Repetitive transcranial magnetic stimulation (rTMS) as a primary tool for radicular back pain: A case report on improved pain perception, autonomic function, and cognitive potential

Repetitive transcranial magnetic stimulation (rTMS) is a non-invasive brain stimulation technique proven effective in managing chronic pain and enhancing functionality across various conditions. This case report explores the use of rTMS in a 72-year-old male suffering from chronic low back pain. Pre-treatment assessments revealed high blood pressure, autonomic stress, and significant lumbar spine abnormalities. Over four weeks, rTMS was administered with customized parameters, leading to substantial improvements in heart rate variability, pain perception, and cognitive function. These results support rTMS as a promising therapeutic option for chronic low back pain, emphasizing the need for further research to refine treatment protocols.