ID: 218045 Fast Acting Sub-Perception Therapy Spinal Cord Stimulation for Chronic CRPS Type II After Lipoma Resection

Abstract

Spinal cord stimulators (SCS) are indicated for chronic intractable pain of the back or limbs including unilateral or bilateral pain associated with failed back surgery syndrome, Complex Regional Pain Syndrome (CRPS) Types I and II, and neuropathic pain1. The mechanism of action is unclear though current theory involves stimulation of Aβ-fibers2 via the Gate Control theory, and modulation of neurotransmitters such as GABA2,3. Recent research suggests activation of Aβ-fibers at adjacent segments also play a significant role via surround inhibition4,5. Here we present a patient with intractable right leg pain following a lipoma resection with significant improvement after fast-acting sub-perception therapy (FAST) spinal cord stimulator placement.