Abstract

Spinal cord stimulation, or SCS, uses electrical pulses delivered to the spinal cord as a drug-free treatment for chronic pain. The pulse parameters are often individualized based on the patient’s unique perception of SCS. Further, the pulses may elicit an electrical signal in the spinal cord called the evoked compound action potential (ECAP). The ECAP contains information about the type and degree of neural activity in the spinal cord.1 The characteristics of the ECAP are highly dependent on the patient’s posture and the stimulation settings, and may be used as an indicator of the patient’s perception of SCS.

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