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Tolerance and Neuroplasticity

Dr. Peter Staats discusses the current state of spinal cord stimulation (SCS) therapy and why SCS fails in some patients. He cites a 25% long-term failure rate and identifies factors that influence successful outcomes, including patient selection, types of stimulation, and positional effects.

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Dr. Staats then introduces methods to improve long-term outcomes, including the use of evoked compound action potentials in a closed loop, real-time neuromonitoring system and the importance of avoiding Aβ nociceptor sensitization.

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