Role of Transcrainal Direct Current Brain Stimulation in Acute and Chronic Post-mastectomy Pain Management

Assiut University

Status

Unknown

Conditions

Postoperative Pain

Treatments

Device: tDCS

Study type

Interventional

Funder types

Other

Identifiers

NCT03448315

405

Details and patient eligibility

About

the role of transcranial magnetic stimulation over the primary motor cortex area on acute postoperative pain after breast cancer surgery and on the probability of developing chronic neuropathic pain.

Full description

New analgesic strategies are needed that can be used adjunctively to existing strategies with the potential to reduce reliance on opioid analgesia. Several novel brain stimulation technologies including transcranial direct current stimulation (tDCS) are beginning to demonstrate promise as treatments for a variety of pain conditions. Electricity has no metabolite or other residue, and can be delivered with minimal discomfort and without problems associated with drug-drug interactions.Transcranial direct current stimulation has been studied in patients with various disorders and multiple pain syndromes. There is also evidence that tDCS might be useful in postsurgical pain reduction.

Enrollment

30 patients

Sex

Female

Ages

30 to 60 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

ASA I-II, scheduled for unilateral modified radical mastectomy with axillary dissection for breast cancer

Exclusion criteria

patients with intracranial metallic devices or with pacemakers or any other device.
patients with Neurological or psychiatric disorders,
patients taking major centrally acting drugs (antiepileptics or antidepressants), -opioid dependence,
substance abuse,
severe cardiopulmonary, renal, hepatic diseases, and
those with extensive myocardial ischemia or unstable angina.