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2014 ; 11
(3
): 535-42
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Spinal stimulation for pain: future applications
#MMPMID24696306
Slavin KV
Neurotherapeutics
2014[Jul]; 11
(3
): 535-42
PMID24696306
show ga
With continuous progress and rapid technological advancement of neuromodulation
it is conceivable that within next decade or so, our approach to the electrical
stimulation of the spinal cord used in treatment of chronic pain will change
radically. The currently used spinal cord stimulation (SCS), with its procedural
invasiveness, bulky devices, simplistic stimulation paradigms, and frustrating
decline in effectiveness over time will be replaced by much more refined and
individually tailored modality. Better understanding of underlying mechanism of
action will allow us to use SCS in a more rational way, selecting
patient-specific targets and techniques that properly fit each patient with
chronic pain based on pain characteristics, distribution, and cause. Based on the
information available today, this article will summarize emerging applications of
SCS in the treatment of pain and theorize on further developments that may be
introduced in the foreseeable future. An overview of clinical and technological
innovations will serve as a basis for better understanding of SCS landscape for
the next several years.
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