Seung Mi Oh, Yerissa A Diaz, Ludovica Stilli, Kateryna Slinchenkova, Karina Gritsenko, Amaresh Vydyanathan, Kathryn Breidenbach, Blaze Borowski, Sarang S Koushik, Omar Viswanath, Naum Shaparin
{"title":"高剂量8%辣椒素贴片治疗孕妇慢性神经性背痛1例","authors":"Seung Mi Oh, Yerissa A Diaz, Ludovica Stilli, Kateryna Slinchenkova, Karina Gritsenko, Amaresh Vydyanathan, Kathryn Breidenbach, Blaze Borowski, Sarang S Koushik, Omar Viswanath, Naum Shaparin","doi":"10.52965/001c.140712","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Managing pain during pregnancy is challenging due to fetus safety and limited data on perinatal pain treatments. We report the first successful management of neuropathic back pain with high dose 8% Capsaicin patches (Qutenza) in a pregnant patient who failed other modalities.</p><p><strong>Case presentation: </strong>A 34-year-old female with a history of migraines, childhood scoliosis status-post T5-L3 posterior spinal fusion complicated by post-laminectomy syndrome, presented with myofascial and neuropathic back pain. Her pain was refractory to oral agents, injections, field stimulator, and partial surgical revision. During patch treatments, she became pregnant.</p><p><strong>Management and outcomes: </strong>A review of the patient's record and consent were obtained. Trial of an 8% capsaicin patch provided significant relief of her pain twice. Following OB/GYN consultation, she continued patch treatment, achieving significant relief without pregnancy complications into a subsequent pregnancy.</p><p><strong>Conclusion: </strong>Following further study, 8% capsaicin patches may be suitable alternatives for pain management during pregnancy.</p>","PeriodicalId":19669,"journal":{"name":"Orthopedic Reviews","volume":"17 ","pages":"140712"},"PeriodicalIF":2.1000,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351532/pdf/","citationCount":"0","resultStr":"{\"title\":\"High-Dose 8% Capsaicin Patch in Treatment of Chronic Neuropathic Back Pain in a Pregnant Woman: A Case Report.\",\"authors\":\"Seung Mi Oh, Yerissa A Diaz, Ludovica Stilli, Kateryna Slinchenkova, Karina Gritsenko, Amaresh Vydyanathan, Kathryn Breidenbach, Blaze Borowski, Sarang S Koushik, Omar Viswanath, Naum Shaparin\",\"doi\":\"10.52965/001c.140712\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Managing pain during pregnancy is challenging due to fetus safety and limited data on perinatal pain treatments. We report the first successful management of neuropathic back pain with high dose 8% Capsaicin patches (Qutenza) in a pregnant patient who failed other modalities.</p><p><strong>Case presentation: </strong>A 34-year-old female with a history of migraines, childhood scoliosis status-post T5-L3 posterior spinal fusion complicated by post-laminectomy syndrome, presented with myofascial and neuropathic back pain. Her pain was refractory to oral agents, injections, field stimulator, and partial surgical revision. During patch treatments, she became pregnant.</p><p><strong>Management and outcomes: </strong>A review of the patient's record and consent were obtained. Trial of an 8% capsaicin patch provided significant relief of her pain twice. Following OB/GYN consultation, she continued patch treatment, achieving significant relief without pregnancy complications into a subsequent pregnancy.</p><p><strong>Conclusion: </strong>Following further study, 8% capsaicin patches may be suitable alternatives for pain management during pregnancy.</p>\",\"PeriodicalId\":19669,\"journal\":{\"name\":\"Orthopedic Reviews\",\"volume\":\"17 \",\"pages\":\"140712\"},\"PeriodicalIF\":2.1000,\"publicationDate\":\"2025-06-16\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351532/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Orthopedic Reviews\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.52965/001c.140712\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Orthopedic Reviews","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.52965/001c.140712","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
High-Dose 8% Capsaicin Patch in Treatment of Chronic Neuropathic Back Pain in a Pregnant Woman: A Case Report.
Introduction: Managing pain during pregnancy is challenging due to fetus safety and limited data on perinatal pain treatments. We report the first successful management of neuropathic back pain with high dose 8% Capsaicin patches (Qutenza) in a pregnant patient who failed other modalities.
Case presentation: A 34-year-old female with a history of migraines, childhood scoliosis status-post T5-L3 posterior spinal fusion complicated by post-laminectomy syndrome, presented with myofascial and neuropathic back pain. Her pain was refractory to oral agents, injections, field stimulator, and partial surgical revision. During patch treatments, she became pregnant.
Management and outcomes: A review of the patient's record and consent were obtained. Trial of an 8% capsaicin patch provided significant relief of her pain twice. Following OB/GYN consultation, she continued patch treatment, achieving significant relief without pregnancy complications into a subsequent pregnancy.
Conclusion: Following further study, 8% capsaicin patches may be suitable alternatives for pain management during pregnancy.
期刊介绍：
Orthopedic Reviews is an Open Access, online-only, peer-reviewed journal that considers articles concerned with any aspect of orthopedics, as well as diagnosis and treatment, trauma, surgical procedures, arthroscopy, sports medicine, rehabilitation, pediatric and geriatric orthopedics. All bone-related molecular and cell biology, genetics, pathophysiology and epidemiology papers are also welcome. The journal publishes original articles, brief reports, reviews and case reports of general interest.
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