Advanced methods of spinal stimulation in the treatment of chronic pain: pulse trains, waveforms, frequencies, targets and feedback loops.

Advanced methods of spinal stimulation in the treatment of chronic pain: pulse trains, waveforms, frequencies, targets and feedback loops. Expert Rev Med Devices. 2019 Jan 09;: Authors: Maheshwari A, Pope JE, Deer TR, Falowski S Abstract INTRODUCTION: Spinal cord stimulation has emerged as a state-of-the-art evidence based treatment for chronic neuropathic pain and mixed nociceptive-neuropathic pain. In recent years, several newer devices and treatment algorithms have provided unique and effective ways of treating chronic pain by spinal cord stimulation. In a previous review, the authors commented on the five-year forecast for high frequency and Burst wave forms, as the only two paresthesia independent SCS strategies. Over the last five years there has been considerable addition to the outcome data related to these modalities. Additionally, new treatment algorithms and modalities for spinal cord stimulation have emerged. In this review, the authors provide an up to date summary of these modalities of treatment, indications and evidence on all different modalities and programming paradigms that are available today. Areas Covered: A literature review was performed using key bibliographic databases to find outcomes related studies pertaining to spinal cord stimulation, limited to the English language and human data, between 2010-18. The literature search yielded the following based on our inclusion criteria; six articles on burst stimul...
Source: Expert Review of Medical Devices - Category: Medical Devices Tags: Expert Rev Med Devices Source Type: research