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Dorsal Root Ganglion Stimulation for Post-Thoracotomy Pain Syndrome

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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. 

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