Burst stimulation of the spinal cord leads to greater pain modulation than tonic stimulation
Data from a substudy of SUNBURST suggest that burst stimulation of the spinal cord regulates the medial pain pathway to a greater extent than tonic stimulation, through selective modulation of the dorsal anterior cingulate cortex. Writing in Neuromodulation, Thomas Yearwood and colleagues postulate “an inherent difference in the central neural mechanisms during burst and tonic stimulation, which could potentially alter the patient’s perception of pain”.
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