DRG Stimulation for Low Back Pain

This presentation explores Dorsal Root Ganglion (DRG) stimulation for low back pain, an off-label but promising alternative to traditional spinal cord stimulation (SCS). DRG offers advantages such as better distal dermatomal coverage, low energy consumption, reduced habituation, and potential modulation of sympathetic and nociceptive pain pathways. Studies highlight successful outcomes at T12 and L2 levels, particularly for discogenic and failed back surgery pain, showing consistent improvements in pain scores, function (ODI), and quality of life. Evidence suggests DRG stimulation may outperform SCS in durability and efficacy, making it a compelling option for refractory cases and complex anatomies.