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KMID : 0363120140270030285
Korean Journal of Pain
2014 Volume.27 No. 3 p.285 ~ p.289
Repetitive Transcranial Magnetic Stimulation to Treat Depression and Insomnia with Chronic Low Back Pain
Park Eun-Jung

Lee Se-Jin
Koh Do-Yle
Han Yoo-Mi
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.
KEYWORD
back pain, chronic pain, depression, insomnia, transcranial magnetic stimulation
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