Appointments are by request only
Skip to main content

Effectiveness of Cervical Spinal Cord Stimulation for the Management of Chronic Pain

Effectiveness of Cervical Spinal Cord Stimulation for the Management of Chronic Pain

Abstract

Introduction

Scientific evidence supports spinal cord stimulation (SCS) as a cost‐effective treatment option that, for many disease states, should be employed earlier in the treatment continuum. Reimbursement for SCS in the cervical spine has recently been challenged based on supposed lack of clinical literature. To refute this assumption, we analyzed data from an international registry to support the use of cervical SCS.

Materials And Methods

The following outcomes were collected as part of an institutional review board‐approved, prospective, multicenter, international registry: pain relief, Pain Disability Index (PDI) score, quality of life (QoL), and satisfaction at 3, 6, and 12 months post‐implantation. Descriptive statistics are provided for all measures. Changes from baseline in PDI scores were analyzed using Tukey’s pairwise comparisons.

Results

Thirty‐eight patients underwent implantation of SCS leads in the cervical spine at 16 study sites in the United States and 3 international study sites. Direct patient report of percentage of pain relief was 54.2%, 60.2%, and 66.8% at 3, 6, and 12 months post‐implantation, respectively. Pain relief was categorized as excellent/good by 61.6% of patients at 3 months, with similar results observed at 6 and 12 months. PDI scores were significantly reduced at all time points. At 3 months post‐implantation, 92.4% of patients indicated they were very satisfied/satisfied with the SCS device. No patients indicated that they were dissatisfied. Overall QoL was reported as improved/greatly improved by 73.1% of patients at 3 months. Similar results for QoL and satisfaction were reported at 6 and 12 months.

Conclusion

The results suggest that the use of SCS in the cervical spine is a medically effective method of pain management that satisfies and improves the QoL of most patients. The use of SCS can reduce the high cost of direct medical treatment of pain, as well as increasing the productivity of patients, and therefore should be reimbursed in appropriately selected patients.

Read the full journal article here

You Might Also Enjoy...

What Happens During a Radiofrequency Ablation Procedure?

What Happens During a Radiofrequency Ablation Procedure?

Radiofrequency ablation (RFA) is a minimally invasive procedure that disrupts nerve signals to your brain — and it could offer lasting relief from chronic pain. Learn how it works and what to expect if you’re considering the treatment.
The burning Pain of Pudendal Neuralgia,      Utrecht, Northern Netherlands, circa  1340-1350, Jacob van Maerlant,  Der nature

Pudendal Neuralgia

Pudendal Neuralgia. From an elusive diagnosis tο the prevailing treatment options. Patients with chronic symptoms of intractable Pudendal neuralgia often present to our practice for consultation diagnosis, and to discuss appropriate treatment options.

Radiofrequency Ablation : A back pain treatment that works

Back pain is one of the most common reasons a patient comes to a pain management physician's clinic due to spine facet osteoarthritis. Radiofrequency ablation of the spinal facet joints represents the standard of care for long term pain relief.