Subthreshold Spinal Cord Stimulation (SCS) for Failed Back Surgery Syndrome (FBSS)

Saturday, November 15, 2025

10:16 AM - 10:24 AM CT

Location: Griffin Hall - Screen 01

Introduction:

Some patients with failed back surgery syndrome (FBSS) do not respond to traditional spinal cord stimulation (SCS), including high-frequency and burst waveforms. For these nonresponders, subthreshold (paresthesia-free) SCS using low-amplitude, low-frequency settings may offer effective pain relief. Unlike conventional strategies focused on frequency, emerging evidence suggests that pain modulation in subperception SCS depends more on precise control of amplitude and pulse width, reframing the therapeutic approach as one of targeted “neural dosing.”

Submitting Author(s)

TR

Tishawn Ross, MD

Physical Medicine and Rehabilitation Resident
OBH
Brooklyn, New York, United States

Co-Author(s)

RA

Roberto Andrade, MD

Physical Medicine and Rehabilitation Resident
OBH, United States
PJ

Panayotis Jusakos, MD

Physical Medicine and Rehabilitation Resident
One Brooklyn Health
Orlando, Florida, United States