Hybrid Lead Placement For Chronic Neuropathic Pain

The presentation explores hybrid lead placement for chronic neuropathic pain, focusing on the combination of spinal cord stimulation (SCS) and dorsal root ganglion (DRG) stimulation. SCS has evolved with better technology, but challenges remain, including tolerance, positional changes, and inadequate coverage. DRG stimulation provides targeted therapy, especially for CRPS and neuropathic pain, with less positional variation and broader applicability. Evidence shows that combining DRG and SCS offers superior pain relief, dual modulation of nociceptive input, and improved functional outcomes. Recent studies and clinical experience confirm its benefit, particularly for patients with loss of efficacy on a single modality.