What do you do if the patient reports uncomfortable paresthesia during test stimulation?
Patients may report undesirable stimulation-induced paresthesia during test stimulation for two reasons: the stimulation is in the wrong location or the sensation itself is unpleasant. If the paresthesia does not cover the patient’s area of pain, different electrode combinations should be tested and/or different stimulation parameters (pulse width, frequency and amplitude) should be tried. If this does not correct the problem, the lead should be repositioned to achieve better coverage of the painful area. If the stimulation-induced paresthesia is in the proper location but the patient perceives the stimulation as unpleasant, different stimulation parameters (frequency, pulse width, and/or amplitude) should be tested.
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