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.
Carolinas Pain Institute and The Center for Clinical Research