Evolving Spinal Cord Stimulation Technologies and Clinical Implications in Chronic Pain Management

  • Omar ViswanathEmail author
  • Ivan Urits
  • Emily Bouley
  • Jacquelin M. Peck
  • William Thompson
  • Alan David Kaye
Other Pain (A Kaye and N Vadivelu, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Other Pain


Purpose of Review

Spinal cord stimulation (SCS), based on the gate theory of nociception, has been shown to be effective in the management of chronic pain conditions. While early-generation technology offered many patients improvement in their pain and symptoms, limitations including paresthesia, dependence on mapping, decreased chronological efficacy, and inadequate coverage left many patients with persistent pain and overt therapeutic failure.

Recent Findings

New advances in neuromodulation technology circumvent many of these previous limitations and offer patients improved pain relief and quality of life.


In this review, an update on recent technological developments in the field of SCS and peripheral neuromodulation is presented with discussion on differentiating characteristics which may help guide applicability to individual patient needs.


Spinal cord stimulation Neuromodulation HF-10 Dorsal root ganglion stimulation Burst stimulation Wireless spinal cord stimulation 


Compliance with Ethical Standards

Conflict of Interest

Omar Viswanath, Ivan Urits, Emily Bouley, Jacquelin M. Peck, and William Thompson declares no conflict of interest. Dr. Kaye discloses that he is on the Speakers Bureau for Depomed, Inc. and Merck.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • Omar Viswanath
    • 1
    • 2
    • 3
    Email author
  • Ivan Urits
    • 4
  • Emily Bouley
    • 4
  • Jacquelin M. Peck
    • 5
  • William Thompson
    • 6
  • Alan David Kaye
    • 7
  1. 1.Valley Anesthesiology and Pain Consultants, Envision Physician ServicesPhoenixUSA
  2. 2.Department of AnesthesiologyUniversity of Arizona College of Medicine-PhoenixPhoenixUSA
  3. 3.Department of AnesthesiologyCreighton University School of MedicineOmahaUSA
  4. 4.Beth Israel Deaconess Medical CenterHarvard Medical SchoolBostonUSA
  5. 5.Department of AnesthesiologyMt. Sinai Medical Center of FloridaMiami BeachUSA
  6. 6.Valley Anesthesiology and Pain ConsultantsPhoenixUSA
  7. 7.Department of AnesthesiologyLouisiana State University Health Science CenterNew OrleansUSA

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