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Pain Management and Palliative Care pp 343–349Cite as

Neuromodulation

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Abstract

Spinal cord stimulation is an advanced interventional pain management therapy. By implanting electrodes, impulses can be directed at adjacent nervous structures within both the central and peripheral nervous system to modulate pain sensation. Proper patient selection and lead placement are paramount to obtaining high success rates and pain relief. This chapter details the process of selecting ideal candidates, the trial and permanent implantation techniques, and patient management postoperatively.

Keywords

  • Spinal cord stimulation
  • Neuromodulation
  • Failed back surgery syndrome
  • Complex regional pain syndrome
  • Neuropathic pain
  • Percutaneous trial
  • Permanent implant
  • Implantable pulse generator

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  • DOI: 10.1007/978-1-4939-2462-2_45
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Fig. 45.1
Fig. 45.2
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Abbreviations

ADL:

Activity of daily living

AP:

Anteroposterior

ASC:

Ambulatory surgical center

CBC:

Complete blood count

CNS:

Central nervous system

CPT:

Current procedural terminology

CRPS:

Complex regional pain syndrome

CT:

Computed tomography

DRG:

Dorsal root ganglia

ECG:

Echocardiogram

ESR:

Erythrocyte sedimentation rate

FDA:

Food and Drug Administration

GABA:

Gamma-aminobutyric acid

IPG:

Implantable pulse generator

IV:

Intravenous

MAC:

Minimal anesthetic concentration

MRI:

Magnetic resonance imaging

MRSA:

Methicillin-resistant staphylococcus aureus

NSAID:

Non-steroidal anti-inflammatory drug

PCN:

Penicillin

PDPH:

Postdural puncture headache

SCI:

Spinal cord injury

SCS:

Spinal cord stimulator

UA:

Urinalysis

VAS:

Visual analog scale

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Author information

Authors and Affiliations

  1. Comprehensive Spine and Pain Center, State University of New York Downstate Medical Center, New York, NY, USA

    Tim Canty M.D.

Authors
  1. Tim Canty M.D.
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Corresponding author

Correspondence to Tim Canty M.D. .

Editor information

Editors and Affiliations

  1. Department of Rehabilitation Medicine, Interventional Pain Management, New York University , Langone Medical Center, New York, New York, USA

    Kimberly A. Sackheim

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Canty, T. (2015). Neuromodulation. In: Sackheim, K. (eds) Pain Management and Palliative Care. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2462-2_45

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  • DOI: https://doi.org/10.1007/978-1-4939-2462-2_45

  • Publisher Name: Springer, New York, NY

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