Pain management

Discover the products and technologies to help treat your chronic pain patients and access the latest education, training, and support.

Why choose Boston Scientific as your pain management partner

Unlock more targeted treatment options for your chronic pain patients

We are advancing pain management by providing an essential selection of advanced therapies to treat chronic pain. Explore our latest innovations to help expand access to care and treat more patients.

FBSS, DPN, NSBP, CRPS or Radiculopathy

Vertebrogenic Pain

Facetogenic/Joint pain

MRI Conditionality

Boston Scientific’s spinal cord stimulator systems with ImageReady™ MRI conditionality allow patients to safely undergo MRI scans.

Pain management backed by extensive clinical evidence

Multiple Level 1 RCTs and Real-World studies support the design, efficacy, and efficiency of Boston Scientific's pain management therapies.1-6


Pain management education and training

Find training for spinal cord stimulator systems, radiofrequency ablation, procedures and more.

To learn more about Intracept Procedure training request more information

Tools and resources

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Reimbursement

Get reimbursement tools for physicians and administrators.

Physician showing patients content on tablet

Education for your patients

Pain.com offers personalized content and connection to real people who can answer questions about pain management therapies.

**Other RFA applications include Neck, SI Joint, Hip, Knee, Foot and more

References:

1. Wallace MS, North JM, Phillips GM, et al. Combination therapy with simultaneous delivery of spinal cord stimulation modalities: COMBO randomized controlled trial. Pain Manag. 2023;13(3):171-184. (N=89)

2. Thomson SJ, Tavakkolizadeh M, Love-Jones S, et al. Effects of rate on analgesia in kilohertz frequency spinal cord stimulation: results of the proco randomized controlled trial. Neuromodulation. 2018;21(1):67-76. 

3. North J, Loudermilk E, Lee A, et al. Outcomes of a multicenter, prospective, crossover, randomized controlled trial evaluating subperception spinal cord stimulation at ≤1. 2 khz in previously implanted subjects. Neuromodulation. 2020;23(1):102-108. 

4. Metzger CS, Hammond MB, Pyles ST, et al. Pain relief outcomes using an SCS device capable of delivering combination therapy with advanced waveforms and field shapes. Expert Rev Med Devices. 2020;17(9):951-957. 

5. Paz-Solís J, Thomson S, Jain R, Chen L, Huertas I, Doan Q. Exploration of high- and low-frequency options for subperception spinal cord stimulation using neural dosing parameter relationships: the halo study. Neuromodulation. 2022;25(1):94-102. 

6. Veizi E, Hayek SM, North J, et al. Spinal cord stimulation (Scs) with anatomically guided (3d) neural targeting shows superior chronic axial low back pain relief compared to traditional scs-lumina study. Pain Med. 2017;18(8):1534-1548. 

7. Provenzano D, et al. Significant Pain Relief and Treatment Satisfaction Following Radiofrequency Ablation Prospective, Multicenter Study (RAPID) [Abstract]. Fifth Annual Meeting of the American Society of Pain and Neuroscience Society, July 13-16, 2023 (N=289 as of July 2023, ongoing study) 

8. Fischgrund J, Rhyne A, Macadaeg K, et al. Long-term outcomes following intraosseous basivertebral nerve ablation for the treatment of chronic low back pain: 5-year treatment arm results from a prospective randomized double-blind sham-controlled multi-center study. Eur Spine J. 2020;29(8):1925-34. doi.org/10.1007/s00586-020-06448-x 

The WaveWriter Alpha™ SCS System provides safe access to full-body MRI scans when used with specific components and the patient is exposed to the MRI environment under the defined conditions in the ImageReady™ MRI Full Body Guidelines for WaveWriter Alpha and WaveWriter Alpha Prime Spinal Cord Stimulator System. The Precision Spectra™ or Spectra Wave Writer™ SCS System with ImageReady™ MRI Technology is “MR-Conditional” only when exposed to the MRI environment under the specific conditions defined in the ImageReady MRI Guidelines for Precision Spectra or Spectra WaveWriter Spinal Cord Stimulator Systems. The Precision Montage™ MRI SCS System provides safe access to full-body MRI scans when used with specific components and the patient is exposed to the MRI environment under the defined conditions in the ImageReady™ MRI Full Body Guidelines for Precision Montage MRI Spinal Cord Stimulator System.ith the Intracept Procedure or www.relievant.com/intracept for potential adverse effects, warnings, and precautions prior to using this product.

Results from clinical studies are not predictive of results in other studies. Results in other studies may vary.

Indications for use

The Boston Scientific Spinal Cord Stimulator Systems are indicated as an aid in the management of chronic intractable pain of the trunk and/or limbs including unilateral or bilateral pain associated with the following: failed back surgery syndrome, Complex Regional Pain Syndrome (CRPS) Types I and II, Diabetic Peripheral Neuropathy of the lower extremities, intractable low back pain and leg pain, radicular pain syndrome, radiculopathies resulting in pain secondary to failed back syndrome or herniated disc, epidural fibrosis, degenerative disc disease (herniated disc pain refractory to conservative and surgical interventions), arachnoiditis, multiple back surgeries. The Boston Scientific Spectra WaveWriter™, WaveWriter Alpha™ and WaveWriter Alpha™ Prime SCS Systems are also indicated as an aid in the management of chronic intractable unilateral or bilateral low back and leg pain without prior back surgery.  Contraindications, warnings, precautions, side effects. The SCS Systems are contraindicated for patients who: are unable to operate the SCS System, have failed trial stimulation by failing to receive effective pain relief, are poor surgical candidates, or are pregnant. Refer to the Instructions for Use provided with the SCS System or Pain.com for potential adverse effects, warnings, and precautions prior to using this product. Warning: Stimulation modes. Only paresthesia-based stimulation mode has been evaluated for effectiveness in the diabetic peripheral neuropathy (DPN) population.  Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.

Indications for use

The Intracept™ Intraosseous Nerve Ablation System is intended to be used in conjunction with radiofrequency (RF) generators for the ablation of basivertebral nerves of the L3 through S1 vertebrae for the relief of chronic low back pain of at least six months duration that has not responded to at least six months of conservative care, and is also accompanied by features consistent with Type 1 or Type 2 Modic changes on an MRI such as inflammation, edema, vertebral endplate changes, disruption and fissuring of the endplate, vascularized fibrous tissues within the adjacent marrow, hypointensive signals (Type 1 Modic change), and changes to the vertebral body marrow including replacement of normal bone marrow by fat, and hyperintensive signals (Type 2 Modic change). Contraindications - Use of the Intracept Intraosseous Nerve Ablation System is contraindicated in: Patients with severe cardiac or pulmonary compromise, patients with active implantable pulse generators (e.g. pacemakers, defibrillators), patients where the targeted ablation zone is < 10 mm away from a sensitive structure not intended to be ablated, including the vertebral foramen (spinal canal), patients with active systemic infection or local infection in the area to be treated, patients who are pregnant, and/or skeletally immature patients (generally ≤ 18 years of age).  Refer to the Instructions for Use provided with the Intracept Procedure or  www.relievant.com/intracept  for potential adverse effects, warnings, and precautions prior to using this product.  Caution: U.S. Federal law restricts this device to sale by or on the order of a physician. 

Indications for use

The Boston Scientific Radiofrequency Generators, associated Radiofrequency Lesion Probes and RF Cannula are indicated for use in procedures to create radiofrequency lesions for the treatment of pain or for lesioning only peripheral nerve tissue for functional neurosurgical procedures. The Boston Scientific RF Injection Electrodes are used for percutaneous nerve blocks with local anesthetic solution or for radiofrequency lesioning of peripheral nerve tissue only. The Boston Scientific LCED and Stereotactic TCD Electrodes are indicated for use in radiofrequency (RF) heat lesioning of nervous tissue including the Central Nervous System. Warnings: The Boston Scientific RF devices may cause interference with active devices such as neurostimulators, cardiac pacemakers, and defibrillators. Interference may affect the action of these active devices or may damage them. For appropriate guidance, consult the instructions for use for these active devices. Refer to the Instructions for Use provided with Boston Scientific generators, electrodes and cannulas for potential adverse effects, warnings and precautions prior to using these products. Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.