Recommendations for patient selection in spinal cord stimulation |
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| Authors: | L. Atkinson,S.R. Sundaraj,C. Brooker,J. O&rsquo Callaghan,P. Teddy,J. Salmon,T. Semple,P.M. Majedi |
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| Affiliation: | aDepartment of Neurosurgery, 2nd Floor, Princess Alexandra Hospital, 201 Wickham Terrace, Brisbane, Queensland 4102, Australia;bNepean Hospital, Penrith, New South Wales, Australia;cRoyal North Shore Hospital, St Leonards, New South Wales, Australia;dAxxon Pain Medicine, Brisbane, Queensland, Australia;eRoyal Melbourne Hospital, Parkville, Victoria, Australia;fBethesda Hospital, Claremont, Western Australia, Australia;gRoyal Adelaide Hospital, North Terrace, South Australia, Australia;hSir Charles Gairdner Hospital, Nedlands, Western Australia, Australia |
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| Abstract: | Studies have shown that spinal cord stimulation (SCS) can reduce chronic pain by at least 50% over prolonged periods, improve function and quality-of-life, reduce requirements for healthcare resources and enable return to work in appropriately selected patients. However, SCS does not provide pain relief in all patients and is an expensive, labor intensive and invasive procedure with complications and ongoing management that requires specialists with specific skills and judgment. Multidisciplinary selection of appropriate patients for SCS is essential to achieve maximal benefit from the procedure. The aim of the article is to provide a clinical practice guide to the likely effectiveness of SCS in treating various types of chronic pain, as supported by the literature. The article will summarize indications and contraindications for SCS, provide guidance on the selection and timing for referral, and highlight the benefits and complications associated with the procedure. |
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| Keywords: | Chronic pain management Referral Spinal cord stimulation |
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