Issue |
E3S Web of Conf.
Volume 553, 2024
2024 International Conference on Ecological Protection and Environmental Chemistry (EPEC 2024)
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Article Number | 05008 | |
Number of page(s) | 5 | |
Section | Medical Treatments and Therapies | |
DOI | https://doi.org/10.1051/e3sconf/202455305008 | |
Published online | 24 July 2024 |
Spinal Cord Stimulation for Pain Management: Beyond Tonic
Whiting School of Engineering, Johns Hopkins University, Baltimore, USA
* Corresponding author: xzhan221@jh.edu
With over 1 billion chronic pain patients worldwide, there is an imperative need for effective solutions to manage pain. Electrical spinal cord stimulators were invented as a novel way of treating pain using the theoretical foundations of Gate Control Theory. When first developed in 1967, electrical spinal cord stimulators apply tonic electrical pulses of 40-60Hz on the spinal cord, but today a need for more efficient, paresthesia-free stimulators is eminent. This paper examines recent advancements in two alternatives to 40- 60Hz tonic waveforms: High Frequency (HF) and Burst. Both protocols showed promising results on chronic pain patients with failed surgeries before, where tonic stimulation is mainly used. They also offered optimal relief to groups where tonic stimulation is less effective: HF showed positive impacts on diabetic neuropathway patients and patients with upper body chronic pain, areas where paresthesia from tonic stimulations can cause problems. Burst showed positive influences on patients’ psychological and motivational wellbeing, which can also increase the possibility of successful pain relief.
© The Authors, published by EDP Sciences, 2024
This is an Open Access article distributed under the terms of the Creative Commons Attribution License 4.0, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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