Successful Treatment of Chronic Post Thoracotomy Pain Syndrome with
Dorsal Root Ganglion (DRG) Stimulation
Rehan Ali MD, Lawrence Epstein MD, Yury Khelemsky, MD
Department of Anesthesiology/Division of Pain Medicine
Icahn School of Medicine at Mount Sinai
New York, NY
Post-thoracotomy pain syndrome (PTPS) is a common and often difficult to treat complication of thoracic surgery. Treatment is multimodal and initially includes neuropathic agents, antidepressants, non-steroidal anti-inflammatory agents, and topical creams. More invasive therapy consists of intercostal nerve blocks or cryotherapy.
Traditional spinal cord stimulation has been successfully used for the treatment of post-thoracotomy pain syndrome. Stimulation of the dorsal root ganglion (DRG) may be particularly suitable for the treatment of pain in the distribution of discrete nerve roots.