Current Perspectives on Neurostimulation for the Management of Chronic Low Back Pain: A Narrative Review

Neurostimulation techniques for the treatment of chronic low back pain (LBP) have been rapidly evolving; however, questions remain as to which modalities provide the most efficacious and durable treatment for intractable axial symptoms. Modalities of spinal cord stimulation, such as traditional low-...

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Bibliographic Details
Published inJournal of pain research Vol. 14; pp. 463 - 479
Main Authors Provenzano, David A, Heller, Jared A, Hanes, Michael C
Format Journal Article
LanguageEnglish
Published New Zealand Dove Medical Press Limited 01.01.2021
Taylor & Francis Ltd
Dove
Dove Medical Press
Subjects
axial
Back pain
Back surgery
Backache
Care and treatment
chronic
Clinical trials
Closed loop systems
Evidence-based medicine
Nervous system
neuromodulation
Pain
Patients
Physiology
Review
Spinal cord
spinal cord stimulation
neuromodulation
axial
spinal cord stimulation
chronic
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Summary:Neurostimulation techniques for the treatment of chronic low back pain (LBP) have been rapidly evolving; however, questions remain as to which modalities provide the most efficacious and durable treatment for intractable axial symptoms. Modalities of spinal cord stimulation, such as traditional low-frequency paresthesia based, high-density or high dose (HD), burst, 10-kHz high-frequency therapy, closed-loop, and differential target multiplexed, have been limitedly studied to determine their efficacy for the treatment of axial LBP. In addition, stimulation methods that target regions other than the spinal cord, such as medial branch nerve stimulation of the multifidus muscles and the dorsal root ganglion may also be viable treatment options. Here, current scientific evidence behind neurostimulation techniques have been reviewed with a focus on the management of chronic axial LBP.
Bibliography:ObjectType-Article-2
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ISSN:1178-7090
1178-7090
DOI:10.2147/JPR.S249580