Over the last 20 years, spinal cord stimulation has transformed significantly. It’s evolved from a basic pain relief option to a sophisticated, adaptable therapy with specialized features. When spinal cord stimulators (SCS) first emerged, they offered hope but little differentiation. They aimed to deliver pain relief but didn’t address specific pain types or patient needs.

Today, we have an entirely new landscape. We can tailor therapies for different pain causes, offering quicker, more targeted relief. Furthermore, MRI compatibility now allows ongoing monitoring and treatment, which is a remarkable improvement. This final post in the “Do Stims Stim?” series recaps our journey. We’ll cover everything, from DTM stimulation to MRI compatibility, showing how advanced therapies meet patients’ unique needs.


The Early Days of Spinal Cord Stimulation: Limited Options, Basic Relief

Years ago, spinal cord stimulation was promising but limited. It disrupted pain signals, but options were scarce. Patients with different pain types, like neuropathic pain or complex regional pain syndrome, used a single approach. This early technology provided some relief. However, it didn’t address pain’s complexities or its underlying causes.

At that time, we could offer pain relief, but only in limited ways. Fast forward to today, and we now have specialized devices that meet diverse needs. These options target different types of pain in ways we could only imagine before.


Diverse Stimulation Options for a Range of Pain Needs

In the “Do Stims Stim?” series, we’ve explored major advancements in spinal cord stimulation. Each therapy provides a unique approach, giving patients options that are more effective, precise, and often more comfortable.

DTM Spinal Cord Stimulation: Treating Pain by Targeting Glial Cells

DTM, or Differential Target Multiplexed stimulation, is a breakthrough in treating pain through glial cells. Glial cells play a critical role in regulating pain and inflammation in the nervous system. By focusing on these cells, DTM can potentially reduce neuroinflammation, which leads to greater pain relief. For patients with widespread pain resistant to other therapies, DTM provides real hope.

Closed Loop Stimulation: Real-Time Feedback for Consistent Relief

Next, closed loop stimulation provides a unique real-time response to spinal cord reactions. This technology “listens” to spinal cord activity, adjusting the therapy for consistent pain relief. For patients with pain that fluctuates, this approach offers steadier management without constant device adjustments. Closed loop stimulation suits those seeking reliable, all-day relief. Closed loop is used in combination with other stimulation therapies as an enhancement to your therapy and overall experience.

HFX (High-Frequency Spinal Cord Stimulation): A Non-Tingling Solution for Consistent Relief

HFX, or High-Frequency Stimulation, offers another distinct approach in spinal cord stimulation. Unlike traditional methods that often produce a tingling sensation, HFX delivers pain relief at a frequency that most patients cannot feel. By using a higher frequency, it bypasses the sensory nerves that cause tingling, providing consistent relief without noticeable sensation.

This therapy is particularly beneficial for patients who find traditional stimulation uncomfortable or distracting. It’s an ideal option for those who want effective pain relief without the physical awareness of stimulation. HFX has proven especially helpful in treating nerve-related pain, offering a comfortable, effective solution that patients can rely on throughout the day.

FAST (Fast-Acting Sub-perception Therapy): Rapid Relief Without Awareness

FAST therapy adds another innovative choice. It delivers fast, sub-perception relief without the patient feeling the stimulation. FAST is especially beneficial for patients who need quick relief but prefer not to feel constant stimulation. This therapy brings quick comfort to patients dealing with acute or fluctuating pain, reducing the need for repeated adjustments.

Burst Spinal Cord Stimulation: Mimicking Natural Nerve Patterns for Effective Pain Modulation

Burst stimulation mimics natural nerve patterns, making it feel more organic. By imitating natural signals, burst stimulation provides pain relief with minimal discomfort. Many patients say Burst feels more natural and causes less tingling than traditional methods. This approach suits those wanting a seamless therapy experience.

MRI Compatibility: Ensuring Continuity of Care

Years ago, MRI compatibility was unavailable for spinal cord stimulators. Patients needing MRI scans faced barriers, often having to deactivate or remove their devices. Today, MRI-compatible devices from companies like Medtronic, Abbott, Nevro, and Boston Scientific provide seamless integration with other medical needs. This compatibility improves patient care, allowing essential imaging without disrupting pain management.


Meeting Diverse Needs and Patient Preferences

Today’s spinal cord stimulators represent a shift toward personalized care. Patients now have options tailored to different types of pain and unique needs. Some therapies provide fast relief, while others feel more natural. Some adjust automatically for steady relief all day.

This diversity empowers patients to find devices that fit their pain, lifestyle, and comfort. For those needing rapid relief without tingling, or others who want steady, uninterrupted support, there’s a choice for everyone. This shift transforms spinal cord stimulation into a personalized experience, giving patients better control.


A Future of Precision and Personalized Pain Relief

Looking forward, spinal cord stimulation promises even greater precision. Future advancements may include AI and machine learning to further personalize pain management. These tools could identify individual pain patterns and adjust therapy in real-time. With this, therapies can respond to patients’ unique needs with more accuracy.

The goal is clear: therapies that relieve pain and improve patients’ quality of life. As technology advances, devices could respond precisely to changes in pain, mood, or activity. This evolution brings us closer to seamless, near-perfect pain management.


An Era of Pain Relief Like Never Before

The evolution of spinal cord stimulation over the past 20 years is remarkable. We’ve moved from basic, undifferentiated devices to a sophisticated range of options. Today, patients can select therapies that match their pain characteristics and personal preferences. Twenty years ago, this level of choice seemed impossible.

At Red Butte Pain Solutions, we’re proud to offer these therapies. We help our patients live more comfortable, fulfilling lives. The options available today show how far we’ve come in pain management. And the future holds even more promise as new innovations emerge.

Reflecting on spinal cord stimulation’s journey, we see that stims now do much more. They provide personalized pain relief that empowers each patient on their unique journey. The possibilities for spinal cord stimulation are boundless, and the future is bright.