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Spinal Cord Stimulation

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Spinal cord stimulation has been used to try to treat intractable pain. The procedure is both expensive and invasive.

Table 29: Spinal Cord Stimulation Post SCI

Cioni et al. (1995) reported inserting epidural electrodes over the posterior columns of the spinal cord to allow for spinal cord stimulation. During spinal cord stimulation, 22 patients reported paraesthesia overlapping the painful area. Nine patients reported 50% pain relief and 3 patients experienced no pain relief.

Conclusion

There is level 4 evidence (from one case series study; Ciono et al. 1995) that spinal cord stimulation improves post-SCI pain.

  • Spinal cord stimulation may improve post-SCI neuropathic and musculoskeletal pain.