Effect of diamagnetic therapy to manage a patient with degenerative cervical myelopathy and drug's intolerance.

IF 1.4 Q4 CLINICAL NEUROLOGY
Pain management Pub Date : 2025-07-01 Epub Date: 2025-06-22 DOI:10.1080/17581869.2025.2523729
Vincenzo Rania, Gianmarco Marcianò, Cristina Vocca, Caterina Palleria, Lucia Muraca, Pietro Romeo, Felipe Torres, Luca Gallelli
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引用次数: 0

Abstract

Degenerative cervical myelopathy (DCM) is a common condition with a prevalence of 24.2% in the healthy population, and 35.3% in patients older than 60 years. The management of this clinical condition is difficult and implies chronic management of patients. The risk of drug abuse is very high and may lead to important long-term consequences. Finding a therapeutic option capable to reduce the number of prescribed drugs and with few side effects is very important in DCM. We report a 44-year-old Caucasian woman who was diagnosed with DCM. Her medical history revealed that despite using multiple medications, she did not show any signs of improvement. She declined the surgical treatment as well. Following clinical assessment, a diamagnetic pump treatment with pulsed electromagnetic fields for 3 months (once-twice weekly for 30 min, magnetic flux density 86 mt at the site of treatment) resulted in a clinical improvement. The benefits of diamagnetic therapy were three-faced including pain improvement, functional status, and imaging (magnetic resonance imaging (MRI) showing bone marrow edema reduction and myelopathy improvement). This is the first case report in our knowledge to prove the effectiveness of diamagnetic therapy in DCM, alongside imaging and functional improvement.

抗磁疗治疗退行性颈椎病伴药物不耐受的疗效观察。
退行性颈椎病(DCM)是一种常见病,在健康人群中患病率为24.2%,在60岁以上患者中患病率为35.3%。这种临床状况的管理是困难的,意味着患者的慢性管理。滥用药物的风险非常高,并可能导致严重的长期后果。在DCM中,找到一种能够减少处方药物数量且副作用少的治疗方案非常重要。我们报告一位44岁的高加索女性被诊断为DCM。她的病史显示,尽管使用了多种药物,但她没有显示出任何改善的迹象。她也拒绝了手术治疗。临床评估后,采用脉冲电磁场抗磁泵治疗3个月(每周一次,两次,每次30分钟,治疗部位的磁通量密度为86 mt),临床改善。抗磁治疗的益处有三个方面,包括疼痛改善、功能状态和成像(磁共振成像(MRI)显示骨髓水肿减少和脊髓病改善)。据我们所知,这是第一个证明抗磁治疗在DCM中的有效性,以及成像和功能改善的病例报告。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Pain management
Pain management CLINICAL NEUROLOGY-
CiteScore
2.90
自引率
5.90%
发文量
62
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