7,598
Views
39
CrossRef citations to date
0
Altmetric
Clinical focus: Snapshot in Pain Management - Review

Mechanisms and mode of action of spinal cord stimulation in chronic neuropathic pain

&
Pages 17-21 | Received 26 Mar 2020, Accepted 12 May 2020, Published online: 22 May 2020

Figures & data

Figure 1. Spinal nociceptive network and mechanisms of SCS. Electrical stimulation of the dorsal column activates Aβ-fibers. Antidromic activation of Aβ-fibers results in the activation of GABAergic interneurons in the dorsal horn, causing inhibition of pain transmission via nociceptive-specific projection neurons and wide dynamic range neurons (gate control theory). Orthodromic activation of Aβ-fibers initiates the supraspinal feedback loop that modulates pain transmission in the dorsal horn through descending serotonergic and noradrenergic projections. (adapted from Smits et al. [Citation16])

Figure 1. Spinal nociceptive network and mechanisms of SCS. Electrical stimulation of the dorsal column activates Aβ-fibers. Antidromic activation of Aβ-fibers results in the activation of GABAergic interneurons in the dorsal horn, causing inhibition of pain transmission via nociceptive-specific projection neurons and wide dynamic range neurons (gate control theory). Orthodromic activation of Aβ-fibers initiates the supraspinal feedback loop that modulates pain transmission in the dorsal horn through descending serotonergic and noradrenergic projections. (adapted from Smits et al. [Citation16])