Primary Focal Pain - Patient 1

This 24 year old Patient with a previous history of entirely controlled Hodgkin's lymphoma, progressively developped, for 2 years, pain in the thigh and left knee, extremely intense pain (frequently on a scale of 10/10). His condition was followed-up for two years by a pain centre, the CHU in Marseille, without any significant improvement whatsoever. The cause for his intense pain were never made evident. All radiological examinations, including the biological report, were normal.

He experienced great difficulty moving around his apartment and could not leave the appartment without the use of a wheelchair. He fell into a severely depressed state of mind. Video 1 shows the extreme difficulty he experienced in moving around.

The management of this patient dates back some 15 years during which time only central stimulation was effective. He had 2 stimulation sessions per day for one week. Video 2 was filmed on the third day. There exists a slight improvement in his walking but this does not prevent him from falling over. Video 3, filmed on the fifth day, shows a significant improvement where the patient can even run at a low speed. There was no relapse. He was able to return to a normal life at both a family and professionally level.

The diagnosis of primary focal pain was retained due to all biological tests being normal, and despite a history of lymphoma. There is no argument for a algodystrophy. Only central magnetic stimulation was performed because at that time I did not practice peripheral stimulation, but this central stimulation was particularly effective for this patient, especially since there was no recurrence. I was led to perform several stimulations per day because this patient lived very far from the CHU treatment centre in Rouen.