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Perdecioğlu GRG, Ateş MP, Yürük D, Can E, Yıldız G, Akkaya ÖT. A new neuromodulation method in chronic migraine; non-ınvasive pulsed radiofrequency, a single-blinded, randomised, controlled trial. Ir J Med Sci 2024; 193:1487-1493. [PMID: 38147268 DOI: 10.1007/s11845-023-03598-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Accepted: 12/19/2023] [Indexed: 12/27/2023]
Abstract
OBJECTIVE Non-invasive pulsed radiofrequency (NipRF) therapy, a neuromodulation method for peripheral nerves, is a new treatment modality for pain. We aimed to show the changes in pain severity and frequency per month in chronic migraine with NipRF treatment. METHODS We treated patients diagnosed with chronic migraine according to the International Classification of Headache Disorders III beta diagnostic criteria. In half of the patients, we applied pulsed radiofrequency (pRF) treatment with transcutaneous electrodes to the greater occipital nerve (GON) trace. In the other half, we applied the GON block under ultrasound guidance. The Migraine Disability Assessment Scale (MIDAS) was administered to the participants, and those with scores > 2 were included in the study. Pain intensity and frequency were evaluated using the visual analog scale (VAS) and a headache diary completed before and 4 weeks after treatment. RESULTS When both groups were compared, the pre- and post-treatment VAS scores and headache frequencies were similar. Comparing the pre-treatment and post-treatment values within the groups, VAS scores and headache frequency decreased significantly after treatment in both groups (p < 0.001). CONCLUSION In this study, we observed that NipRF treatment is safe and effective for treating chronic migraine. Pain intensity and frequency decreased with NipRF treatment, similar to that in the GON block group. CLINICAL TRIALS REGISTRATION NUMBER NCT05499689, Date: 08/11/2022.
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Affiliation(s)
- Gevher Rabia Genç Perdecioğlu
- Department of Algology, Etlik City Hospital Integrated Health Campus, Ankara.Varlık, Halil Sezai Erkut Avenue No:5 Yenimahalle, 06170, Ankara, Turkey.
| | - Mehlika Panpallı Ateş
- Departmant of Neurology, Etlik City Hospital Integrated Health Campus, Ankara, Turkey
| | - Damla Yürük
- Department of Algology, Etlik City Hospital Integrated Health Campus, Ankara.Varlık, Halil Sezai Erkut Avenue No:5 Yenimahalle, 06170, Ankara, Turkey
| | - Ezgi Can
- Department of Algology, Etlik City Hospital Integrated Health Campus, Ankara.Varlık, Halil Sezai Erkut Avenue No:5 Yenimahalle, 06170, Ankara, Turkey
| | - Gökhan Yıldız
- Department of Algology, Etlik City Hospital Integrated Health Campus, Ankara.Varlık, Halil Sezai Erkut Avenue No:5 Yenimahalle, 06170, Ankara, Turkey
| | - Ömer Taylan Akkaya
- Department of Algology, Etlik City Hospital Integrated Health Campus, Ankara.Varlık, Halil Sezai Erkut Avenue No:5 Yenimahalle, 06170, Ankara, Turkey
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Mayrovitz H, Milo B, Alexander B, Mastropasqua M, Moparthi Y. Effects of a Concentric Rare-Earth Magnet on Menstrual Cycle Pain: A Parallel Group Randomized Pilot Study. Cureus 2021; 13:e12801. [PMID: 33628670 PMCID: PMC7894227 DOI: 10.7759/cureus.12801] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
Background Based on prior reports of the use of magnets to treat pain, our goal was to determine if a concentric rare-earth alternating-pole magnet reduced period pain versus a sham-magnet. Methods Participants were females (N=36, 18 to 35 years) who regularly experienced menstrual period pain ≥ six on the numeric pain rating scale (NPRS) of 0-10. Subjects were excluded if they took pain medication on the study day or had implanted pacemakers/metallic devices or secondary dysmenorrhea. Participants were randomized to wear a concentric neodymium-iron boron active-magnet (surface-field of 0.4 Tesla) or a sham magnet. The participant and investigator applying the device were blinded to the device used. The device was placed at the abdominal location of the reported greatest pain for 40-minutes, during which time the subject was able to conduct the normal activity. Pain scores were reported prior to device wearing and afterward. Participants with post-treatment NPRS ratings reduced by ≥ 35% from their pretreatment pain ratings were scored as having reduced pain; reductions < 35% were scored as no meaningful pain change. The threshold of 35% was chosen based on a survey of 10 women as to the level of pain reduction they viewed as meaningful to them. Of the 36 women in this pilot study, 19 wore an active-magnet and 17 wore a sham-magnet. Analyses were based on chi-square and Mann-Whitney statistical tests. Results Pre-treatment pain scores (mean ± SD) were similar for both groups. Magnet-vs-sham pre-treatment scores were, respectively, 7.16 ± 0.85 vs. 6.94 ± 1.20 (p=0.330). Corresponding median values for the magnet (N=19) and sham (N=17) groups respectively were seven pre-treatment and four post-treatment vs. six pre-treatment and six post-treatment. Post-treatment scores for magnet treated subjects (4.16 ± 2.20) were significantly less (p=0.027) than for sham-treated (5.53 ± 1.50). Of the 19 who wore a magnet, 11 experienced meaningful pain-reduction, and eight did not. Of the 17 who wore a sham, three experienced meaningful pain-reduction, and 14 did not. Magnet and sham wearing responses were statistically significant via chi-square analysis (chi-square=6.12, p=0.013). Percentage reduction in pain score was 41.8% ± 31.1% for magnet-treated vs. 20.8% ± 16.1%, for sham-treated (p<0.05). Conclusions Results suggest that short-term wearing of the magnet herein investigated, produces a meaningful menstrual-pain reduction in some women. Thus, further expanded research seems warranted to determine if longer wearing times result in even greater pain reductions.
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Affiliation(s)
- Harvey Mayrovitz
- Department of Medical Education, Nova Southeastern University Dr. Kiran C. Patel College of Allopathic Medicine, Davie, USA
| | - Brittany Milo
- Department of Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA
| | - Brooke Alexander
- Department of Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA
| | - Marisa Mastropasqua
- Department of Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA
| | - Yashaswani Moparthi
- Department of Internal Medicine, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA
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Szemerszky R, Szabolcs Z, Bogdány T, Jánossy G, Thuróczy G, Köteles F. No effect of a pulsed magnetic field on induced ischemic muscle pain. A double-blind, randomized, placebo-controlled trial. Physiol Behav 2018; 184:55-59. [PMID: 29127072 DOI: 10.1016/j.physbeh.2017.11.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2017] [Revised: 10/30/2017] [Accepted: 11/06/2017] [Indexed: 10/18/2022]
Abstract
Empirical evidence supporting the effectiveness of pulsed (electro)magnetic field (PEMF) therapy on chronic and acute pain is equivocal. In the current randomized, double-blind, placebo-controlled experiment, impact of a commercially available whole-body PEMF mat on acute ischemic muscle pain induced in the forearm was studied with the participation of 70 healthy volunteers. The device emitted a pulsed magnetic field with a repetition frequency of 2.05Hz and a maximum flux density of 25.3μT (rms). The highest dB/dt was 48mT/s. No differences between the groups receiving actual and sham PEMF were found in terms of pain threshold, pain tolerance, heart rate, and perceived decrease of pain. However, participants' expectation concerning the effectiveness of the intervention improved pain tolerance and affected perceived change of pain. In conclusion, the used PEMF device had no specific effect on acute ischemic muscle pain, while the contribution of the placebo effect was considerable.
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Affiliation(s)
- Renáta Szemerszky
- Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Bogdánfy u. 10/B, Budapest H-1117, Hungary.
| | - Zsuzsanna Szabolcs
- Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Bogdánfy u. 10/B, Budapest H-1117, Hungary; Doctoral School of Psychology, Institute of Psychology, ELTE Eötvös Loránd University, Izabella u. 46, H-1064 Budapest, Hungary
| | - Tamás Bogdány
- Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Bogdánfy u. 10/B, Budapest H-1117, Hungary
| | - Gábor Jánossy
- National Public Health Institute, Department of Non-Ionizing Radiation, Anna u. 5., H-1221 Budapest, Hungary.
| | - György Thuróczy
- National Public Health Institute, Department of Non-Ionizing Radiation, Anna u. 5., H-1221 Budapest, Hungary.
| | - Ferenc Köteles
- Institute of Health Promotion and Sport Sciences, ELTE Eötvös Loránd University, Bogdánfy u. 10/B, Budapest H-1117, Hungary.
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Pulsed magnetic field treatment as antineuropathic pain therapy. Rev Neurosci 2017; 28:751-758. [DOI: 10.1515/revneuro-2017-0003] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2017] [Accepted: 03/08/2017] [Indexed: 01/08/2023]
Abstract
AbstractNo satisfactory effective therapy is still available to treat trauma- or disease-induced neuropathic pain, and current available treatment options have several side effects. Pulsed magnetic field (PMF) treatments are receiving growing interest as a therapeutic approach for several neuronal diseases. Although the exact mechanism of action of PMF treatments is unknown, reported findings represent a promising alternative therapeutic choice for the management of neuropathic pain. PMF treatments can supply new strategies for the therapy of life-threatening neuropathic pain due to its antihyperglycemic, anti-inflammatory, antihyperalgesic, antiallodynic, and neuroimmunomodulatory actions. In this review, I summarized the several recent findings about antineuropathic actions of PMF treatment in experimental animals with neuropathic pain induced by disease and/or damage.
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Mert T, Kurt AH, Altun İ, Celik A, Baran F, Gunay I. Pulsed magnetic field enhances therapeutic efficiency of mesenchymal stem cells in chronic neuropathic pain model. Bioelectromagnetics 2017; 38:255-264. [PMID: 28130880 DOI: 10.1002/bem.22038] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2016] [Accepted: 01/11/2017] [Indexed: 12/27/2022]
Abstract
Cell-based or magnetic field therapies as alternative approaches to pain management have been tested in several experimental pain models. The aim of this study therefore was to investigate the actions of the cell-based therapy (adipose tissue derived mesenchymal stem cells; ADMSC) or pulsed magnetic field (PMF) therapy and magneto-cell therapy (combination of ADMSC and PMF) in chronic constriction nerve injury model (CCI). The actions of individual ADMSC (route dependent [systemic or local], time-dependent [a day or a week after surgery]), or PMF and their combination (magneto-cell) therapies on hyperalgesia and allodynia were investigated by using thermal plantar test and a dynamic plantar aesthesiometer, respectively. In addition, various cytokine levels (IL-1β, IL-6, and IL-10) of rat sciatic nerve after CCI were analyzed. Following the CCI, both latency and threshold significantly decreased. ADMSC or PMF significantly increased latencies and thresholds. The combination of ADMSC with PMF even more significantly increased latency and threshold when compared with ADMSC alone. However, ADMSC-induced decrease in pro-inflammatory or increase in anti-inflammatory cytokines levels were partially prevented by PMF treatments. Present findings may suggest that both cell-based and magnetic therapies can effectively attenuate chronic neuropathic pain symptoms. Combined magneto-cell therapy may also efficiently reverse neuropathic signs. Bioelectromagnetics. 38:255-264, 2017. © 2017 Wiley Periodicals, Inc.
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Affiliation(s)
- Tufan Mert
- Department of Biophysics, School of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
| | - Akif Hakan Kurt
- Department of Pharmacology, School of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
| | - İdiris Altun
- Department of Brain and Nerve Surgery, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
| | - Ahmet Celik
- Department of Biochemistry, School of Medicine, Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
| | - Furkan Baran
- School of Medicine (Medical Student), Kahramanmaras Sutcu Imam University, Kahramanmaras, Turkey
| | - Ismail Gunay
- Department of Biophysics, School of Medicine, Cukurova University, Adana, Turkey
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Beaulieu K, Beland P, Pinard M, Handfield G, Handfield N, Goffaux P, Corriveau H, Léonard G. Effect of pulsed electromagnetic field therapy on experimental pain: A double-blind, randomized study in healthy young adults. Electromagn Biol Med 2016; 35:237-44. [PMID: 27014804 DOI: 10.3109/15368378.2015.1075409] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Previous studies suggested that pulsed electromagnetic field (PEMF) therapy can decrease pain. To date, however, it remains difficult to determine whether the analgesic effect observed in patients are attributable to a direct effect of PEMF on pain or to an indirect effect of PEMF on inflammation and healing. In the present study, we used an experimental pain paradigm to evaluate the direct effect of PEMF on pain intensity, pain unpleasantness, and temporal summation of pain. Twenty-four healthy subjects (mean age 22 ± 2 years; 9 males) participated in the experiment. Both real and sham PEMF were administered to every participant using a randomized, double-blind, cross-over design. For each visit, PEMF was applied for 10 minutes on the right forearm using a portable device. Experimental pain was evoked before (baseline) and after PEMF with a 9 cm(2) Pelletier-type thermode, applied on the right forearm (120 s stimulation; temperature individually adjusted to produce moderate baseline pain). Pain intensity and unpleasantness were evaluated using a 0-100 numerical pain rating scale. Temporal summation was evaluated by comparing pain intensity ratings obtained at the end of tonic nociceptive stimulation (120 s) with pain intensity ratings obtained after 60 s of stimulation. When compared to baseline, there was no change in pain intensity and unpleasantness following the application of real or sham PEMF. PEMF did not affect temporal summation. The present observations suggest that PEMF does not directly influence heat pain perception in healthy individuals.
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Affiliation(s)
- Karen Beaulieu
- a École de réadaptation de l'Université de Sherbrooke , Sherbrooke , Canada.,b Clinique de physiothérapie Physio Atlas , Sherbrooke , Canada
| | - Patricia Beland
- a École de réadaptation de l'Université de Sherbrooke , Sherbrooke , Canada
| | - Marilee Pinard
- a École de réadaptation de l'Université de Sherbrooke , Sherbrooke , Canada
| | - Guilène Handfield
- c Centre et services de conditionnement cellulaires , Beloeil , Canada
| | - Nicole Handfield
- c Centre et services de conditionnement cellulaires , Beloeil , Canada
| | - Philippe Goffaux
- a École de réadaptation de l'Université de Sherbrooke , Sherbrooke , Canada.,d Centre de recherche du Centre hospitalier universitaire de Sherbrooke , Sherbrooke , Canada
| | - Hélène Corriveau
- a École de réadaptation de l'Université de Sherbrooke , Sherbrooke , Canada.,e Centre de recherche sur le vieillissement , Centre de santé et de services sociaux - Institut universitaire de gériatrie de Sherbrooke , Sherbrooke , Canada
| | - Guillaume Léonard
- a École de réadaptation de l'Université de Sherbrooke , Sherbrooke , Canada.,b Clinique de physiothérapie Physio Atlas , Sherbrooke , Canada.,e Centre de recherche sur le vieillissement , Centre de santé et de services sociaux - Institut universitaire de gériatrie de Sherbrooke , Sherbrooke , Canada
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Mert T, Gisi G, Celik A, Baran F, Uremis MM, Gunay I. Frequency-dependent effects of sequenced pulsed magnetic field on experimental diabetic neuropathy. Int J Radiat Biol 2015; 91:833-42. [DOI: 10.3109/09553002.2015.1068460] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
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Mert T, Altun İ, Celik A, Sürer T, Gunay I. Modulation of cytokine levels in ameliorative effects of pulsed magnetic field on an experimental model of Chronic Constriction Injury. Int J Radiat Biol 2015; 91:596-602. [DOI: 10.3109/09553002.2015.1031408] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
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Stall RS. Noninvasive Pulsed Radio Frequency Energy in the Treatment of Occipital Neuralgia with Chronic, Debilitating Headache: A Report of Four Cases. PAIN MEDICINE 2013; 14:628-38. [DOI: 10.1111/pme.12078] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Kim SB, Kim JY, Park SW, Lee NR, Lee SW, Kim YH, Lee YH. Comparison of 2 methods of non-invasive treatment between transcutaneous electrical stimulation and pulsed electromagnetic field stimulation as replacement of invasive manual acupuncture. ACUPUNCTURE ELECTRO 2013; 37:247-61. [PMID: 23409610 DOI: 10.3727/036012912x13831831256294] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
The aim of this study was to find the non-invasive optimal alternative method for Manual Acupuncture. Existing researches had reported that Transcutaneous Electrical Acupoint Stimulation (TEAS) was an effective treatment method instead of manual acupuncture. In place of the TEAS, we suggested the Pulsed Electromagnetic Fields (PEMFs). Thus, we designed the PEMFs system which can stimulate only an acupoint. There have been no researches which reported therapeutic effect when stimulating at an identical acupoint by TEAS and PEMFs. Hence, this study investigated the therapeutic effect on the muscle fatigue after the strenuous knee extension/flexion exercise by two stimulations. We selected the stimulation method of both TEAS and PEMFs by using 2Hz biphasic rectangular wave pulse and pulse width 0.2ms. The magnetic flux was the 30.92mT (309.2gauss) at 2 Hz. The electromyogram (EMG) and the maximal voluntary contraction (MVC) at rectus femoris were measured. The Median Frequency (MF) at TEAS group was significantly effective at 6 minutes (p=0.499). The PEMFs group was recovered to the MF rapidly after 4 minutes (p=0.166). The results of the peak torque indicated that both non-stimulation group and TEAS group did not recover to the peak torque at pre-exercise during the recovery period (p<0.05). In contrast, the significant treatment effect of PEMFs group was found after 14 minutes (p=0.135). The results of this study demonstrated that PEMFs were better than TEAS as a non-invasive method to replace the manual acupuncture.
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Affiliation(s)
- Soo-Byeong Kim
- Eastern & Western Biomedical System Laboratory, Dept. of Biomedical Engineering, Yonsei University, Wonju, South Korea
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Mert T, Ocal I, Guzel AI, Gunay I. Clodronate changes neurobiological effects of pulsed magnetic field on diabetic rats with peripheral neuropathy. Electromagn Biol Med 2013; 32:342-54. [DOI: 10.3109/15368378.2012.721846] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
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Kumar S, Kesari KK, Behari J. The therapeutic effect of a pulsed electromagnetic field on the reproductive patterns of male Wistar rats exposed to a 2.45-GHz microwave field. Clinics (Sao Paulo) 2011; 66:1237-45. [PMID: 21876981 PMCID: PMC3148471 DOI: 10.1590/s1807-59322011000700020] [Citation(s) in RCA: 37] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/10/2010] [Accepted: 03/01/2011] [Indexed: 12/22/2022] Open
Abstract
INTRODUCTION Environmental exposure to man-made electromagnetic fields has been steadily increasing with the growing demand for electronic items that are operational at various frequencies. Testicular function is particularly susceptible to radiation emitted by electromagnetic fields. OBJECTIVES This study aimed to examine the therapeutic effects of a pulsed electromagnetic field (100 Hz) on the reproductive systems of male Wistar rats (70 days old). METHODS The experiments were divided into five groups: microwave sham, microwave exposure (2.45 GHz), pulsed electromagnetic field sham, pulsed electromagnetic field (100 Hz) exposure, and microwave/pulsed electromagnetic field exposure. The animals were exposed for 2 hours/day for 60 days. After exposure, the animals were sacrificed, their sperm was used for creatine and caspase assays, and their serum was used for melatonin and testosterone assays. RESULTS The results showed significant increases in caspase and creatine kinase and significant decreases in testosterone and melatonin in the exposed groups. This finding emphasizes that reactive oxygen species (a potential inducer of cancer) are the primary cause of DNA damage. However, pulsed electromagnetic field exposure relieves the effect of microwave exposure by inducing Faraday currents. CONCLUSIONS Electromagnetic fields are recognized as hazards that affect testicular function by generating reactive oxygen species and reduce the bioavailability of androgen to maturing spermatozoa. Thus, microwave exposure adversely affects male fertility, whereas pulsed electromagnetic field therapy is a non-invasive, simple technique that can be used as a scavenger agent to combat oxidative stress.
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Affiliation(s)
- Sanjay Kumar
- Bioelectromagnetics Laboratory, School of Environmental Sciences, Jawaharlal Nehru University, New Delhi, India
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Mert T, Gunay I, Ocal I. Neurobiological effects of pulsed magnetic field on diabetes-induced neuropathy. Bioelectromagnetics 2009; 31:39-47. [DOI: 10.1002/bem.20524] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Valentinuzzi ME. Magnetotherapy, alternative medicines, Hippocratic oath. Biomed Eng Online 2008; 7:1. [PMID: 18171478 PMCID: PMC2241819 DOI: 10.1186/1475-925x-7-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2007] [Accepted: 01/02/2008] [Indexed: 11/10/2022] Open
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