Spinal cord stimulation in chronic pain management

In this article, therapeutic electrical stimulation of the spinal cord is presented as a procedure of neuromodulation. The rationale behind its proposal and its mechanisms of action are considered in light of the results achieved in clinical practice. The author's experience is intermingled with the results of the most experienced team; experimental data are reported to support speculations on the mechanism of interaction with the activity of the central nervous system and to stress the need for a multidisciplinary approach to improve the efficacy and enlarge the field of application of neuromodulation, which is to be considered as a new medical discipline.