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Imaging-guided hyperstimulation analgesia in low back pain

Authors Gorenberg M, Schwartz K

Received 2 May 2013

Accepted for publication 23 May 2013

Published 25 June 2013 Volume 2013:6 Pages 487—491

DOI https://doi.org/10.2147/JPR.S47540

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Miguel Gorenberg,1,2 Kobi Schwartz3

1Department of Nuclear Medicine, B'nai Zion Medical Center, Haifa, Israel; 2The Rappaport Faculty of Medicine, Technion - Israel Institute of Technology, Haifa, Israel; 3Department of Physical Therapy, B'nai Zion Medical Center, Haifa, Israel

Abstract: Low back pain in patients with myofascial pain syndrome is characterized by painful active myofascial trigger points (ATPs) in muscles. This article reviews a novel, noninvasive modality that combines simultaneous imaging and treatment, thus taking advantage of the electrodermal information available from imaged ATPs to deliver localized neurostimulation, to stimulate peripheral nerve endings (Aδ fibers) and in turn, to release endogenous endorphins. "Hyperstimulation analgesia" with localized, intense, low-rate electrical pulses applied to painful ATPs was found to be effective in 95% patients with chronic nonspecific low back pain, in a clinical validation study.

Keywords: myofascial, noninvasive, electrical, impedance

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