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Implanted occipital nerve stimulator proves beneficial for Fibromyalgia
Saturday 2 November 2013
Implanted Occipital Nerve Stimulator Proves Beneficial for Fibromyalgia
Occipital Nerve Stimulation in Fibromyalgia: A Double-Blind Placebo-Controlled Pilot Study With a Six-Month Follow-Up.
By Mark Plazier MD, et al.
OBJECTIVE: The goal of this study is to evaluate the effectiveness of occipital nerve stimulation (ONS) as a surgical treatment for fibromyalgia in a placebo-controlled design.
MATERIALS AND METHODS: Eleven patients were selected based on the American College of Rheumatology-90 criteria and implanted with an occipital nerve trial-lead stimulator. Baseline scores for pain, mood, and fatigue were acquired, and patients were randomized in a ten-week double-blinded crossover design with placebo and effective subsensory threshold stimulation (no paresthesias). After finalizing the trial, nine patients were implanted permanently; evaluation was performed prior to surgery and at six months after surgery for pain, fatigue, and mood of the number of trigger points and overall morbidity.
CONCLUSIONS: Our data strongly suggest that ONS is beneficial in the treatment of fibromyalgia. The beneficial effects are stable at six months after permanent implantation. Subsensory threshold stimulation is feasible in designing a placebo-controlled trial.
Source: Neuromodulation, October 7, 2013. By Mark Plazier MD, Ingrid Dekelver MD, Sven Vanneste MSc, MA, PhD, Gaëtane Stassijns MD, PhD, Tomas Menovsky MD, PhD, Mark Thimineur MD, PhD and Dirk De Ridder MD, PhD. Department of Translational Neuroscience, Faculty of Health science and Medicine University Antwerp, Antwerp, Belgium; Department of Neurosurgery, University Hospital Antwerp, Antwerp, Belgium.
The above originally appeared here.
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