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- Title
Restorative Neurostimulation: A Clinical Guide for Therapy Adoption.
- Authors
Chakravarthy, Krishnan; Lee, David; Tram, Jennifer; Sheth, Samir; Heros, Robert; Manion, Smith; Patel, Vikas; Kiesel, Kyle; Ghandour, Yousef; Gilligan, Christopher
- Abstract
In this review, we present a comprehensive clinical approach to restorative neurostimulation, a novel form of stimulation for refractory chronic mechanical low back pain, targeting impaired neuromuscular control and degeneration of the multifidus muscle. We focus on patient identification, technique guidance, and review of the scientific background and clinical evidence. As our understanding of back pain grows, there is clear evidence that impaired neuromuscular control and consequent degeneration of the multifidus muscle contribute to mechanical low back pain development and maintenance. We provide clinical guidance regarding an implantable restorative neurostimulation system that targets impaired neuromuscular control. Supported by results from a randomized, active-sham-controlled clinical trial with long-term follow-up, we provide clinicians with a comprehensive overview and practical clinical guidance for the adoption of this therapy modality.
- Subjects
NEURAL stimulation; CHRONIC pain; LUMBAR pain
- Publication
Journal of Pain Research, 2022, Vol 15, p1759
- ISSN
1178-7090
- Publication type
Article
- DOI
10.2147/JPR.S364081