ID: 216812 Dynamic Stimulation Patterns Produce Varied Pain Coverage During Acute Spinal Cord Stimulation Evaluation

Introduction: Spinal Cord Stimulation (SCS) for chronic pain management typically uses static stimulation, a.k.a. tonic pulse-trains, where the amplitude, pulse width and rate of stimulation remain the same across time. Several SCS therapies, including both paresthesia-based that typically evoke “tingling” sensations and fast-acting paresthesia-free, are dependent on precise paresthesia-pain overlap. A recent publication demonstrates dynamic stimulation can improve efficacy of SCS in a preclinical rodent model1. We hypothesize that stimulation with dynamic pulse-trains may affect paresthesia-pain overlap. In this work, we evaluated paresthesia coverage of subjects experiencing static and dynamic SCS acutely.