In Beijing’s beautiful Fragrant Hills of spring colorful Sanbo Brain Hospital Neurosurgery 1 ward neat and quiet ward from time to time came hissing calls, this is so. When the doctors and patients understand the 27 bed patient Ms. Wang’s condition, they all expressed sympathy and understanding of Ms. Wang. Ms. Wang told everyone that because the pain is unbearable, only when shouting loudly to the point of human exhaustion seems to pain can be relieved. After being given surgical treatment by the Neurosurgery Department of Sanbo Brain Hospital, the patient’s pain was significantly relieved and she never shouted again. The attending doctor joked with her and said: other patients told me that as soon as you stopped shouting, the ward seemed particularly quiet, and everyone was not accustomed to it, and they had insomnia at night. Ms. Wang smiled and said: I also know that it’s not good to shout like that, but the pain was unbearable. Now that the pain is relieved, even if it is still a bit painful, it is still manageable. If I shout again, people will say that I am a psychopath. However, when she recounted her medical history and experience of seeking medical treatment, the strong woman still shed tears from time to time. Every time I listen to her recounting her life experiences over the years, I can realize that the demon of pain is so sick to her. Ms. Wang recalled to us the distant past: 1965 lumbar through the gunshot wound, paralysis of both lower limbs incontinence with pain in both lower limbs, intermittent discharge-like, pinch-like, burning pain, pain from both knees below the beginning of the entire lower limbs, lying down can aggravate the pain. 1965-1966 hospitalized locally more than 1 year, the use of morphine, Dulcolax and other paroxysmal pain treatment, the effect is not good. After being discharged from the hospital, he was treated with acupuncture, physiotherapy and acupoints, and the pain slowly decreased until it disappeared (the exact time description is not clear), and he only felt pain in both lower limbs when he had a fever. Until 1982 and 1985, respectively, under local anesthesia after cesarean section, the pain in both lower limbs gradually worsened, and in 2005, due to uterine fibroids under general anesthesia for subtotal hysterectomy, the pain in both lower limbs was even more serious. In the past two years, the pain was so severe that it was intolerable and seriously affected sleep, waking up once in half an hour to one hour with pain. Oral gabapentin 300mg/times, 3 times/day, aminophenol dihydrocodeine tablets (details unknown), tramadol hydrochloride extended-release tablets (50mg/times, 1 time/day) can slightly relieve the pain. Even so, Ms. Wang said that although I am disabled, but I am very strong, I use my hands to support the ground to walk, I do housework, clean up the home, but also to do some of the force can level of work, just when the onset of the pain in the heart, is that I can not tolerate, can only be diverted by shouting, and even serious only to take off all their clothes, pouring cold water on the body to ease the pain. Year after year, I went to the doctor’s office with hope, but I was always disappointed. Sometimes I don’t want to live when the pain is severe, but I don’t want to die! My family can’t live without me, my son has scoliosis, I must drive the pain demon away, and when I am well, I will treat my son. This time, the local civil affairs bureau subsidized us to come to Beijing to see a doctor, and we found the Sanbo Brain Hospital of Capital Medical University. If you don’t do anything, I really can’t live anymore. The patient’s words of blood and tears deeply shocked the doctors present. After the consultation of many experts in the Pain Consultation Center, we decided to take advantage of our multidisciplinary pain treatment team to provide the patient with high quality treatment, and the patient was admitted to the Department of Neurosurgery with “Neurogenic Pain” in the outpatient clinic. The patient was admitted to the neurosurgery department with “neurogenic pain”. After admission, he was found to have spasticity of bilateral medial adductors and quadriceps muscles, decreased muscle tone in both lower limbs, patellar clonus and ankle clonus in both lower limbs, loss of pain, warmth and tactile sensation in both knees, tendon reflexes in both knees, and anal reflexes in both knees, and MR: discontinuity of the lower end of the L1-2 cone and the cauda equina nerve root, and derangement of the spinal curvature in lumbosacral segment. Somatosensory evoked potentials: bilateral tibial nerve SSEP abnormalities. After admission, the pain center discussed the following: 1. The patient was female, 55 years old. 2. 44 years of bilateral lower extremity paralysis with pain after a gunshot wound in the ministry. 3. worsening pain without hair tolerance, 4. urinary dysfunction, 5. poorly controlled by medications and intolerable adverse effects. There is an indication for surgery. Surgery is required to relieve pain without interfering with or aggravating the patient’s existing function. The goal of surgery is to relieve pain, improve the patient’s quality of life after surgery, reduce the use of medications, and improve the efficacy of a combination of medications and other treatments. According to the pain management surgical treatment selection process, neuromodulation therapy should be preferred. If the effect is not good or the economy is not still affordable, then consider nerve palliative surgery. Therefore, under local anesthesia + intensive (intraoperative arousal) conditions, spinal cord electrical stimulation surgical electrode implantation was performed. During the operation, the patient’s lumbar 1 had a bony defect of the spinous process, bilateral defects of the vertebral plate, and bone fractures, which might be related to the changes after the last injury, and decompression was performed. Surgical electrodes were implanted in the epidural space of thoracic 12 and lumbar 1, and led out to the right lumbar side through a subcutaneous tunnel via a connecting wire. Postoperative testing of the effect was continued. One week after the operation, the patient’s left lower limb pain disappeared, the right lower limb pain was limited to the right knee, and the degree was significantly reduced compared with the preoperative period, which could be controlled by medication, and the effect of spinal cord electrical stimulation was not obvious to the patient, and was not used again. Postoperative pain relief may be related to intraoperative decompression. The next step in the treatment program is to remove the surgical electrodes at the same time, open the dura, observe the spinal cord and the corresponding nerve injury, and then according to the situation is after the posterior root of the right nerve into the myelotomy can be done in order to alleviate the remaining pain in her right knee. Ms. Wang told her attending physician that: originally many people said that I was pretending, in fact, I was unable to tolerate the pain, but where I can tolerate I am very tolerant, I am a person who wants to save face ah. Now that the pain is relieved, I no longer have to cry out. I also know that it is now peacetime, and nerve pain caused by a gunshot wound like mine is rare in the country. Now that I have confidence in you, can you think of another way to cure my remaining pain as well, so that I can live the rest of my life as well. I deeply realize that the vocation of a doctor is to relieve the patient’s pain, and if the patient has confidence in our treatment, don’t we have confidence? Of course we do. We will work with our patients to exorcise the demon of pain.