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Central nervous system lesions may result in central pain, various degrees of motor impairement and spasticity. SCS was often used for spasticity but with introduction of intrathecal baclofen therapy this treatment is not commonly utilized despite several reports describing its beneficial effects for patient with multiple sclerosis, brain and spinal cord lesions.

Neuropathic pain in the interscapular area that has failed conservative treatment presents a challenge to the treating physician. Spinal cord stimulation is increasingly being used to treat neuropathic pain; however, the interscapular area provides unique challenges because of the anatomic placement required when placing a spinal cord stimulator.

Pulsed radiofrequency (PRF) field applied to nerve tissue to treat intractable pain has recently been proposed as a non-destructive alternative to continuous radiofrequency lesioning. Clinical reports using PRF have shown promise in the treatment of a variety of focal, neuropathic conditions. To our knowledge, this is the first published report of the use of PRF to treat myofacial and neuromatous pain.

Patients with peripheral arterial disease may suffer from intractable pain and functional incapacitation despite medical therapies and surgical interventions. Treatment of these patients is often a challenge because the co-morbidities related to systemic atherosclerosis.

Patients with peripheral arterial disease may suffer from intractable pain and functional incapacitation despite medical therapies and surgical interventions. Control of the pain is even more difficult to achieve if these types of patients have an additional source of pain.

The treatment of patients with neuropathic facial pain developed after facial surgery or trauma can be difficult. Control of pain can be challenging to achieve, despite multiple treatment modalities available in the field of pain management. Medical treatment is often ineffective and wrought with intolerable side effects. Surgical approaches are not reliable.

Patients with alcoholic neuropathy may suffer from intractable pain in the extremities and functional incapacitation despite conventional medical treatment and physical therapy. Spinal cord stimulation (SCS) has been used to treat patients with pain in the upper and lower extremities related to peripheral neuropathy from different causes.

Patients with Complex Regional Pain Syndrome (CRPS), Type 1 may continue to experience intractable pain despite conventional treatments including pain medications, sympathetic blocks, and physical therapy.

Up to 40% of chronic cancer pain has a neuropathic component. This type of pain often responds poorly to opioids. For these patients interventional management approaches have received considerable attention.

This case report presents an application of spinal cord stimulation to a patient with intractable abdominal pain Bannayan-Riley-Ruvalcaba syndrome, that conventional treatment failed to ameliorate.