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Repetitive Transcranial Magnetic Stimulation to Treat Depression and Insomnia with Chronic Low Back Pain

Authors
Park, Eun JungLee, Se JinKoh, Do YleHan, Yoo Mi
Issue Date
Jul-2014
Publisher
대한통증학회
Keywords
back pain; chronic pain; depression; insomnia; transcranial magnetic stimulation
Citation
The Korean Journal of Pain, v.27, no.3, pp 285 - 289
Pages
5
Journal Title
The Korean Journal of Pain
Volume
27
Number
3
Start Page
285
End Page
289
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/12072
DOI
10.3344/kjp.2014.27.3.285
ISSN
2005-9159
2093-0569
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.
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