spinal cord stimulation; dorsal column stimulation (Senza, BurstDR, FlexBurst360)
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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
More general terms
More specific terms
Additional terms
References
- ↑ WebMD: Spinal Cord Stimulation for Chronic pain http://www.webmd.com/back-pain/spinal-cord-stimulation-for-low-back-pain
- ↑ Maydfield Clinic: Spinal Cord Stimulation http://www.mayfieldclinic.com/PE-STIM.htm
- ↑ 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
- ↑ 4.0 4.1 4.2 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: https://www.ncbi.nlm.nih.gov/pubmed/31279543 https://www.mayoclinicproceedings.org/article/S0025-6196(19)30131-4/fulltext
- ↑ Brooks M FDA Clears New Neurostimulation System for Chronic Pain. Medscape. August 23, 2022 https://www.medscape.com/viewarticle/979612
- ↑ Gupta G, Burchiel KJ Spinal Cord Stimulation Medscape. Updated August 7, 2018 https://emedicine.medscape.com/article/1980819-overview
- ↑ 7.0 7.1 7.2 7.3 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: https://www.ncbi.nlm.nih.gov/pubmed/36441532 PMCID: PMC9706399 (available on 2023-11-28) https://jamanetwork.com/journals/jamaneurology/fullarticle/2799084
- ↑ 8.0 8.1 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