Spinal cord stimulation in axial low back pain: Solving the dilemma

Objective. To present the problem of producing stimulation paresthesia effects in the lower back dermatomes and to present some of the relevant outcome data using newer stimulation techniques, which suggest that this technique is efficacious in treating lower back pain. Design. Review of clinical, physiological, and anatomical arguments regarding the use of spinal cord stimulation in lower back pain. Conclusion. Use of modern stimulation techniques allows reliable production of paresthesia stimulation effects in the lower back dermatomes. Clinical studies have suggested that improvement of pain can be attained in about 50% of patients and held stable for up to 2 years.