Recent advances in neurostimulation analgesia

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Over the last 30 years, neurostimulation has grown to include a number of central and peripheral applications. These now include the placement of epidural, extremity, deep brain, cortical, functional, and vagus nerve stimulators. Clinical conditions presently treated include neuropathic pain (failed back surgery syndrome; radiculopathy; chronic regional pain syndrome); ischemic pain (peripheral vascular disease, angina); tremor (Parkinson's); functional disorders (bladder dysfunction/urge incontinence); peripheral nerve injury; and seizure. Despite this diversity, more than 85% of all stimulators are still implanted epidurally over the spinal cord or via open peripheral extremity approaches for neuropathic pain. To date, this indication and these approaches have been associated with limited long-term success. However, a combination of recently developed electrode programming and positioning methodologies hold promise in improving these long-term outcomes, as well as in increasing the number of pain conditions amenable to neurostimulation therapy. This article reviews the historical basis and evolution of these methodologies and how they represent recent advances in neurostimulation.

Original languageEnglish (US)
Pages (from-to)142-151
Number of pages10
JournalTechniques in Regional Anesthesia and Pain Management
Volume5
Issue number4
DOIs
StatePublished - 2001

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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