Management of chronic symphysis pubis pain following child birth with spinal cord stimulator

The case of a 39 year old woman who had diastasis of pubic symphysis following childbirth and later developed severe chronic neuropathic pain and disability is presented. she received extensive surgical and medical treatment for 6 years with no improvement of symptoms. the vnrs (visual numerical rating scale) pain score was 7/10 or more most of the time. this was quite disabling in terms of her quality of life. a spinal cord stimulator was inserted after failure of other modalities of pain management which resulted in dramatic improvement in the quality of life measured with sf-36 questionnaire. her pain score became 0/10 vnrs and she was free from opioids and psychotropic medications within 3 months post insertion. spinal cord stimulator can be considered for the management of pain due to diastasis of pubic symphysis, not amenable to other therapies