Virtual Reality for Chronic Neuropathic Pain

Inclusion Criteria: * Presence of chronic neuropathic pain at or below SCI level for at least 6 months following trauma or disease of the spinal cord; * A pain intensity of at least 4 out of 10 in the numerical rating scale (NRS) in the Neuropathic Pain Scale (NPS) test at both screening (baseline) and randomization (pre-evaluation); * Stable pharmacological treatment for at least 2 weeks prior to the study and throughout the trial; * Incomplete lesion (American Spinal Injury Association Impairment Scale, AIS B, C or D; B= motor complete, sensory incomplete; C= sensorimotor incomplete with an average strength of the muscles below the level of the lesion \<3, D= sensorimotor incomplete with average muscle strength \>3); * Cervical level of lesion (C2 to T1) with presence of pain in the upper extremities Exclusion Criteria: * Presence of severe pain of other origin, such as musculoskeletal pain * Psychiatric or other neurological disorders * Head injuries causing cognitive or visual impairment * Severe vertigo * Presence of potential risk factors for brain stimulation (TMS): history of seizures, presence of surgically implanted foreign bodies such as a pacemaker, metal plate in the skull, and metal inside the skull; * Medically unstable