Effects of Posture on Stimulation Parameters in Spinal Cord Stimulation

Multiple Program Spinal Cord Stimulation in the Treatment of Chronic Pain: Follow-Up of Multiple Program SCS

“…It is our impression that our patient satisfaction was improved because the patient had more control over the management of his or her SCS system. With multiple program SCS the patient can choose different stimulation programs as their activities change or if the paresthesias change secondary to changes of the patient's position ( 22). At any one time the patient can choose from a number of alternative programs that are stored in the transmitter.…”

Improving Patient Experience with Spinal Cord Stimulation: Implications of Position-Related Changes in Neurostimulation

“…Position‐related changes in patients' perception of stimulation have been noted in a number of studies (6–8). In a study of 42 patientswith chronic intractable low back and leg pain, Olin et al.…”

“…Therefore, patients can experience alterations in paresthesia intensity resulting in under‐ and overstimulation. These unwanted sensations occur because stimulation is directed away from the DC fibers towards the DR fibers (7). Certain levels of the spine, such as the midthoracic region, will be more susceptible to this phenomenon than others.…”

Long-term quality of life improvement for chronic intractable back and leg pain patients using spinal cord stimulation: 12-month results from the SENZA-RCT

“…The arrangement of dorsal column fibers innervating the axial back makes it difficult to elicit paresthesias in this region using traditional SCS. Moreover, the intensity of these paresthesias can also vary, based on body position resulting in either a sudden, uncomfortable increase in stimulation or persistent unwanted sensations [20,21]. This precludes the use of traditional SCS during sleeping, driving, and operating machinery.…”