Disease Indications

High probability

Chronic radicular pain

Neuropathic pain

Peripheral neuropathy

Visceral pain

Ischemic pain

Sympathetically driven pain

Peripheral vascular disease

Multiple sclerosis

Refractory angina pectoris (not amenable to surgery)

Painful ischemic peripheral vascular disease

Failed back surgery syndrome

Complex regional pain syndrome (CRPS), types I and II

Low probability

Deafferentation pain

Spinal cord injury pain

Central/post-stroke pain

Cancer pain

Nociceptive pain

Nerve root injury

Table 3.2

Novel lead placements with reports of success for pain states traditionally resilient to SCS

Disease type	Lead placements with reported success
Pelvic pain	High thoracic (T6-7), over the conus, or sacrally at S1, S2, S3 via hiatus or retrograde approach
Discogenic pain	Dorsal root ganglion, multi-contact paddles at T8, T9, HF 10 kHz at T8, T9. Burst SCS at T8, T9, T10
Post-herpetic neuralgia	Dorsal root ganglion, or hybrid with epidural and subcutaneous leads
Axial low back pain	Dorsal root ganglion, multi-contact paddles at T8, T9, HF 10 kHz at T8, T9. Burst SCS at T8, T9, T10
Phantom limb pain Groin pain after hernia repair Congestive heart failure	Dorsal root ganglion Dorsal root ganglion or hybrid SCS plus PNS T1, T2, T3

References

Kumar K, Toth C, Nath RK, Laing P. Epidural spinal cord stimulation for treatment of chronic pain—some predictors of success. A 15-year experience. Surg Neurol. 1998;50:110–21.CrossRefPubMed

Meglio M, Cioni B, Rossi GF. Spinal cord stimulation in management of chronic pain, a 9-year experience. J Neurosurg. 1989;70:519–24.CrossRefPubMed

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