Presurgical psychological evaluation for spinal cord stimulation

The current opioid crisis has led to increased interest in alternative forms of pain treatment. One of these is spinal cord stimulation (SCS), which is an electrical treatment for pain. Research studies on SCS have shown that while there is evidence that it can alleviate pain, there is also a significant risk of complications. Studies have also shown that SCS outcome can be predicted by psychological assessment methods.
This webinar will include:
- A brief review of the nature of spinal cord simulation and related treatments, and how they are used to treat pain and other conditions;
- A brief review of medical treatment guidelines for chronic pain, and why the majority of them require presurgical psychological assessment for spinal cords stimulators;
- Theoretical paradigms of chronic pain and delayed recovery that have been adopted by guidelines;
- Biopsychosocial risk factors for poor SCS outcome that have been identified by empirical and clinical consensus methods; and
- Extensive supplementary materials will also be provided.
The use of the BHI 2 Medical Intervention Risk Report will also be discussed in this context.
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[@ljre3397]

I’m currently waiting for implantation of an SCS. I guess I’m sane enough. Surprising.
Seriously, though I’m glad I watched this. Very interesting. Insightful. Thank you.

[@dallasgraves4981]

I also think the time from when the pain started is the biggest factor in ur test. Someone that has been fighting the pain and disability for 5 plus years, now there obese cause lack of exercise and has became anti social due to now not being able to get around. Which would show anxiety due to depression and weight gain.

[@annettest.2204]

Thanks!

[@BW12149]

So, the psych evaluation is looking for patients that won’t complain when/if the device fails? Looks like it’s designed to protect the physicians doing this procedure. My last visit to a spine specialist can’t do any type surgery since I have so much spinal damage, so he recommended this spinal cord stimulator. I’ve refused it as I don’t trust the devices or the procedure.

[@dallasgraves4981]

I don't see that this would work with someone with multiple medical issue's. I have ptsd, chronic pain syndrome, and nerve damage in lower back. And have been fighting with the VA for the last 6 years . 30+ rftc's, shots and other procedures. Been to physical therapy 4 times also auqa therapy. Physical therapy didn't work do to the pain it caused made my body into Fibromyalgia flare ups. It looks like I would fail this test. But do to the symptoms of various issues not Psychological

[@clb3297]

Your evaluation of CRPS patient shows virtually no understanding of Complex Regional Pain Syndrome as a disease. You even mistakenly call it CHRONIC Regional Pain Syndrome. You cannot compare pain of a patient with CRPS in arm to other patients with arm pain from other causes. CRPS can spread from one region to another. You cannot assume her headaches were stress headaches without understanding CRPS as a disease. Your reasoning is very simplistic for a complex disease and results in bogus outcome predictions. Has this instrument been scientifically validated?