Combination of 2 implanted nerve stimulators dramatically reduces back pain, leg pain for those who have had poor results from back surgery . 结合2植入神经刺激大幅减少背部疼痛，腰腿痛对于谁有穷人的结果，从背部手术 。

Help is on the way for patients who have undergone back surgery but who continue to suffer from chronic pain in their backs and legs, thanks to a novel technology pioneered by two Chicago-area pain management specialists.帮助是对的方式为病人谁经历了背部手术，但谁继续遭受慢性疼痛的背部和腿部，感谢一种新型的技术为先导的两个芝加哥地区的疼痛管理专家。

Called a “hybrid technique,” the procedure combines an implanted electronic device called a dorsal column (spinal cord) stimulator with a newer technology known as peripheral nerve field stimulation (PNFS).被称为“杂交技术”的程序相结合，植入电子装置称为背柱（脊髓）刺激与一个较新的技术，称为周围神经领域的刺激（ pnfs ） 。 This latest development in pain management gives patients drug-free relief from the severe, chronic back and leg pain of failed back surgery syndrome (FBSS), a condition suffered by nearly half of all spine surgery patients.这一最新发展，在疼痛管理，让病人无毒品的救济从严重，慢性背部和腿部疼痛的腰椎手术失败综合征（生育率和出生间隔调查） ，条件所遭受的近一半的脊柱外科病人。

“Since 1968, physicians have used the dorsal column stimulator to control the leg pain common among patients with FBSS, but it does little to relieve back pain,” explains Eugene G. Lipov, MD, Director of Pain Research at the Northwest Community Hospital, Arlington Heights, Ill. “Recent studies have shown that peripheral nerve field stimulation is very effective in relieving back pain. “自1968年以来，医生已经用背柱刺激来控制腰腿痛常见的患者生育率和出生间隔调查，但它确实不大，以减轻背部疼痛， ”解释尤金g. lipov ，医学博士，主任疼痛研究在西北地区的社区医院，阿灵顿高地，总部位于伊利诺州“最近的研究表明，周围神经领域的刺激是非常有效的纾缓背部疼痛。 This is what led us to combine these two technologies.这是什么使我们结合这两种技术。 Patients can have the best of both worlds: relief from leg and back pain they can’t get even with the strongest pain medications.”病人可以有最好的两个世界：救济，从腿部和背部疼痛他们不能得到，即使最强的疼痛的药物“ 。

Narcotics, such as codeine and morphine, don’t work well on nerve pain, which tends to be opiate-resistant.禁毒，如可待因，吗啡，不工作，以及对神经疼痛，这往往是阿片类药物耐药性。 Implantable dorsal column stimulators stop pain signals from reaching the brain.植入式背柱刺激停止疼痛信号到达大脑。 Peripheral nerve field stimulation is a newer technology that is more focused on shutting off pain signals further away from the spinal column.周围神经刺激是一种较新的技术是更加侧重于切断疼痛信号，更加远离脊柱。 Used together, the dorsal column stimulator and peripheral nerve field stimulation effectively block the body’s pain signals from the legs and back to the brain.一起使用，背柱刺激和周围神经刺激有效地阻止身体的疼痛信号从腿部和背部到大脑。

Performed as an outpatient procedure, the hybrid stimulator is implanted subcutaneously (under the skin) in the abdominal wall, side of the back, or in the upper hip area.演出作为一个门诊程序，杂交刺激植入皮下（皮肤下）在腹壁，一边的回，或在上髋部地区。 It is approximately the size of a small cell phone.这是大约大小的一个小的手机。 Typically, three electrical leads connected to the stimulator unit are then implanted in areas of the lower back and leg where the patient has felt the most pain.通常情况下，导致3电气连接到刺激的单位，然后植入在领域的下背部和腿部的地方病人的压力感受最深的痛苦。 The patient is then able to control his or her pain by placing a small remote control device over the implanted stimulator.病人是，然后能够控制他或她的痛苦，放置一个小的远程控制装置超过植入刺激器。 Patients feel their pain replaced by a mild tingling sensation.病人也感受到他们的疼痛，取而代之的是一个温和的刺痛的感觉。 The hybrid stimulator can be left in place for seven to nine years, at which time a simple surgery is performed to replace the battery only, not the electrical leads.混合刺激，可以留在地方，七至九年，在哪个时间，一个简单的外科手术是演出，以取代电池只，而不是电动线索。

“Using the hybrid technique we’ve literally seen patients’ quality of life dramatically improve right before our eyes,” says Jay R. Joshi, MD, Dr. Lipov’s research partner. “利用杂交技术我们已经从字面上看到病人的生活质量显着改善的权利，在我们眼前，说： ”杰伊r. Joshi说，医学博士，博士lipov的研究伙伴。 “We have been able to offer hope and significant success to patients who have failed virtually every other treatment, including surgery, spinal injections, physical therapy, and medications. “我们一直能够提供希望和显着的成功，谁的病人未能几乎每一个其他治疗，包括手术，脊髓注射，物理治疗，药物治疗。 Many of our patients no longer need pain medications, and they quickly return to work and to the activities of daily living pain-free.我们的许多病人不再需要疼痛的药物，他们很快恢复工作和日常生活活动疼痛-免费的。 It is a tremendous cost savings in terms of insurance claims, lost productivity at work, and offers patients an alternative to potentially addictive pharmacologic treatment.”这是一个巨大的节省成本而言，保险理赔，损失的生产力在工作，并提供患者另一种潜在的上瘾的药理学待遇“ 。

In 2005, there were 34 million physician visits for back-related symptoms, according to the National Center for Health Statistics.在2005年，有3400万医师的访问回到相关的症状，根据国家卫生统计中心。 A review article published in The Journal of the American Medical Association earlier this year estimated an $85.9 billion was spent in treating spine problems in 2005, with the greatest cost increase coming from use of prescription pain medications.检讨的文章发表在Journal of the美国医学协会今年早些时候估计，一八百五十九点零零零亿美元是用在治疗脊柱问题，在2005年，最大的成本增加，未来从使用的处方疼痛的药物。 “Clearly, this is an enormous problem for Americans, physically, emotionally, and economically,” Dr. Lipov says. “显然，这是一个非常巨大的问题，对美国人来说，身体上，感情上，经济上， ”博士lipov说。 “But we believe this new procedure will restore quality of life to millions of patients who suffer from back and leg pain and who have not found relief from surgery or drug treatment.” “但我们相信，这一新程序将会恢复生活质量的数以百万计的病人谁患上背部及腿部疼痛，谁没有发现救济，从外科手术或药物治疗” 。

Drs.决议草案。 Lipov and Joshi have implanted the hybrid stimulator in 19 patients since August 2007. lipov和乔希已植入混合刺激器在19例自2007年8月。 Patients report 60 to 100 percent reduction in pain using the stimulator; to date, no patients have had the hybrid stimulator removed.病人的报告， 60至100 ％ ，减少了痛苦，用刺激;迄今为止，还没有病人曾经杂交刺激删除。 Lipov’s and Joshi’s findings will be presented at the American Society for Stereotactic and Functional Neurosurgery conference in Vancouver, British Columbia, Canada, in June 2008 (Courtesy of EurekAlert!, a service of AAAS). lipov的和乔希的调查结果将在美国社会为立体定向和功能性神经外科会议在温哥华， British Columbia ，加拿大，在2008年6月（礼貌eurekalert ！ ，服务科促会） 。