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Herpes Virus, Remote Control Means Of Reducing Pain
Gene Therapy, Neuromodulation Used To Battle Chronic Pain
POSTED: 4:44 pm MST February 19,
2009
UPDATED: 10:24 pm MST February 19,
2009
DENVER -- More than 50 million people live with chronic pain everyday, but doctors are trying two new breakthroughs -- gene therapy and neuromodulation -- to stop it.Race car driver Mike Roman is a victim of MRSA -- a staph infection that ended up taking his leg."When the chief of surgery told me they thought they should amputate it, I just wasn't ready. I'm 29, and I just wanted to be that dad that my dad was to me, and I just didn't envision that with one leg," Roman said.
His amputation caused even more pain."I woke up with phantom limb pain and I had been through so much, but this was entirely off the scale," he said.When drugs failed, Roman turned to neuromodulation for relief."It's very similar to what is done for a pacemaker," said Dr. Christopher Chisholm, a pain specialist.A small incision is made in the back. Electrodes are implanted in the spine. A remote control allows Roman to turn on the electrodes and turn off his pain."It's now blocked and instead of that painful sensation you get a tingling sensation," Chisholm said."It was the first time that I had hope," Roman said of the device.Meanwhile, doctors at the University of Michigan are using the herpes virus to relieve pain."When you inject it into the skin, it goes into the sensory neuron that's right next to the spinal cord," explained Dr. David Fink, a neurologist.The gene for one of the body's natural painkillers is inserted into the herpes virus, which acts like a shuttle.When injected into the skin, the virus carries the genes directly to nerves. Soon, the body produces more painkillers that block pain signals.The herpes virus that's used to shuttle genes is not active and will not give patients herpes.The first human clinical trial is currently recruiting participants who have terminal cancer. Contact the University of Michigan Back and Pain Center to learn more.
Other Treatments Used To Battle Chronic Pain
Chronic pain, according to the American Chronic Pain Association, occurs when a person's pain persists for a month or more beyond the typical recovery period for an injury or illness from a chronic condition.The pain may not occur constantly, but is enough to interfere with daily life. The debilitating condition affects 50 million Americans.The most common causes of chronic pain are long-term illness or disease, ongoing conditions and injuries, according to neurologychannel.com.Some long-term illnesses that may lead to chronic pain include cancer, fibromyalgia, arthritis and multiple sclerosis. Ear infections, migraines and peripheral neuropathies like carpal tunnel syndrome are some ongoing conditions that may explain a person's chronic pain. Muscle sprains and strains can also lead to chronic pain.Sometimes, pain that won't go away is pointing to damage to the nervous system, whether it's in the central nervous system (the brain, brainstem or spinal cord) or the peripheral nervous system.Central pain syndrome sometimes occurs in patients who have undergone damage to the central nervous system -- like to the spinal cord -- and may develop years after that damage has occurred. Trigeminal neuralgia is severe pain on one side of the jaw or cheek caused by damage to the trigeminal nerve, and phantom pain occurs in paralyzed patients or in patients who have had a limb amputated.Often, it's impossible to find a direct cause of chronic pain. Those who suffer from this kind of pain often ask themselves if the pain is "in their head."The Mayo Clinic said a heightened sensitivity to pain can play a part in the condition.People who suffer from chronic pain often have lower-than-normal levels of painkilling endorphins. Even if no cause is found for a person's chronic pain, the condition can and should be treated.For milder cases of chronic pain, over-the-counter pain medications are effective. For more severe cases, opioid medications like Percocet and Vicodin are sometimes recommended. The drugs have been shown to provide effective pain relief, but a 2003 New England Journal of Medicine review article states long-term opioid use can be unsafe and even ineffective for treating chronic pain.For some, antidepressants or seizure drugs may relieve persistent pain. For others, medications to control pain may need to be injected by a doctor or administered via a medication pump. Pumps supply pain medication directly into spinal fluid.Other therapies used to treat chronic pain include transcutaneous electrical nerve stimulation (TENS), physical therapy, occupational therapy, acupuncture, hypnosis and yoga.A study published in the Annals of Internal Medicine found 12 weeks of yoga benefited adults with chronic low back pain significantly more than exercise or a self care book.Another option is multidisciplinary pain management programs (MPP), which are made by a staff trained to help a patient manage his or her pain using a variety of methods. Professionals at MPPs can include physicians, registered nurses, psychiatrists or psychologists, physical therapists and biofeedback therapists. Options for treatment can include group therapy, occupational therapy, counseling, biofeedback training, nerve blocks and relaxation training.Additional Resources:Copyright 2009 by TheDenverChannel.com. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
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