Repetitive Transcranial Magnetic Stimulation to Treat Depression and Insomnia with Chronic Low Back Pain.
10.3344/kjp.2014.27.3.285
- Author:
Eun Jung PARK
1
;
Se Jin LEE
;
Do Yle KOH
;
Yoo Mi HAN
Author Information
1. Seoul ChukChuk Pain Hospital, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
back pain;
chronic pain;
depression;
insomnia;
transcranial magnetic stimulation
- MeSH:
Back Pain;
Chronic Pain;
Depression*;
Low Back Pain*;
Motor Cortex;
Movement Disorders;
Neuralgia;
Neurons;
Pain Management;
Sleep Initiation and Maintenance Disorders*;
Transcranial Magnetic Stimulation*
- From:The Korean Journal of Pain
2014;27(3):285-289
- CountryRepublic of Korea
- Language:English
-
Abstract:
Transcranial magnetic stimulation (TMS) is a noninvasive and safe technique for motor cortex stimulation. TMS is used to treat neurological and psychiatric disorders, including mood and movement disorders. TMS can also treat several types of chronic neuropathic pain. The pain relief mechanism of cortical stimulation is caused by modifications in neuronal excitability. Depression is a common co-morbidity with chronic pain. Pain and depression should be treated concurrently to achieve a positive outcome. Insomnia also frequently occurs with chronic lower back pain. Several studies have proposed hypotheses for TMS pain management. Herein, we report two cases with positive results for the treatment of depression and insomnia with chronic low back pain by TMS.