Conclusions

Neuromodulation technological advances and new applications continue to outpace the evidence to support their use. There is great enthusiasm for these techniques within the interventional pain physician community and the evidence from the available trials, and the reports of thousands of patients suggest that many painful syndromes can indeed be ameliorated by neuromodulation implants. There is a significant need to answer critics of stimulation therapies with greater creativity in designing randomized sham controlled studies which may answer questions of efficacy. The future of neuromodulation appears to be exciting, and likely will flourish if these studies are published.

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