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Dr. Okun

Is pain caused by DBS?

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This message is in response to A.M. who has gait difficulties. I am a 66

year old woman who has a painful calf, thigh and hip. My neurologist felt

it might be nueropathic pain & put me on the drug Lyrica. No success. When

the nuerostimulator was turned off, the pain persisted. My orthopedic

surgeon took x-rays & found stenos of the spine. I am now scheduled for an

epidural. Not a cure, but it may allow normal activity. MAM

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This is an excellent point. Pain may not be DBS related and may not be PD related. If DBS is turned off and pain persists and the pain doesn't respond to dopaminergics...think of other causes.

 

There are cases when DBS can result in side effects such as tingling or pulling and that is why on/off testing of the device can be helpful.

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