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Spinal cord stimulation for neuropathic pain: current perspectives

Authors Wolter T

Received 11 March 2014

Accepted for publication 9 May 2014

Published 18 November 2014 Volume 2014:7 Pages 651—663


Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Tilman Wolter

Interdisciplinary Pain Centre, University Hospital Freiburg, Freiburg, Germany

Abstract: Neuropathic pain constitutes a significant portion of chronic pain. Patients with neuropathic pain are usually more heavily burdened than patients with nociceptive pain. They suffer more often from insomnia, anxiety, and depression. Moreover, analgesic medication often has an insufficient effect on neuropathic pain. Spinal cord stimulation constitutes a therapy alternative that, to date, remains underused. In the last 10 to 15 years, it has undergone constant technical advancement. This review gives an overview of the present practice of spinal cord stimulation for chronic neuropathic pain and current developments such as high-frequency stimulation and peripheral nerve field stimulation.

Keywords: spinal cord stimulation, neuropathic pain, neurostimulation

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