Loss of Efficacy with SCS Treatment: Methods to Avoid and Solutions Featured

3:30 PM - 5:00 PM Friday, January 18

This session will describe optimal patient selection for improving long-term outcomes. The speakers will also discuss the theories behind device failures and complications, as well as the developing of tolerance to the neuromodulation devices. Strategies to approach loss of efficacy of spinal cord stimulators and potential salvaging techniques will also be discussed.

Learning Objectives

Upon completion of this educational activity, participants should be able to:

  • Identify specific trialing techniques to optimize SCS trial to improve patient selection for SCS implants, as well as methods to improve trialing predictive ability.
  • Evaluate immediate outcomes after a SCS implant and device selection for improving long-term outcomes and salvage techniques.
  • Explain the differences between loss of efficacy and tolerance.
  • Identify equipment failures, as well as subtle and/or evident complications related to loss of efficacy or surgical techniques in SCS implants.

SCS Device and Patient Selection: Strategies to Improve Long Term Outcomes

Julie G. Pilitsis, MD PhD

Evaluation of Response to SCS Therapy: What Are the Best Measures?

Adnan A. Al-Kaisy, MD

Defining Loss of Efficacy and Mechanisms: Tolerance or Inadequate Pain Control

Steven M. Falowski, MD

The Therapy is Failing: Overstimulation, Programming and Device Solutions

Marc A. Russo, MD

Faculty subject to change.