Assessment of Patient Preference for Constant Voltage and Constant Current Spinal Cord Stimulation

Analgesic Efficacy of High-Frequency Spinal Cord Stimulation: A Randomized Double-Blind Placebo-Controlled Study

“…The electrical stimulation of the dorsal column at frequencies below 300 Hz is generally felt as a tingling sensation, which is similar with all commercially available SCS systems (14). Although paresthesias are usually well tolerated, our clinical experience suggests that a substantial minority of patients would prefer not to feel sensation or may even have difficulties tolerating mild tingling.…”

Altering Conventional to High Density Spinal Cord Stimulation: An Energy Dose-Response Relationship in Neuropathic Pain Therapy

“…SCS is most commonly used for the relief of lumbar‐ and leg pain. Conventional SCS applies frequencies between 30 and 60 Hertz (Hz), which generally induces a tingling sensation (paresthesia) , covering the pain area, without which, little or no pain relief is experienced . Eliciting and sustaining paresthesias in the lower back however, is difficult to achieve, due to the anatomical position of the fibers corresponding to the lumbar area, in the dorsal columns .…”

International Neuromodulation Society Critical Assessment: Guideline Review of Implantable Neurostimulation Devices

“…Case series and prospective observational data are available and suggest efficacy; however, more data are needed. The neurostimulation field continues to evolve with emerging technologies such as dorsal root ganglion, high‐frequency stimulation, and PNS strategies . These have failed to be integrated into a living document for practice recommendations due to the lack of prospective randomized comparator trials.…”