The Appropriate Use of Neurostimulation: Avoidance and Treatment of Complications of Neurostimulation Therapies for the Treatment of Chronic Pain

Deer, Timothy R.; Mekhail, Nagy; Provenzano, David; Pope, Jason E.; Krames, Elliot S.; Thomson, Simon; Raso, Lou; Burton, Allen W.; DeAndres, Jose; Buchser, Eric; Buvanendran, Asokumar; Liem, Liong; Kumar, Krishna; Rizvi, Syed; Feler, Claudio A.; Abejón, David; Anderson, Jack; Eldabe, Sam; Kim, Philip; Leong, Michael S.; Hayek, Salim M.; McDowell, Gladstone; Poree, Lawrence; Brooks, Elizabeth S.; McJunkin, Tory; Lynch, Paul; Kapural, Leo; Foreman, Robert D.; Caraway, David; Alo, Ken; Narouze, Samer; Levy, Robert M.; North, Richard B.

doi:10.1111/ner.12206

Cited by 168 publications

(196 citation statements)

References 177 publications

(256 reference statements)

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“…The NACC recommends that SCS be considered after conventional multidisciplinary management (usually 3-6 months) has failed in patients with neuropathic or mixed pain. 4,5 Patients should have a well-defined, non-cancer, physiological cause of pain. 4 Contra-indications should be excluded.…”

Section: Patient Selectionmentioning

confidence: 99%

“…4,5 Patients should have a well-defined, non-cancer, physiological cause of pain. 4 Contra-indications should be excluded. These include systemic or local infection, coagulopathy, need for anticoagulant or antiplatelet therapy that cannot be temporarily stopped, and uncontrolled psychiatric/psychological problems.…”

Section: Patient Selectionmentioning

confidence: 99%

“…The Neuromodulation Appropriateness Consensus Committee (NACC) recommends use of neuromodulation techniques before long-term opioids for neuropathic pain. 4 Spinal cord stimulation is currently approved by the Food and Drug Administration (FDA) for chronic pain of the trunk and limbs, low back pain, leg pain, and failed back surgery syndrome (FBSS). European guidelines also approve the use of SCS for refractory angina pectoris and peripheral limb ischaemia.…”

Section: Introductionmentioning

confidence: 99%

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Spinal cord stimulation for chronic non-cancer pain: a review of current evidence and practice

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Section: Patient Selectionmentioning

confidence: 99%

Section: Patient Selectionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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“…4 Broader awareness among patients and referring physicians could result in more benefits being realized more widely, which will be important as an aging population lives longer with chronic conditions. Hardware failure rates noted in the published NACC recommendations include:…”

Section: Future Improvements and Current Outcomesmentioning

confidence: 99%

“…The committee advised consideration of neurostimulation treatment under the following conditions: [1][2][3][4] • Failed back surgery syndrome (post-lamindectomy syndrome)-after conservative medical management of at least 3 to 6 months proves inadequate or yields unmanageable side effects, but before repeat back surgery if the patient is neurologically stable.…”

Section: Scope Of Neurostimulation Guidelinesmentioning

confidence: 99%

Special Report—First Comprehensive Guidelines Published for Neurostimulation Therapy

Pope¹,

Golovac²,

Thomson³

et al. 2014

US Neurology

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Neuromodulation has a growing role in the management of chronic pain. An international panel of experts has reviewed the evidence and issued guidance regarding the appropriate use of neurostimulation. It is understood that a patient-centric cadence of progression through the pain care algorithm must be considered. Neurostimulation may offer long-term cost savings and improved functional status without complications from long-term opioid use. Indications for consideration of neurostimulation include failed back surgery syndrome, complex regional pain syndrome, peripheral neuropathic pain, chronic peripheral ischemic pain, and refractory angina pectoris. Criteria crucial for success include appropriate patient selection and education, proper use of sterile facilities, attentive follow-up by the healthcare team, and provider training.

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Neuromodulation therapy

Varshney

Hagedorn

Deer

2022

Clinical Pain Management

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The Appropriate Use of Neurostimulation: Avoidance and Treatment of Complications of Neurostimulation Therapies for the Treatment of Chronic Pain

Cited by 168 publications

References 177 publications

Spinal cord stimulation for chronic non-cancer pain: a review of current evidence and practice

Spinal cord stimulation for chronic non-cancer pain: a review of current evidence and practice

Special Report—First Comprehensive Guidelines Published for Neurostimulation Therapy

Neuromodulation therapy

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