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

  • Park, Eun Jung (Seoul ChukChuk Pain Hospital) ;
  • Lee, Se Jin (Department of Anesthesiology and Pain Medicine, Soonchunhyang Seoul Hospital, College of Medicine, Soonchunhyang University) ;
  • Koh, Do Yle (Godoil Spine and Pain Hospital) ;
  • Han, Yoo Mi (Department of Anesthesiology and Pain Medicine, Soonchunhyang Seoul Hospital, College of Medicine, Soonchunhyang University)
  • Received : 2013.10.18
  • Accepted : 2014.05.12
  • Published : 2014.07.01

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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