For years, weโve treated Painful Diabetic Neuropathy (PDN) largely by trying to turn down the volume on the pain. While relief is critical, the "holy grail" has always been something more: stopping the damage or, dare we dream, reversing it. We have just published the design for a new multicenter randomized controlled trial (RCT) in... Continue Reading →
Predicting Success in Spinal Cord Stimulation for the Diabetic Foot: The Role of Infrared Thermography
Spinal cord stimulation (SCS) has been an emerging therapy for patients with intractable ischemic pain and non-healing diabetic foot complications. While traditionally used for pain relief, evidence is building that SCS may also enhance blood flow, support ulcer healing, and even prolong limb salvage. But the critical question remains: who benefits most from this expensive... Continue Reading →
Spinal Cord Stimulation as an Adjunct to Traditional Debridement for Ischemic Diabetic Foot Ulcers?
Ischemic diabetic foot ulcers (DFUs) present a significant challenge in diabetic foot care, often leading to severe complications and amputations. A recent retrospective cohort study has shed light on the efficacy of spinal cord stimulation (SCS) compared to traditional debridement care in treating these complex wounds. The Study's Insights The study, which involved a comparative... Continue Reading →
The impact of 10 kHz spinal cord stimulation (SCS) on protective sensation in people with painful diabetic neuropathy
How is this working? Like a pair of noise-cancelling headphones, perhaps? Filtering out the painful sensation allowing for normal touch perception? Here are data from our combined teams. Perhaps this calls for a larger randomized controlled trial to confirm or refute these fascinating findings. In a recent study titled "Improvement in Protective Sensation: Clinical Evidence... Continue Reading →
Restoration of sensory feedback from the foot and reduction of phantom limb pain via closed-loop spinal cord stimulation
"Restoration of sensory feedback from the foot and reduction of phantom limb pain via closed-loop spinal cord stimulation," published in Nature Biomedical Engineering, presents a study on restoring somatosensory feedback in individuals with lower-limb amputations. The research demonstrates that sensations from a missing foot can be evoked using lateral lumbosacral spinal cord stimulation with commercial... Continue Reading →