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Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.
Case Report
Failed surgical therapy for chronic back pain and sciatica may be due to hypofunction of the sympathetic nervous system
J.H. Check1,2,*, A. Whetstone3
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1
The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Cooper Hospital/University Medical Center Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, NJ
2
Cooper Medical School of Rowan University, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology & Infertility, Camden, NJ
3
The University of Medicine and Dentistry of New Jersey, School of Osetopathic Medicine, Camden, NJ (USA)
Clin. Exp. Obstet. Gynecol. 2015, 42(4), 529–530;
https://doi.org/10.12891/ceog1778.2015
Published: 10 August 2015
Abstract
Purpose: To describe a distinctive pharmacological treatment for chronic pelvic pain and sciatica after spinal surgery with a laminectomy and spinal fusion failed to provide relief. Materials and Methods: Dextroamphetamine suflate was prescribed to a woman with a history of chronic back pain which was attributed to a ruptured disc. The pain was still unbearable after surgery. Results: After adjusting dosage, within three months of the correct dose, 25 mg twice a day, relief was provided and has persisted for ten months. Conclusions: Chronic pelvic pain and sciatica both may be symptoms of hypofunction of the sympathetic nervous system. In addition, with other pain symptoms, this can be effectively treated with sympathomimetic amines.
Keywords
Backache
Sciatica
Sympathomimetic amines
Sympathetic hypofunction
Discectomy