case of a 58-year-old man with central neuropathic pain after cervical spinal cord injury. The conservative treatment with antiepileptics including gabapentoids), antidepressants (tricyclic and selective noradrenaline and serotonin inhibitor — SNRI) and opioids was not effective. In the pain management centre the celiac plexus stimulation and neuromodulation was performed, however, with no positive results. The patient was referred to the psychiatrist using hypnosis in his medical practice.
Results:
The psychiatrist qualified the patient to pain treatment with hypnosis. After several hypnotic sessions the pain intensity score in numeric rating scale (NRS) decreased from NRS 7 to NRS 5 points and became acceptable for the patient.
Conclusions:
Hypnosis can be considered an effective method of neuropathic pain treatment in some patients.
There are patients with neuropathic pain in whom the treatment is ineffective, despite the fact that is conducted with adherence to the current guidelines. In these patients alternative treatment methods such as hypnosis could be effective.
Methods:
The paper presents a case of a 58-year-old man with central neuropathic pain after cervical spinal cord injury. The conservative treatment with antiepileptics including gabapentoids), antidepressants (tricyclic and selective noradrenaline and serotonin inhibitor — SNRI) and opioids was not effective. In the pain management centre the celiac plexus stimulation and neuromodulation was performed, however, with no positive results. The patient was referred to the psychiatrist using hypnosis in his medical practice.
Results:
The psychiatrist qualified the patient to pain treatment with hypnosis. After several hypnotic sessions the pain intensity score in numeric rating scale (NRS) decreased from NRS 7 to NRS 5 points and became acceptable for the patient.
Conclusions:
Hypnosis can be considered an effective method of neuropathic pain treatment in some patients.
| eISSN: | 2391-5854 |
| ISSN: | 0033-2674 |
Project no. RCN/SN/0610/2021/1 implemented from 2022 to 2024
Total value of the project: PLN 490 000
Amount funded by the MEiN: PLN 100 000
Aims of the project: Publication in Open Access mode on the Internet of English and Polish language versions of 12 consecutive issues of the journal Psychiatria Polska (years 2022-2024). Modernization and redesign of the journal’s website. Financing of the Editorial System. Copy editing and proofreading of journal issues. Counteracting scientific misinformation. Submission of electronic versions of the journal to the National Digital Library Polona and the Digital Library of Scientific Publications Academica.
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