Medicine, 2021 · DOI: http://dx.doi.org/10.1097/MD.0000000000024628 · Published: February 1, 2021
Central neuropathic pain is difficult to treat because it originates from injuries to the central nervous system. Traditional treatments don't always work well. Burst spinal cord stimulation is a newer type of treatment that may be more effective for some people with this type of pain. It involves sending electrical pulses to the spinal cord. This paper discusses two cases where burst spinal cord stimulation was used to treat patients with central neuropathic pain caused by spinal cord injury or traumatic brain injury, showing promising results.
Burst SCS can be considered as a potential treatment option for patients with central neuropathic pain, especially those with pain refractory to other treatments.
Further prospective, controlled studies with larger patient populations are needed to confirm the efficacy of burst SCS and identify the patient populations most likely to benefit from this therapy.
Alternating between tonic and burst waveforms may optimize pain control effects in certain patients.