How patients are selected for spinal cord electrical stimulation

The successful acceptance of the treatment by the patient and the subsequent good outcome are dependent on the extent to which the patient is agreeable to the proposed treatment, or whether the patient is willing to accept the treatment. Therefore, before offering a new treatment to a patient, the treating physician should define the overall goals of the treatment and communicate with the patient accordingly. Patients to be treated with CSC need to fulfill these selection criteria before proceeding to the further screening and evaluation stage: Presence of chronic intractable pain in the trunk or extremities Pain that is physiologically significant Tolerance of the shock of surgical treatment Absence of severe drug addiction or drug abuse Condition that permits long-term postoperative analgesic management Correctly operated neurostimulation system for patient control Device Clearly understands the electrode implantation procedure and has correct and reasonable expectations of the therapeutic outcome Has passed a psychological assessment of expectations of the likelihood of successful treatment There are no additional special screening criteria for low back pain. In clinical practice, the majority of patients with low back pain who meet the patient screening criteria continue to undergo the test treatment.