Restorative Neurostimulation for Refractory, Mechanical Chronic Low Back Pain

Dr. Chris Gilligan discusses restorative neurostimulation for mechanical chronic low back pain. He illustrates what impaired motor control and atrophy of multifidus and longissimus look like in the brain for people with pain. Impaired control of the muscles leads to a vicious cycle of functional instability and chronic pain. However, there is hope for rehabilitation. Stimulation of the medial branch of the Dorsal Ramus to induce multifidus contractions can be used to restore neuromuscular control. The data from Dr. Gilligan’s ReActiv8-B trial are promising and support the use of restorative neurostimulation approaches.