rTMS in Alleviating Pain and Co-Morbid Symptoms in Gulf War Veterans Illness (GWVI)

Eligibility: for people ages 18-65 (full criteria)
Location: at San Diego, California and other locations
Dates: study started October 2019
estimated completion September 2024
Principal Investigator: by Albert Yick Leung, MD

Albert Yick Leung

Description

Summary

This study aims to look at the effectiveness of using repetitive transcranial magnetic stimulation (rTMS) in relieving pain and other co-morbid symptoms of Gulf War Illness.

Official Title

rTMS in Alleviating Pain and Co-morbid Symptoms in GWVI

Details

Headaches (HA), muscle and joint pain, are some of the most common debilitating symptoms in military personnel served in the 1990-1991 Persian Gulf War (GW1). Migraine like HA and diffuse body pain were detected in 64% of Gulf War Veteran (GWV) diagnosed with Gulf War Illness (GWI). Likewise, depression carries a very high co-morbid rate (50%) in patients with chronic pain, and in GWV with GWI related chronic HA and body muscle and joint pain conditions (GWI-HAP). Unfortunately, conventional pharmacological treatments for GWI-related pain has not been shown to be effective and drugs such as narcotics contain many long term untoward psychosomatic and abusive side effects. This study is assessing the effectiveness of repetitive transcranial magnetic stimulation (rTMS), non-invasive treatment option, in alleviating pain and other co-morbid symptoms of GWI.

Keywords

Gulf War Illness Depression rTMS Transcranial Magnetic Stimulation

Eligibility

You can join if…

Open to people ages 18-65

Male or female under 65 years of age who served in the military for at least 30 consecutive days between August 1, 1990, and July 31, 1991 in the Persian Gulf War region
CDC Criteria for GWVI (GWI)
Kansas Criteria for GWVI (GWI)
International Headache Society Criteria for Migraine Headache without aura Average Headache Exacerbation Intensity >3 on 0-10 a Numerical Pain Rating scale (NPS)
Average Overall Daily Muscle Pain Intensity >3 on 0-10 a NPS
Average Overall Daily Extremities Joint Pain Intensity >3 on 0-10 a NPS
Headache Exacerbation/attack 3 times per week with the average intensity >3 on a 0-10 NPS, lasting > 4 hours in the past three months
Hamilton Rating Scale of Depression (HRSD) 14 based on the sum of scores for the first 17 items

You CAN'T join if...

Pregnancy
History of pacemaker implant
Any ferromagnetic (e.g. bullet fragment, shrapnel, device implant) in the brain or body that will prohibit the patients from having a brain MRI
History of dementia, major psychiatric diseases, or life-threatening diseases
Presence of any other chronic neuropathic pain states such as Complex Regional Pain Syndrome or Painful Peripheral Neuropathy
History of seizure
Pending litigation
Low back pain with mechanical origins such as lumbar radiculopathy or radiculitis or lumbar facet arthropathy
Lack of ability to understand the experimental protocol and to adequately communicate in English
History of Traumatic Brain injury
Chronic Tension or Cluster Headache
Ongoing Cognitive Rehabilitation or Treatment of PTSD

Locations

VA San Diego Healthcare System, San Diego, CA accepting new patients
San Diego California 92161 United States
VA Palo Alto Health Care System, Palo Alto, CA accepting new patients
Palo Alto California 94304-1290 United States

Lead Scientist at UCSD

Albert Yick Leung, MD
Clinical Professor, Anesthesiology. Authored (or co-authored) 33 research publications. Research interests: Neuromodulation · Non-invasive Neuromodulation · Transcranial Magnetic Stimulation · Transcutaneous Magnetic Stimulation · Post-traumatic Brain Injury Headache · Non-pharmacological Treatment for Headaches · Neuropathic Pain · Trigeminal Neuralgia · Post-stroke Central Pain

Details

Status: accepting new patients
Start Date: October 2019
Completion Date: September 2024 (estimated)
Sponsor: VA Office of Research and Development
ID: NCT04046536
Study Type: Interventional
Last Updated: March 3, 2021

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