Vagus nerve stimulation for chronic pain management: Mechanisms and clinical advances.

Journal of biological methods Pub Date : 2025-10-08 eCollection Date: 2025-01-01 DOI:10.14440/jbm.0051
Milan Patel, Shahnaz Fooladi Sarabi, Kalvin Chen, Lukas J Henjum, Barnabas T Shiferaw, Danielle Kohr, Alaa Abd-Elsayed
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Abstract

Background: Chronic pain poses a significant challenge to the general population, especially in older adults. As a result, there is a growing emphasis on developing novel treatment options and expanding the use of emerging technologies.

Objective: This comprehensive review aims to guide practitioners in chronic pain management by extending the current application of vagus nerve stimulation (VNS). The review examined peer-reviewed studies, including multicenter cohort studies and clinical trials, published within the past 25 years. VNS has shown the most promising results in pain reduction for headache and migraine, with less relief in inflammatory and neuropathic pain as compared to current first-line treatment options.

Conclusion: Overall, this review seeks to compile and critically analyze the effect and efficacy of VNS on different forms of chronic pain using the most current studies and research applicable.

迷走神经刺激治疗慢性疼痛:机制和临床进展。
背景:慢性疼痛对普通人群来说是一个重大的挑战,尤其是在老年人中。因此,人们越来越重视开发新的治疗方案和扩大新兴技术的使用。目的:本综述旨在通过扩展迷走神经刺激(VNS)的应用来指导从业者治疗慢性疼痛。该综述审查了同行评议的研究,包括过去25年内发表的多中心队列研究和临床试验。VNS在减轻头痛和偏头痛的疼痛方面显示出最有希望的结果,与目前的一线治疗方案相比,对炎症和神经性疼痛的缓解较少。结论:总的来说,本综述旨在利用最新的研究和适用的研究汇编和批判性分析VNS对不同形式的慢性疼痛的影响和疗效。
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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