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A spinal cord stimulator (SCS) or dorsal column stimulator (DCS) is a type of implantable neuromodulation device (sometimes called a "pain pacemaker") that is used to send electrical signals to select areas of the spinal cord (dorsal columns) for the treatment of certain pain conditions.
Neurostimulation for chronic pain is primarily through the use of spinal cord stimulators. [11] These devices deliver electrical stimulation to different areas of the spine based on where they are implanted. Since 2012, Medtronic has produced spinal cord stimulators with accelerometers that can predict the patient's position. The device can be ...
Electrical stimulation using implantable devices came into modern usage in the 1980s and its techniques and applications have continued to develop and expand. [16] Recent reviews highlight how neuromodulation is increasingly utilized across multiple medical subspecialties, providing clinicians with novel therapeutic options for both painful and non-painful complex disorders. [17]
For one month, they received spinal cord stimulation five times a week for four hours each. At the end of the trial period, they all experienced "improved motoneuron function, reduced fatigue and ...
The stimulation, applied over the lumbar spinal cord, works by activating large diameter afferent fibers entering the spinal cord, [17] [18] which then transsynaptically activate and engage spinal neuronal networks. [19] The same target structures can also be activated by transcutaneous electrodes placed over the lower thoracic spine and ...
All participants had trial stimulation to ensure correct position of electrodes. A total of 153 participants completed 12 weeks in the trial. There was a statistically significant difference ( p<0.05 ) between the number of patients in the treatment group]and control group at the 30% reduction in pain level using the Visual Analogue Scale (VAS).
Sacral nerve stimulation, also termed sacral neuromodulation, is a type of medical electrical stimulation therapy. It typically involves the implantation of a programmable stimulator subcutaneously , which delivers low amplitude electrical stimulation via a lead to the sacral nerve , usually accessed via the S3 foramen .
Spinal cord stimulator, an implantable neuromodulation device; Sacral nerve stimulator, for bladder and/or bowel control Sacral anterior root stimulator; Thalamic stimulator, to suppress tremors; Vagus nerve stimulator, for epilepsy and treatment-resistant depression