Neurol. praxi. 2020;21(5):356-362

Neuromodulation in the treatment of chronic pain

doc. MUDr. Jiří Kozák, Ph.D.¹, MUDr. Ivan Vrba, Ph.D.²

¹ Centrum pro léčení a výzkum bolestivých stavů při Klinice rehabilitace a tělovýchovného lékařství 2. LF UK a FN v Motole, Praha

² Anesteziologicko resuscitační oddělení, Ambulance léčby bolesti Nemocnice Na Homolce, Praha

Neuromodulatory approaches are among the selective methods of chronic pain management. In terms of their medical indication, its financial demands and operational approach, it ranks among the most challenging algesiological techniques from the economic and professional point of view. Neuromodulation includes both invasive and non-invasive methods. We describe the basic invasive methods - neurostimulation and intrathecally drug therapy using pump systems, their indications, basic uses and diagnoses in which these methods are most commonly used.

Keywords: neuromodulation, spinal stimulation, peripheral nerve stimulation, pump systems, indication criteria.

Received: May 4, 2020; Revised: May 4, 2020; Accepted: May 4, 2020; Prepublished online: May 4, 2020; Published: November 11, 2020  Show citation