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Papers of the Week


Papers: 21 Sep 2024 - 27 Sep 2024


2024 Sep


BJA Open


39319097


11

Effect of neuromodulation for chronic pain on the autonomic nervous system: a systematic review.

Authors

Billet B, Goudman L, Rigoard P, Billot M, Roulaud M, Verstraete S, Nagels W, Moens M

Abstract

In recent years, there has been a growing interest in the use of neuromodulation as an alternative treatment option for chronic pain. Neuromodulation techniques, such as spinal cord stimulation (SCS), dorsal root ganglion (DRG) stimulation, deep brain stimulation (DBS), and peripheral nerve stimulation, have shown promising results in the management of various chronic pain conditions and involve targeted modulation of neural activity to alleviate pain and restore functional capacity. The autonomic nervous system (ANS) plays a crucial role in the regulation of various bodily functions including pain perception. However, the effects of neuromodulation on the ANS in the context of chronic pain remain poorly understood. This systematic review aimed to comprehensively assess the existing literature about the effects of neuromodulation on the ANS in chronic pain settings.