Abstract

The thoracic Spinal Cord Stimulator (SCS) has been widely accepted as a treatment option for diabetic foot and is gaining acceptance. This case highlights a previously unreported potential complication of the SCS. A 66-year-old man had long-standing diabetes (30 years) and hypertension (10 years), accompanied by diabetic foot and generalized psoriasis. The patient reported pain in the bilateral lower extremities, especially in both feet, which was significant at night and when walking. His Visual Analog Scale (VAS) pain score was 10/10. The pain was accompanied by slight numbness without sensory disturbance. These symptoms gradually exacerbated over 2 months. His Quality of Life Scale (QOLS) score was 186, and the skin temperature of both his feet decreased at rest. Following conservative treatment elsewhere, the abovementioned symptoms remained refractory; the patient presented to our hospital for further treatment. SCS was implanted on June 6, 2021 for pain relief.

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