Lamer TJ

Mayo Clinic

EM Publications

h-index

(4,874 citations, 120 total works)

Research Topics

Musculoskeletal pain and rehabilitation (52) Pain Management and Treatment (42) Anesthesia and Pain Management (35) Pain Mechanisms and Treatments (30) Spine and Intervertebral Disc Pathology (29)

Erythromelalgia Publications

Dorsal Root Ganglion Stimulation for Erythromelalgia Related Foot Pain: A Case Report and Review of the Literature.

Hagedorn JM, Canzanello N, Lamer TJ

Pain practice : the official journal of World Institute of Pain • 2021-Jul-01

Erythromelalgia is a rare neurovascular disorder characterized by erythema, warmth, and episodic burning pain, often felt in the face, hands, and feet. Symptoms are typically worse with heat, exercise, stress, and during the overnight hours. Management often requires a multidisciplinary approach, including pain trigger avoidance, cool water baths, and topical and oral neuropathic medications. The use of spinal cord stimulation has been described in multiple case reports with success reported out to 24 months. To our knowledge, the use of dorsal root ganglion (DRG) stimulation for erythromelalgia-related pain has not been described. Herein, we present a case of erythromelalgia-related pain at the bilateral plantar surfaces of the feet, which was treated successfully with bilateral sacral S1 nerve root DRG stimulation.

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Spinal Cord Stimulation for Treatment of Neuropathic Pain Associated With Erythromelalgia.

Matzke LL, Lamer TJ, Gazelka HM

Regional anesthesia and pain medicine • 2016-01-01

Erythromelalgia is a rare disorder associated with neuropathic pain that commonly affects the lower extremities. This pain is often refractory to multimodal treatment. Both pharmacologic management and interventional anesthetic blocks have been used with varying and often limited success. To date, little experience has been gained with the use of spinal cord stimulation in treating pain associated with erythromelalgia. We present a case of successful treatment of pain secondary to erythromelalgia with a spinal cord stimulator in an 80-year-old woman. This patient had severe pain and debility secondary to erythromelalgia, having undergone trials of multiple medical therapies before presenting to our clinic. Dual-lead percutaneous spinal cord stimulation was successfully implanted without complication, leading to excellent pain control, now 18 months postimplant. Spinal cord stimulation may be a promising treatment of neuropathic pain associated with erythromelalgia.

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