A study to compare efficacy of high versus low frequency rtMS on Dorsolateral prefrontal cortex in neuropathic pain management among patients with spinal cord injury : A randomized controlled trial

Neuropathic pain is a challenging complication of Spinal Cord Injury and current treatment options including pharmacological and non pharmacological interventions often fails to provide appropriate pain relief and are associated with undesirable side effects. rTMS has emerged as a promising non-invasive neuromodulation technique, with evidence suggesting its efficacy in modulating cortical excitability and alleviating neuropathic pain. This study compares high vs Low frequency rTMS for neuropathic pain in SCI patients, determining optimal frequency and examining depression relief as a confounding factor and using H-reflex parameters to quantify pain modulation.