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spinal cord stimulation; dorsal column stimulation (Senza, BurstDR, FlexBurst360)

Indications: - treatment of chronic pain - low back pain [4], leg pain [4], arm pain - sciatica - spinal stenosis - failed back surgery syndrome - complex regional pain syndrome - arachnoiditis - phantom pain - peripheral vascular disease - multiple sclerosis - spinal cord injury - stroke (investigational) [8] Contraindications: - not associated with a reduction in opioid use or nonpharmacologic pain interventions at 2 years [7] - associated with higher costs [7] - complications are common [7] Procedure: - a small pulse generator, implanted in the back, sends electrical pulses to the spinal cord

Related

transcutaneous electrical nerve stimulation (TENS, Stimpod NMS460)

Specific

HFX spinal cord stimulation Stimwave Freedom Spinal Cord Stimulation System

General

electroanalgesia

References

  1. WebMD: Spinal Cord Stimulation for Chronic pain http://www.webmd.com/back-pain/spinal-cord-stimulation-for-low-back-pain
  2. Maydfield Clinic: Spinal Cord Stimulation http://www.mayfieldclinic.com/PE-STIM.htm
  3. FDA News Release. May 8, 2015. FDA approves spinal cord stimulation system that treats pain without tingling sensation. http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm446354.htm
  4. Lamer TJ, Moeschler SM, Gazelka HM et al. Spinal stimulation for the treatment of intractable spine and limb pain: A systematic review of RCTs and meta-analysis. Mayo Clin Proc 2019 Aug; 94:1475-1487. PMID: 31279543 https://www.mayoclinicproceedings.org/article/S0025-6196(19)30131-4/fulltext
  5. Brooks M FDA Clears New Neurostimulation System for Chronic Pain. Medscape. August 23, 2022 https://www.medscape.com/viewarticle/979612
  6. Gupta G, Burchiel KJ Spinal Cord Stimulation Medscape. Updated August 7, 2018 https://emedicine.medscape.com/article/1980819-overview
  7. Dhruva SS et al. Long-term outcomes in use of opioids, nonpharmacologic pain interventions, and total costs of spinal cord stimulators compared with conventional medical therapy for chronic pain. JAMA Neurol 2023 Jan 1; 80:18-29. PMID: 36441532 PMCID: PMC9706399 (available on 2023-11-28) https://jamanetwork.com/journals/jamaneurology/fullarticle/2799084
  8. Powell MP, Verma N, Sorensen E et al Epidural stimulation of the cervical spinal cord for post-stroke upper-limb paresis. Nature Medicine. 2023. Feb 20 Not indexed in PubMed https://www.nature.com/articles/s41591-022-02202-6