Dismiss Notice
Hey Texans—join us for a DFW meetup! Click here to learn more.

High Frequency SCS RCT

Discussion in 'Pain Medicine' started by drusso, Jul 29, 2015.

  1. drusso

    Physician Moderator Emeritus Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    Nov 21, 1998
    Messages:
    7,025
    Likes Received:
    2,149
    Status:
    Attending Physician
  2. Note: SDN Members do not see this ad.

  3. nvrsumr

    nvrsumr Member
    10+ Year Member

    Joined:
    Apr 25, 2002
    Messages:
    1,733
    Likes Received:
    372
    Status:
    Attending Physician
    Can anyone attach pdf? Sounds impressive from abstract
     
  4. pmrmd

    pmrmd SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    Mar 22, 2008
    Messages:
    1,079
    Likes Received:
    201
    Status:
    Attending Physician
    They had a good presentation today at ISIS. If I was a rep from the other 3 companies I would not be happy right now.
     
    lobelsteve likes this.
  5. lobelsteve

    lobelsteve SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    May 30, 2005
    Messages:
    12,594
    Likes Received:
    2,692
    Status:
    Attending Physician
    Got my first trial started yesterday. Will know if any results tomorrow.
     
  6. hyperalgesia

    hyperalgesia member
    Lifetime Donor Classifieds Approved 7+ Year Member

    Joined:
    Jan 9, 2010
    Messages:
    4,279
    Likes Received:
    1,235
    Status:
    Attending Physician
    Do you get parasthesias with this method?
     
  7. lobelsteve

    lobelsteve SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    May 30, 2005
    Messages:
    12,594
    Likes Received:
    2,692
    Status:
    Attending Physician
    Me: a felt a little tingly, the patient feels nothing.
     
    Crybaby and pmrmd like this.
  8. olafa

    10+ Year Member

    Joined:
    Jul 26, 2007
    Messages:
    646
    Likes Received:
    30
    Status:
    Attending Physician
    Whats the longevity of the battery? The hi frequency mode uses alot of energy
     
  9. lobelsteve

    lobelsteve SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    May 30, 2005
    Messages:
    12,594
    Likes Received:
    2,692
    Status:
    Attending Physician
  10. DOctorJay

    10+ Year Member

    Joined:
    May 8, 2004
    Messages:
    2,836
    Likes Received:
    460
    Status:
    Attending Physician
    They told me 10 years as well but I think you have to charge daily.
     
  11. epidural man

    epidural man ASA Member
    10+ Year Member

    Joined:
    Jun 3, 2007
    Messages:
    2,858
    Likes Received:
    581
    Status:
    Attending Physician
    A couple of points about this article...

    I'm so glad they published it in Anesthesiology, right next to this article "N-terminal pro-B-type Natriuretic Peptides’ Prognostic Utility Is Overestimated in Meta-analyses Using Study-specific Optimal Diagnostic Thresholds" Why the hell did they publish it in Anesthesiology anyway....weirdos.

    Second - I love that they think that 1 year is LONG TERM. Did these guys just finish pain fellowship? I would have thought Kapural knew better.

    Thirdly - is anyone concerned about long term neurological effects of continuous high frequency field effects? Do we know it isn't going to cause dysfunction or damage?
     
  12. lobelsteve

    lobelsteve SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    May 30, 2005
    Messages:
    12,594
    Likes Received:
    2,692
    Status:
    Attending Physician
    Studied in animals over years with no effect. 1 year is 4x longer than any drug trials for chronic pain.
     
    Ducttape and epidural man like this.
  13. Jigsaw

    5+ Year Member

    Joined:
    May 26, 2012
    Messages:
    292
    Likes Received:
    70
    Status:
    Attending Physician
    It's been in Approved in Europe and Australia but not sure how long
     
  14. bedrock

    bedrock Member
    10+ Year Member

    Joined:
    Oct 23, 2005
    Messages:
    4,102
    Likes Received:
    1,031
    Status:
    Attending Physician
    any head to head testing between this and the typical companies?
    I've had my reps give patients a high frequency option for about a year now and many patients prefer it. But the max rate of MDT is 1200 Hz, not 10,000 like nevro, however both are much higher than "traditional rates' of 30 to 90.

    It would be interesting to test the big threes equipment set to maximum rates, 1200-1500 Hz vs the nevro. Hasn't nevro only tested their stuff vs a standard stim rate of about 50 Hz ?
     
  15. DOctorJay

    10+ Year Member

    Joined:
    May 8, 2004
    Messages:
    2,836
    Likes Received:
    460
    Status:
    Attending Physician
    Nevro's head to head study was against Boston.
     
  16. Jigsaw

    5+ Year Member

    Joined:
    May 26, 2012
    Messages:
    292
    Likes Received:
    70
    Status:
    Attending Physician
  17. hyperalgesia

    hyperalgesia member
    Lifetime Donor Classifieds Approved 7+ Year Member

    Joined:
    Jan 9, 2010
    Messages:
    4,279
    Likes Received:
    1,235
    Status:
    Attending Physician
    Any luck with this gizmo?
     
  18. lobelsteve

    lobelsteve SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    May 30, 2005
    Messages:
    12,594
    Likes Received:
    2,692
    Status:
    Attending Physician
    1st one was home run. 2nd one I'll know monday.
     
  19. clubdeac

    10+ Year Member

    Joined:
    Aug 16, 2007
    Messages:
    3,110
    Likes Received:
    468
    Status:
    Attending Physician
    I hear from the Medtronic rep that the traditional stim treatment arm patients were not allowed to reprogram during the 12 months. Is this true? If so, it's obviously not a fair comparison
     
  20. lobelsteve

    lobelsteve SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    May 30, 2005
    Messages:
    12,594
    Likes Received:
    2,692
    Status:
    Attending Physician
    During the FDA trial the BS reps had unlimited access to patients and could program as often as they wanted.
     
    DOctorJay likes this.
  21. Ligament

    Ligament Interventional Pain Management
    Physician Lifetime Donor SDN Advisor Classifieds Approved 10+ Year Member

    Joined:
    Jan 8, 2002
    Messages:
    4,783
    Likes Received:
    1,164
    Status:
    Attending Physician
    Just booked my first case, will report how it goes.
     
  22. epidural man

    epidural man ASA Member
    10+ Year Member

    Joined:
    Jun 3, 2007
    Messages:
    2,858
    Likes Received:
    581
    Status:
    Attending Physician
    Can this be verified?
     
    Yo GabbaPentin likes this.
  23. DOctorJay

    10+ Year Member

    Joined:
    May 8, 2004
    Messages:
    2,836
    Likes Received:
    460
    Status:
    Attending Physician
    I was given the same info as Steve
     
  24. lobelsteve

    lobelsteve SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    May 30, 2005
    Messages:
    12,594
    Likes Received:
    2,692
    Status:
    Attending Physician
    I verify he was fibbing.
     
  25. wscott

    wscott Junior Member
    10+ Year Member

    Joined:
    Nov 14, 2003
    Messages:
    117
    Likes Received:
    14
    Any updates from those who have tried it?

    Steve, ligament, how did it go? Are you booking more?
     
  26. lobelsteve

    lobelsteve SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    May 30, 2005
    Messages:
    12,594
    Likes Received:
    2,692
    Status:
    Attending Physician
    Several trials 3 implants. 80% relief, only 1 failure in trial.
     
  27. algosdoc

    algosdoc algosdoc
    10+ Year Member

    Joined:
    May 3, 2005
    Messages:
    3,791
    Likes Received:
    1,493
    Status:
    Attending Physician
  28. Ducttape

    Ducttape SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 7+ Year Member

    Joined:
    Oct 7, 2011
    Messages:
    7,229
    Likes Received:
    1,507
    Status:
    Attending Physician
    have you given up on the other systems?
     
  29. olafa

    10+ Year Member

    Joined:
    Jul 26, 2007
    Messages:
    646
    Likes Received:
    30
    Status:
    Attending Physician
    how is you patient selection between standard SCS versus Hi frequency.
     
  30. lobelsteve

    lobelsteve SDN Lifetime Donor
    Lifetime Donor Classifieds Approved 10+ Year Member

    Joined:
    May 30, 2005
    Messages:
    12,594
    Likes Received:
    2,692
    Status:
    Attending Physician
    Mostly, have some folks who need the feel.
     
  31. Ligament

    Ligament Interventional Pain Management
    Physician Lifetime Donor SDN Advisor Classifieds Approved 10+ Year Member

    Joined:
    Jan 8, 2002
    Messages:
    4,783
    Likes Received:
    1,164
    Status:
    Attending Physician
    Did one Nevro trial, went to implant. About 5 more lined up. Will report back.
     
    clubdeac likes this.

Share This Page