Biomarkers for Chronic Neuropathic Pain and Their Potential Application in Spinal Cord Stimulation (SCS) Therapy

M. Mozaffor, A. S. M. Nurunnabi, M. Khasru, Md Joynul Islam
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Abstract

Chronic neuropathic pain disorders represent a common long-term disability globally. Its treatment has limited success because of its poorly understood mechanisms. Moreover, the effectiveness of neuropathic pain management regimens and procedures have been difficult to determine to date, due to the subjectivity related to pain perception, and a lack of standardized assessment of neuropathic pain. However, one of the most effective and popular management strategies of chronic neuropathic pain in recent times is spinal cord stimulation (SCS), a form of neuromodulation. This review aims to understand which substances inside the human body increase and decrease with increasing neuropathic pain. Through identifying those biomarkers and finding correlations between neuropathic pain and those components, we would like to apply our knowledge to develop a biomarker profile which will ultimately help to see prognosis or predict success of spinal cord stimulation therapy in patients suffering from chronic neuropathic pain. CBMJ 2021 January: vol. 10 no. 02 P: 118-122
慢性神经性疼痛的生物标志物及其在脊髓刺激治疗中的潜在应用
慢性神经性疼痛障碍是全球常见的长期残疾。由于对其机制知之甚少,其治疗效果有限。此外,由于与疼痛感知相关的主观性,以及缺乏对神经性疼痛的标准化评估,迄今为止,神经性疼痛管理方案和程序的有效性一直难以确定。然而,近年来最有效和流行的治疗慢性神经性疼痛的策略之一是脊髓刺激(SCS),这是一种神经调节形式。这篇综述旨在了解人体内哪些物质随着神经性疼痛的增加而增加或减少。通过识别这些生物标志物并发现神经性疼痛与这些成分之间的相关性,我们希望应用我们的知识来开发一个生物标志物概况,最终有助于看到预后或预测慢性神经性疼痛患者脊髓刺激治疗的成功。中华医学杂志2021年1月第10卷第10期[02:18 . 122
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