Burst Spinal Cord Stimulation in the Management of Chronic Pain: Current Perspectives
| Author | Amber N. Edinoff |
| Author | Sarah Kaufman |
| Author | E. Saunders Alpaugh |
| Author | Jesse Lawson |
| Author | Tucker L. Apgar |
| Author | Farnad Imani |
| Author | Seyed-Hossein Khademi |
| Author | Elyse M. Cornett |
| Author | Alan D. Kaye |
| Issued Date | 2022-04-30 |
| Abstract | Over the last several decades, opioid diversion, misuse, and over-prescription have run rampant in the United States. Spinal cord stimulation (SCS) has been FDA approved for treatment for a primary indication of neuropathic limb pain that is resistant to more conservative medical therapy. The disorders qualified for treatment include neuropathic, post-surgical, post-amputation, osteodegenerative, and pain related to vascular disease. Some of the most frequently cited conditions for treatment of SCS include failed back surgery syndrome, complex regional pain syndrome (CRPS) Type I and Type II, and post-herpetic neuralgias. Developments in SCS systems have led to the differentiation between the delivered electromechanical waveform patterns, including tonic, burst, and high-frequency. Burst SCS mitigates traditional paresthesia due to expedited action potential and offers improved pain relief. Burst SCS has been shown in available studies to be non-inferior to the traditional SCS, which can cause pain paresthesia in patients who already have chronic pain. Burst SCS does not seem to cause or need the paresthesia seen in traditional SCS, making SCS not tolerable to patients. |
| DOI | https://doi.org/10.5812/aapm-126416 |
| Keyword | Spinal Cord Stimulation |
| Keyword | Chronic Pain Management |
| Keyword | Burst Stimulation |
| Keyword | Failed Back Surgery Syndrome |
| Keyword | Neuropathic Pain |
| Keyword | Complex Regional Pain Syndrome |
| Publisher | Brieflands |
| Title | Burst Spinal Cord Stimulation in the Management of Chronic Pain: Current Perspectives |
| Type | Review Article |
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