Excision of all endometriotic lesions is the method of choice in the treatment of severe endometriosis resistant to medical therapy. The infiltrating nature of the disease as well as extensive surgery may, however, cause chronic pain that cannot be relieved by either surgery or hormonal treatment. As a pilot treatment, we tested the effect of sacral neuromodulation (SNM) for four endometriosis ...

Sacral neuromodulation (SNM) is a minimally invasive therapy for defecatory disorders. PEAK Plasma BladeTM (Medtronic) has been used as an alternative to the conventional electric scalpel and scissors in 3 procedures of neuromodulation. PEAK PlasmaBladeTM uses less total energy, operating at significantly lower temperatures than electrosurgical technology. No damage to the wires or pulse genera...

Managing cancer-related chronic pain is challenging to health care professionals as well as cancer patients and survivors. The management of cancer-related pain has largely consisted of pharmacological treatments, which has caused researchers to focus on neurotransmitter activity as a mediator of patients' perception of pain rather than the electrical activity during neurobiological processes o...

Switches between different behavioral states of the animal are associated with prominent changes in global brain activity, between sleep and wakefulness or from inattentive to vigilant states. What mechanisms control brain states, and what are the functions of the different states? Here we summarize current understanding of the key neural circuits involved in regulating brain states, with a par...

OBJECTIVES €‚ Spinal cord stimulation (SCS) is increasingly gaining widespread use as a treatment for chronic pain. A widely used electronic registry could play a pivotal role in improving this complex and cost-€intensive treatment. We aimed to construct a comprehensive, universally available data base for SCS. MATERIALS AND METHODS €‚ The design considerations behind a new online data base ...

Attention is critical to high-level cognition and attention deficits are a hallmark of neurologic and neuropsychiatric disorders. Although years of research indicates that distinct neuromodulators influence attentional control, a mechanistic account that traverses levels of analysis (cells, circuits, behavior) is missing. However, such an account is critical to guide the development of next-gen...

Neuroimaging in Migraine Metric-Based Pain Care Contemporary Physical Therapy Primary headaches represent a major burden, not only to patients but also to national health care systems in terms of socioeconomic consequences. Migraine incurs yearly costs of up to US$20 billion in the United States and up to US$27 billion in Europe. Patients with chronic primary headache have even greater impairme...

As neuromodulation therapy has grown, so has the recognition that computational models can provide important insights into the design, operation, and clinical application of neurostimulation systems. Models of deep brain stimulation and spinal cord stimulation have advanced over recent decades from simple, stereotyped models to sophisticated patient-specific models that can incorporate many imp...

Most G protein-coupled receptors (GPCRs) started as orphan GPCRs. Matching them to known neuromodulators led to the elucidation of the broad diversity of the neuroreceptor families. Moreover, orphan GPCRs have also been used as targets to discover novel neuromodulators. These discoveries have had profound impact on our understanding of brain function. Here, I present an overview of how some of ...

A 65-year-old male presented with pain in his right medial calf. An imaging study revealed no acute lesions, and a diagnosis of saphenous neuralgia was made by a nerve conduction study. He received temporary pain relief with saphenous nerve blocks twice in a one-week interval. Pulsed radiofrequency neuromodulation reduced pain to 10% of the maximal pain intensity. At 6 months after the procedur...