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      Paresthesia-Independence: An Assessment of Technical Factors Related to 10 kHz Paresthesia-Free Spinal Cord Stimulation.

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          Abstract

          Spinal cord stimulation (SCS) has been successfully used to treat chronic intractable pain for over 40 years. Successful clinical application of SCS is presumed to be generally dependent on maximizing paresthesia-pain overlap; critical to achieving this is positioning of the stimulation field at the physiologic midline. Recently, the necessity of paresthesia for achieving effective relief in SCS has been challenged by the introduction of 10 kHz paresthesia-free stimulation. In a large, prospective, randomized controlled pivotal trial, HF10 therapy was demonstrated to be statistically and clinically superior to paresthesia-based SCS in the treatment of severe chronic low back and leg pain. HF10 therapy, unlike traditional paresthesia-based SCS, requires no paresthesia to be experienced by the patient, nor does it require paresthesia mapping at any point during lead implant or post-operative programming.

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          Author and article information

          Journal
          Pain Physician
          Pain physician
          2150-1149
          1533-3159
          May 2017
          : 20
          : 4
          Affiliations
          [1 ] Anesthesiology & Pain Therapy Unit, Santa Chiara University Hospital, Pisa, Italy.
          [2 ] The Pain Center of Arizona and HOPE Research Institute, Phoenix, AZ.
          [3 ] The Pain Center of Arizona, Phoenix, AZ.
          [4 ] Swedish Pain Center, Seattle, WA.
          [5 ] Pain Consultants of Oregon, Eugene, OR.
          [6 ] IPM Medical Group, Inc., Walnut Creek, CA.
          [7 ] Carolinas Pain Institute, Winston-Salem, NC.
          [8 ] Advanced Pain Therapy, PLLC, Hattiesburg, MS.
          [9 ] Coastal Orthopedics and Pain Medicine, Bradenton, FL.
          [10 ] Millennium Pain Center, Bloomington, IN.
          [11 ] Comprehensive Pain & Rehabilitation, MS.
          [12 ] Clinical and Regulatory Affairs, Nevro Corp., Menlo Park, CA.
          [13 ] Nevro Corp., Redwood City, CA.
          Article
          28535555
          a583d964-c429-4561-80c6-80e060158a21

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