Ask the Experts: Neuromodulation for Spine Care — Stimulating - Podcast 19

In episode 19, our experts covered your questions on:

• Who is the ideal SCS candidate, and what red flags predict poor response?
• How should you design an effective SCS trial, and what defines success beyond the traditional ≥50% pain relief benchmark?
• Why do appropriate candidates sometimes “fail” trials, and when should you repeat or modify the approach?
• What implantation techniques reduce lead migration and revision rates?
• How should you select and optimize programming modalities (tonic, burst, HF, closed-loop, rolling field, DTM, etc.) for durable benefit?
• Which post-operative protocols best prevent avoidable complications?
• How do you distinguish habituation from disease progression when efficacy declines?
• What drives explants and revisions, and how can you minimize real-world revision burden?
• How do you detect and address “silent explants” before outcomes deteriorate? 
•  What is a stepwise framework for preventing and managing infection, mechanical failure, neurologic risk, and pocket pain?

Your expert panel for this April 8, 2026 webinar included:

• Ramana K. Naidu, MD, President Emeritus of the Pacific Spine & Pain Society and Medical Director of Pain Management for MarinHealth Medical Center in Larkspur, California;
• Drew Trainor, DO, MS, an IPSIS Associate Bio-Skills Lab Instructor, and owner of the Denver Spine and Pain Institute in Greenwood Village, Colorado, and
• Michael Furman, MD, MS, Ask the Experts moderator and Fellowship Director at OSS Health, who serves on the IPSIS Education Division.

Listen on the go — make "Ask the Experts" your new go-to podcast! Besides the video, an audio download is also available here.

© 2026 International Pain and Spine Intervention Society – All Rights Reserved Materials presented in this activity have been made available by the International Pain and Spine Intervention Society for educational purposes only.