{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T09:55:21Z","timestamp":1785405321390,"version":"3.56.0"},"reference-count":31,"publisher":"Open Medical Publishing","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec id=\"introduction\">\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Managing pain during pregnancy is challenging due to fetus safety and limited data on perinatal pain treatments. We report the first successful management of neuropathic back pain with high dose 8% Capsaicin patches (Qutenza) in a pregnant patient who failed other modalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"case-presentation\">\n                    <jats:title>Case Presentation<\/jats:title>\n                    <jats:p>A 34-year-old female with a history of migraines, childhood scoliosis status-post T5-L3 posterior spinal fusion complicated by post-laminectomy syndrome, presented with myofascial and neuropathic back pain. Her pain was refractory to oral agents, injections, field stimulator, and partial surgical revision. During patch treatments, she became pregnant.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"management-and-outcomes\">\n                    <jats:title>Management and Outcomes<\/jats:title>\n                    <jats:p>A review of the patient\u2019s record and consent were obtained. Trial of an 8% capsaicin patch provided significant relief of her pain twice. Following OB\/GYN consultation, she continued patch treatment, achieving significant relief without pregnancy complications into a subsequent pregnancy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"conclusion\">\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Following further study, 8% capsaicin patches may be suitable alternatives for pain management during pregnancy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.52965\/001c.140712","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T10:00:44Z","timestamp":1750068044000},"source":"Crossref","is-referenced-by-count":1,"title":["High-Dose 8% Capsaicin Patch in Treatment of Chronic Neuropathic Back Pain in a Pregnant Woman: A Case Report"],"prefix":"10.52965","volume":"17","author":[{"given":"Seung 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