TY - JOUR
T1 - A narrative review and future considerations of spinal cord stimulation, dorsal root ganglion stimulation and peripheral nerve stimulation
AU - Malinowski, Mark N.
AU - Chopra, Pooja R.
AU - Francio, Vinicius Tieppo
AU - Budwany, Ryan
AU - Deer, Timothy Ray
N1 - Publisher Copyright:
© 2021 Lippincott Williams and Wilkins. All rights reserved.
PY - 2021/12/1
Y1 - 2021/12/1
N2 - Purpose of review In recent years, neuromodulation has experienced a renaissance. Novel waveforms and anatomic targets show potential improvements in therapy that may signify substantial benefits. New innovations in peripheral nerve stimulation and dorsal root ganglion stimulation have shown prospective evidence and sustainability of results. Sub-perception physiologic bursting, high-frequency stimulation and feedback loop mechanisms provide significant benefits over traditional tonic spinal cords stimulation (SCS) in peer reviewed investigations. We reviewed the themes associated with novel technology in the context of historical stalwart publications. Recent findings New innovations have led to better nerve targeting, improvements in disease-based treatment, and opioid alternatives for those in chronic pain. In addition, new neural targets from both structural and cellular perspectives have changed the field of Neurostimulation. Summary For many years, tonic SCS was representative of neuromodulation, but as this review examines, the progression of the field in the past decade has reshaped patient options.
AB - Purpose of review In recent years, neuromodulation has experienced a renaissance. Novel waveforms and anatomic targets show potential improvements in therapy that may signify substantial benefits. New innovations in peripheral nerve stimulation and dorsal root ganglion stimulation have shown prospective evidence and sustainability of results. Sub-perception physiologic bursting, high-frequency stimulation and feedback loop mechanisms provide significant benefits over traditional tonic spinal cords stimulation (SCS) in peer reviewed investigations. We reviewed the themes associated with novel technology in the context of historical stalwart publications. Recent findings New innovations have led to better nerve targeting, improvements in disease-based treatment, and opioid alternatives for those in chronic pain. In addition, new neural targets from both structural and cellular perspectives have changed the field of Neurostimulation. Summary For many years, tonic SCS was representative of neuromodulation, but as this review examines, the progression of the field in the past decade has reshaped patient options.
KW - Dorsal root ganglion stimulation
KW - Peripheral nerve stimulation
KW - Spinal cord stimulation
UR - http://www.scopus.com/inward/record.url?scp=85120678126&partnerID=8YFLogxK
U2 - 10.1097/ACO.0000000000001072
DO - 10.1097/ACO.0000000000001072
M3 - Review article
C2 - 34608057
AN - SCOPUS:85120678126
SN - 0952-7907
VL - 34
SP - 774
EP - 780
JO - Current Opinion in Anaesthesiology
JF - Current Opinion in Anaesthesiology
IS - 6
ER -