Abstract
Conventional or traditional spinal cord stimulation (SCS) (paresthesia forming, nonkilohertz frequency or burst, and paresthesia-free SCS) is used for peripheral neuropathic pain of multiple indications, such as failed back surgery syndrome (FBSS), postherpetic neuralgia (PHN), plexopathy, and painful diabetic polyneuropathy (PDP). The mechanisms of action of conventional SCS are difficult to study in humans, but translational animal models of chronic neuropathic pain have helped us to understand it better. Patients with FBSS and PDP may benefit from conventional SCS. For patients with complex regional pain syndrome there is limited evidence, and for PHN weak evidence. It is not clear whether patients with a plexopathy or phantom limb pain will benefit from SCS, thus it should only be used in a research setting.
| Original language | English |
|---|---|
| Title of host publication | Neuromodulation: Comprehensive Textbook of Principles, Technologies, and Therapies, Second Edition: Volume 1-3 |
| Editors | Elliot S. Krames, P. Hunter, Ali R. Rezai |
| Publisher | Elsevier |
| Chapter | 49 |
| Pages | 633-645 |
| Number of pages | 13 |
| Volume | 2 |
| ISBN (Electronic) | 9780128053539 |
| ISBN (Print) | 9780128093023 |
| DOIs | |
| Publication status | Published - 1 Jan 2018 |
Keywords
- Complex regional pain syndrome (CRPS)
- Conventional spinal cord stimulation (SCS)
- Failed back surgery syndrome (FBSS)
- Painful diabetic polyneuropathy (PDP)
- Peripheral neuropathic pain
- Phantom limb pain
- Plexopathy
- Postherpetic neuralgia (PHN)