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J Pak Med Assoc. 2012 Jan;62(1):71-3.

Management of chronic symphysis pubis pain following child birth with spinal cord stimulator.

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1
Department of Anaesthesia & Pain, Our Lady of Lourdes Hospital, Drogheda, Ireland.

Abstract

The case of a 39 year old woman who had diastasis of pubic symphysis following childbirth and later developed severe chronic neuropathic pain and disability is presented. She received extensive surgical and medical treatment for 6 years with no improvement of symptoms. The VNRS (Visual Numerical Rating Scale) pain score was 7/10 or more most of the time. This was quite disabling in terms of her quality of life. A spinal cord stimulator was inserted after failure of other modalities of pain management which resulted in dramatic improvement in the quality of life measured with SF-36 questionnaire. Her pain score became 0/10 VNRS and she was free from opioids and psychotropic medications within 3 months post insertion. Spinal cord stimulator can be considered for the management of pain due to diastasis of pubic symphysis, not amenable to other therapies.

PMID:
22352111
[Indexed for MEDLINE]
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