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24th Napa Pain Conference

NPC2017-F07a - New Waveforms of Spinal Cord Stimulation

Aug 18, 2017 2:00pm ‐ Aug 18, 2017 4:00pm

Credits: None available.



Spinal Cord Stimulation (SCS) therapy is the most commonly used implantable neurostimulation modality for the management of pain. Approximately 14,000 patients undergo SCS implants each year. High-frequency and burst stimulation are new ways to deliver energy to the spinal cord that may offer advantages over tonic stimulation.

This session will include:

  • Recent, 24-month outcomes for back and leg pain, including new data from subgroups for patients over 24 months
  • The science of burst stimulation
  • Data-driven Indications and contraindications for various frequencies


2:00 Effectiveness of High Frequencies Other Than 10K: Leonardo Kapural, MD, PhD

2:30 24-Month HF-10 Data for Back & Leg Pain: B. Todd Sitzman, MD, MPH

3:00 The Science of Burst Stimulation: Peter Staats, MD, MBA

3:30 Alternative & Irregular Frequencies: Nandan Lad, MD


As a result of completing this course, learners will be able / better able to:

  • Compare and contrast new modes of spinal cord stimulation with established methods used to control of chronic pain.
  • Assess 10 kHz high-frequency spinal cord stimulation for control of back and leg pain.
  • Compare to other frequencies than 10 kHz and other modes of neuromodulation for chronic pain.
  • Compare burst spinal cord stimulation efficacy to conventional stimulation for chronic pain.
  • Consider experimental therapies and new waveforms currently under investigation and how these therapies may impact practice in the near future.


  • Van Havenbergh, Tony, et al. Spinal Cord Stimulation for the Treatment of Chronic Back Pain Patients: 500-Hz vs. 1000-Hz Burst Stimulation. Neuromodulation: Technology at the Neural Interface 18.1(2015): 9-12.
  • Pope, Jason E., Steven Falowski, and Tim R. Deer. Advanced waveforms and frequency with spinal cord stimulation: burst and high-frequency energy delivery. Expert review of medical devices 12.4(2015): 431-437.


Category: CME


Credits: None available.

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