Streamlined surgical techniques focus on popular targets such as the knee and ankle. Cutting-edge technology results in negligible complication rates. Abundant clinical evidence supports its efficacy. TRIFECTA in #interventionalpain: Minimally invasive procedures, small incisions, and rapid recovery. â¡ Why Should Permanent Peripheral Nerve Stimulation Be a Routine Option for All Interventional Pain Providers? #scs #neurophysiology #neuromodulation #interventionalpain â¡ Colorado Pain Care patient receiving closed loop ECAP derived dosing using Saluda Medical #scs system. 86% of SmartLoop patients had clinically significant improvement in quality of life at 24 months. Patients gained an extra 1.2 hours of sleep per night with SmartLoop. 82% of SmartLoop patients showed functional improvements at 24 months. SmartLoop therapy maintained superior pain relief at 36 months. 3 out of 5 patients experienced over 80% pain relief for 3 years. FDA-approved for chronic intractable pain management in trunk and limbs. Tracks neural activation changes throughout the day. Auto-adjusts stimulation based on ECAP amplitude and patient response curve. ECAPs measure neural activation after each pulse. The Closed-Loop SCS System is engineered to adapt to the continual motions of your spinal cord, ensuring automatic adjustment and stability.Ä£ï¸â£ECAPs confirm activation, adjusting stimulation 4+ million times daily for precise dosing = closed loop technology.Ĥï¸â£Backed by a double-blind, 36-month RCT showing significant outcomes in pain relief, quality of life, function, sleep, and mood. â¡ Exploring Dosing in Spinal Cord Stimulation: Understanding Evoke Compound Action Potentials (ECAP) and Closed Loop Technology in Four (4) Key Points.Ä¡ï¸â£Activation of dorsal column aÃ-fibers at therapeutic levels produces inhibition of dorsal horn interneurons thus suppressing projection cells and modulating the pain signals ascending to the brain.Ä¢ï¸â£Neural activation can be measured using ECAPs. Eterna battery (smallest battery on the market) which should mitigate pocket pain. DISTINCT study = largest study to date. I can attest to these results clinically. These improvements were observed alongside reduced opioid use, injections, and ablation therapy. The study demonstrates significant improvement at six months in back pain, back pain-related disability, pain-related emotional suffering, Patient Global Impression of Change (PGIC), pain interference, and physical function in patients with severe, debilitating back pain for over a decade. A significant improvement of 30 points was observed on the Oswestry Disability Index (ODI) compared to < 0.0001). Intention-to-treat analysis showed significant differences in pain responders on the numerical rating scale (NRS) between SCS (72.6%) and CMM (7.1%) arms (p < 0.0001). These patients were not suitable candidates for lumbar spine surgery. Patients (n=162 for passive recharge burst therapy n=107 for CMM) experiencing severe pain and disability for over a decade, with diagnoses including degenerative disc disease, spondylosis, stenosis, and scoliosis, were randomized. Spinal cord stimulation (SCS) is assessed for its effectiveness in relieving chronic intractable pain conditions compared to conventional medical management (CMM). â¡ Largest prospective randomized multicenter controlled trial to date for NSBP: â¡DISTINCT study for nonsurgical back pain (NSBP) from Abbott | Neuromodulation. #abbott #scs #neuromodulation #interventionalpain #painrelief #technology #advancedtherapies #pocketpain #surgery #fda #backpain #legpain #relief #opioidsparing #drugfree Thanks to Allen Burton MD and Brian Schulz for showing me the ins/outs of the Externa battery. With smaller batteries and newer technology what happens to the incident of IPG related pocket pain? Or battery recharge burden? Or surgical complications? â¡ Plan: Implant the smallest battery on the market, the FDA approved Abbott Eterna system (pictured here) & featured at North American Neuromodulation Society (NANS) 2023. This patient suffered from intractable back and leg pain due to previous lumbar surgery. Pictured here: Abbott 2 leads placed behind the dorsal column of the spinal cord. Spinal cord stimulation ( #scs) using Abbott derived burst waveforms at Colorado Pain Care.
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