The role of virtual reality as adjunctive therapy to spinal cord stimulation in chronic pain: A feasible concept?

Spinal cord stimulation and virtual reality therapy are established and promising techniques, respectively, for managing chronic pain, each with its unique advantages and challenges. While each therapy has been the subject of significant research interest, the prospect of combining the two modalitie...

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Main Authors: Timothy Noble, Lyndon Boone, Antonios El Helou
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Pain Research
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpain.2023.1094125/full
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author Timothy Noble
Lyndon Boone
Antonios El Helou
Antonios El Helou
author_facet Timothy Noble
Lyndon Boone
Antonios El Helou
Antonios El Helou
author_sort Timothy Noble
collection DOAJ
description Spinal cord stimulation and virtual reality therapy are established and promising techniques, respectively, for managing chronic pain, each with its unique advantages and challenges. While each therapy has been the subject of significant research interest, the prospect of combining the two modalities to offer a synergistic effect in chronic pain therapy is still in its infancy. In this narrative review, we assess the state of the field combining virtual reality as an adjunctive therapy to spinal cord stimulation in chronic pain. We also review the broader field of virtual reality therapy for acute and chronic pain, considering evidence related to feasibility in the Canadian healthcare system from cost and patient satisfaction perspectives. While early results show promise, there are unexplored aspects of spinal cord stimulation combined with virtual reality therapy, particularly long-term effects on analgesia, anxiolysis, and implications on the effectiveness and longevity of spinal cord stimulation. The infrastructure for billing virtual reality as a consult service or therapy must also catch up if it is eventually used to supplement spinal cord stimulation for chronic pain.
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spelling doaj.art-ae49b85939ad430aa1e1da1ddc15f3992023-02-27T07:35:44ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2023-02-01410.3389/fpain.2023.10941251094125The role of virtual reality as adjunctive therapy to spinal cord stimulation in chronic pain: A feasible concept?Timothy Noble0Lyndon Boone1Antonios El Helou2Antonios El Helou3Faculty of Medicine, Memorial University of Newfoundland, St. John's, NL, CanadaFaculty of Medicine, Memorial University of Newfoundland, St. John's, NL, CanadaFaculty of Medicine, Memorial University of Newfoundland, St. John's, NL, CanadaDivision of Neurosurgery, Horizon Health Network, Moncton, NB, CanadaSpinal cord stimulation and virtual reality therapy are established and promising techniques, respectively, for managing chronic pain, each with its unique advantages and challenges. While each therapy has been the subject of significant research interest, the prospect of combining the two modalities to offer a synergistic effect in chronic pain therapy is still in its infancy. In this narrative review, we assess the state of the field combining virtual reality as an adjunctive therapy to spinal cord stimulation in chronic pain. We also review the broader field of virtual reality therapy for acute and chronic pain, considering evidence related to feasibility in the Canadian healthcare system from cost and patient satisfaction perspectives. While early results show promise, there are unexplored aspects of spinal cord stimulation combined with virtual reality therapy, particularly long-term effects on analgesia, anxiolysis, and implications on the effectiveness and longevity of spinal cord stimulation. The infrastructure for billing virtual reality as a consult service or therapy must also catch up if it is eventually used to supplement spinal cord stimulation for chronic pain.https://www.frontiersin.org/articles/10.3389/fpain.2023.1094125/fullvirtual realityspinal cord stimulation (SCS)chronic painneuromodulationcognitive behavioral therapy (CBT)
spellingShingle Timothy Noble
Lyndon Boone
Antonios El Helou
Antonios El Helou
The role of virtual reality as adjunctive therapy to spinal cord stimulation in chronic pain: A feasible concept?
Frontiers in Pain Research
virtual reality
spinal cord stimulation (SCS)
chronic pain
neuromodulation
cognitive behavioral therapy (CBT)
title The role of virtual reality as adjunctive therapy to spinal cord stimulation in chronic pain: A feasible concept?
title_full The role of virtual reality as adjunctive therapy to spinal cord stimulation in chronic pain: A feasible concept?
title_fullStr The role of virtual reality as adjunctive therapy to spinal cord stimulation in chronic pain: A feasible concept?
title_full_unstemmed The role of virtual reality as adjunctive therapy to spinal cord stimulation in chronic pain: A feasible concept?
title_short The role of virtual reality as adjunctive therapy to spinal cord stimulation in chronic pain: A feasible concept?
title_sort role of virtual reality as adjunctive therapy to spinal cord stimulation in chronic pain a feasible concept
topic virtual reality
spinal cord stimulation (SCS)
chronic pain
neuromodulation
cognitive behavioral therapy (CBT)
url https://www.frontiersin.org/articles/10.3389/fpain.2023.1094125/full
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