Electroacupuncture in the treatment of refractory neuropathic pain

N. Valente, Dinamara Kran Rocha Dinamara Kran Rocha, Fernando Cláudio Zuvanov, Juliana Alencar da Silva Resende, Carlos Augusto Bezerra Nascimento
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Abstract

The technique of acupuncture frequently used in cases of neuropathy consists of inserting needles into classic acupuncture points along the affected nerve and may be associated with manual or electrical stimulation. This article aims to report the case of a 47-year-old male patient with chronic postoperative neuropathic pain difficult to control and refractory to treatment who responded positively with the use of electroacupuncture bordering the cicatricial region. He was previously submitted to conservative and interventional treatments with moderate results. He was admitted to our AcupunctureSector where three cycles of acupuncture were performed. Due to the return of intense pain, in the third cycle, electroacupuncture procedures with cutaneous-neural needlework were started margining the surgical scar. He presented progressive improvement and was discharged from the outpatient clinic with pain of mild intensity, remaining stable for the next eight months until the writing of this article, without regular use of pain medications. This case demonstrates anew possibility of successful treatment of neuropathic pain after traumatic injury, using cutaneous neural needlepoint and electroacupuncture, and should serve as an incentive for new clinical uses of the technique and conducting research that demonstrates and proves its efficacy.
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电针治疗难治性神经性疼痛
在神经病变病例中经常使用的针灸技术包括沿着受影响的神经将针插入经典穴位,并可能与手动或电刺激相关。本文报告一例47岁男性患者,慢性术后神经性疼痛难以控制且治疗难治性,使用毗邻瘢痕区域的电针治疗效果良好。他以前接受过保守和介入性治疗,结果一般。他住进了我们的针灸师那里进行了三个疗程的针灸。由于剧烈疼痛的复发,在第三个周期中,开始在手术疤痕边缘进行皮肤神经针法电针治疗。患者表现出渐进式改善,并因轻度疼痛从门诊出院,在接下来的8个月保持稳定,直到撰写本文,没有定期使用止痛药。本病例展示了使用皮肤神经针和电针成功治疗创伤性损伤后神经性疼痛的新可能性,并应作为一种新的临床应用的激励,并开展研究来证明和证明其有效性。
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