Schade, C.M., M.D., Rashbaum, R.F., M.D., Hanks, T.F., Ph.D., Successful SCS Trials Targeting Chronic Pain in the Low Back, Medtronic, Inc., 2004
Spinal cord stimulation (SCS) has not traditionally been considered for chronic low back pain secondary to conditions such as Failed Back Syndrome, degenerative disk disease, lumbar adhesive arachnoiditis, or epidural fibrosis because of the difficulty in positioning the leads so that paresthesia covers the painful region without simultaneously causing painful or motor stimulation in the chest and abdomen. However, trial techniques have been developed that can target chronic low back pain. The techniques presented here have enabled the authors to use SCS to treat patients who have chronic low back pain with or without leg pain, effectively provide paresthesia in the low back region without side effects such as radicular (i.e., stomach and rib) stimulation, reduce dual-percutaneous-lead implant trial time, and increase their trial-to-implant ratio for all SCS patients. Implanting physicians and their support staff who already have thorough training in the use or and successful experience with SCS therapy arc encouraged to study these techniques and consider these or similar methods for trials with low back pain patients.