10-kHz spinal cord stimulation treatment for painful diabetic neuropathy: results from post-hoc analysis of the SENZA-PPN study

Pain Manag. 2020 Sep;10(5):291-300. doi: 10.2217/pmt-2020-0033. Epub 2020 Aug 11.

Abstract

Aim: Previous studies of 10 kHz spinal cord stimulation demonstrated its safety and efficacy for treatment of neuropathic pain of the trunk and/or limbs. This study analyzed data from a subset of subjects with painful diabetic neuropathy enrolled in a prospective, multicenter study of peripheral polyneuropathy with various etiologies. Materials & methods: Of the eight subjects that had permanent devices, seven attended the 12-month follow-up assessment. Results & conclusion: At 12 months, 6/7 subjects were treatment responders (≥50% pain relief) and had pain remission (visual analog scale ≤ 3.0 cm). Worsening of neurologic deficits was not reported in any subject. Instead, 5/7 subjects showed improvements in sensory testing and/or reflexes. These results support further investigation of 10 kHz spinal cord stimulation as a safe and effective treatment for intractable painful diabetic neuropathy.

Keywords: 10 kHz SCS; VAS; painful diabetic neuropathy; painful polyneuropathy.

Publication types

  • Multicenter Study

MeSH terms

  • Diabetes Mellitus*
  • Diabetic Neuropathies* / complications
  • Diabetic Neuropathies* / therapy
  • Humans
  • Neuralgia* / therapy
  • Pain Management
  • Prospective Studies
  • Spinal Cord
  • Spinal Cord Stimulation*
  • Treatment Outcome