Neurostimulation for Chronic Low Back Pain during Pregnancy: Implications for Child and Mother Safety

• Published in: International journal of environmental research and public health Vol. 19; no. 23; p. 15488
• Main Authors: Innamorato, Massimo Antonio, Cascella, Marco, Bignami, Elena Giovanna, Perna, Paolo, Petrucci, Emiliano, Marinangeli, Franco, Vittori, Alessandro
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 22.11.2022; MDPI
• Subjects: Adult; Back pain; Case Report; Case reports; Child; Chronic pain; Chronic Pain - therapy; Complications; Drug therapy; Electrodes; Electromagnetism; Female; Fetuses; Humans; Low back pain; Low Back Pain - therapy; Mothers; Neural prostheses; Pain; Pain Management - methods; Paracetamol; Pregnancy; Pregnancy complications; Prostheses and Implants; Quality of Life; Risk management; Spinal cord; Spine; Stimulators; Surgery; Womens health; implantable pulse generator; mother; chronic pain; pain; low back pain; pediatrics; pregnancy; spinal cord stimulation; child; neurostimulation
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph192315488

Pain therapy for low back pain in pregnancy is a very topical issue. In fact, it is necessary to balance the patient's needs to control pain with the need to manage a pregnancy without negative effects on the fetus. We report a case of a 37-year-old woman with low back pain treated with neurostimulation before pregnancy. She described severe chronic low back pain unresponsive to pharmacologic treatments. We first implanted a subcutaneous stimulator into the patient, and then a definitive stimulator resulting in excellent pain control. The improvement in her quality of life allowed the woman to become pregnant. We decided to stop neurostimulation with the patient during pregnancy. The patient completed her pregnancy without complications and the baby was born healthy. During the pregnancy, the woman took only paracetamol when needed. However, this painful symptomatology, completely anecdotal, is not attributable solely to the previous spine problem but probably also to the changes occurring during pregnancy. At the end of pregnancy, the neurostimulator was reactivated without any discomfort for the patient, who is now pain free. This case report provides a first line of evidence of a possible treatment of low back pain in women intending to become pregnant, with risk-free management for both the patient and the child.