2024 Consensus Guidelines on Spinal Cord Stimulation for Chronic Pain Management Among Practicing Pain Physicians in China and the United States

Abstract

In recent years, Spinal Cord Stimulation (SCS) has emerged as a pivotal intervention in chronic pain management. The judicious utilization of SCS is paramount for effective clinical outcomes. The 2024 Consensus Working Group on SCS Management of Chronic Pain, spanning experts from China and the United States, undertook a comprehensive literature review guided by the RIGHT framework. This review addressed SCS's role in chronic pain management, focusing on indications and contraindications, patient selection processes, education, considerations during trial and implantation phases, and strategies for managing complications. Leveraging the United States Preventive Services Task Force's grading guidelines, this consensus offers evidence-based recommendations aimed at enhancing SCS application in chronic pain management. This guideline seeks to equip pain physicians across all levels with the most current evidence, thereby refining SCS practices for optimal patient outcomes.

Keywords

• spinal cord stimulation
• neuromodulation
• chronic pain management
• neuropathic pain
• expert consensus