We have developed a strategy that has reliably and reproducibly delivered long-term pain-free outcomes to chronic pain patients. This strategy incorporates electromagnetic theory into the use of neuromodulation. We have analyzed the clinical outcome data for 231 of our implanted patients to determine if there is a significant association between the use of our mathematical framework for placing the neuromodulation unit's electrode array and the state of "pain-free" (PF).
View Article and Find Full Text PDFInt J Numer Method Biomed Eng
May 2024
There has been ongoing debate about the efficacy and mechanism of action of neuromodulation devices in pain relief applications. It has recently been suggested that both issues may be resolved if electromagnetic theory is incorporated into the understanding and application of this technology, and we therefore undertook an in silico analysis to further explore this idea. We created a CAD replication of a standard neuromodulation electrode array with a generic linear 3/6 mm 8-contact lead, developed a parameterized algorithmic model for the pulse delivered by the device and assigned material properties to biologic media to accurately reflect their electromagnetic properties.
View Article and Find Full Text PDFTheories of pain have traditionally attributed the sensory experience of pain to the brain. We present here a new hypothesis on the origin of pain which is based on a novel approach to the management of persistent pain. We call it the 'pain channel' hypothesis of the origin of pain.
View Article and Find Full Text PDFObjective: To compare the pubovaginal sling and transurethral Macroplastique in the treatment of female stress urinary incontinence (SUI) and intrinsic sphincter deficiency (ISD).
Design: A prospective randomised controlled trial comparing two surgical treatments for SUI and ISD.
Setting: Tertiary referral urogynaecology unit in Australia.