Burst Spinal Cord Stimulation for Neuropathic Pain
Neuropathic Pain
About this trial
This is an interventional treatment trial for Neuropathic Pain focused on measuring tonic, burst and placebo stimulation
Eligibility Criteria
All patients were selected after multidisciplinary discussion with a specialized pain physician, a psychological and psychiatric evaluation was performed to rule out psychogenic pain as well as other psychiatric morbidity contraindicating an implant. After authorization by the psychologist and psychiatrist an implant was offered.
Inclusion Criteria
- Patients enrolled in this study must meet the following inclusion criteria:
- Patients able to provide informed consent to participate in the study;
- Patient is between the age of 18 and 75;
- Patient has Failed Back Surgery Syndrome;
- Patient has a simulator implanted at the dorsal column spinal cord powered by an EON/EON Mini® internal pulse generator.
- Patient medication has remained stable for at least 4 weeks prior to baseline data collection;
- Patient agrees not to add or increase medication throughout the randomization trial period of the study;
- Patient is willing to cooperate with the study requirements including compliance with the treatment regimen and completion of all office visits.
Exclusion Criteria
A patient will be excluded from participation in this study if they meet any one of the following criteria:
- Patient has current evidence of any psychiatric disorder, as documented by the DSM-IV-TR criteria with psychotic characteristics;
- Patient has a history of life-threatening severe illness or is suffering from severe chronic disease other than the indication for the study;
- Patient has history of substance abuse or substance dependency in the past 6 months prior to baseline data collection;
- Patient currently participating in another clinical study;
- Patient with demand-type cardiac pacemakers, an infusion pump or any other implantable neurostimulator device except for the spinal cord stimulator under study;
- Patient is not willing to maintain current medication regimen;
- Female candidates of child bearing potential who are pregnant (confirmed by positive urine/blood pregnancy test), not using adequate contraception as determined by the investigator, or nursing (lactating) a child.
Sites / Locations
- University Hospital Antwerp
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Tonic
Sham
burst
5 hz stimulation at an amplitude that the patient find bearable (+/- 1.5 mA)
no stimulation, patient receive a sham stimulation (actually the IPG is not running)
500 hz burst at 5 hz stimulation