Abstract

Remission is the ultimate goal in the treatment of chronic pain, whereby the disease is mitigated to the point that patients can reach a normalized quality of life and activities of daily living following the elimination of symptoms. Although ≥50% pain relief (“responder”) is the benchmark for spinal cord stimulation (SCS) success in the treatment of chronic pain (2), there is precedence for reporting a higher responder rate (≥80% pain relief) (3,4). A recent technological advancement in spinal cord stimulation (SCS) has enabled measurement of the neurophysiological response to SCS (Evoked Compound Action Potentials [ECAPs]), confirmation of the intended target, and optimization of programming (open- and closed-loop mode), as well as maintenance of consistent activation (closed-loop mode only).

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