Journal of Pain ResearchDovepressopen access to scientific and medical researchREVIEWBest Practices for Dorsal Root Ganglion Stimulationfor Chronic Pain:Guidelines from the AmericanSociety of Pain and NeuroscienceKenneth B Chapman-3,Dawood Sayed,Tim Lamer5,Corey Hunters,Jacqueline Weisbein,Kiran V Patel-,David Dickerson,Jonathan M Hagedorn,David W Lee,Kasra Amirdelfan2,Timothy Deer,Krishnan Chakravarthy4.15The Spine Pain Institute of New York New York,NY.USA;Department of Anesthesiology.Zucker School of Medicine at Hofstra NorthwellManhasset,NY,USA;3Department of Anesthesiology,NYU Langone Medical Center,New York,NY,USA;Department of Anesthesiology.TheUniversity of Kansas Medical Center (KUMC)Kansas City.KS.USA;5Department of Anesthesiology and Perioperative Medicine,Division of PainMedicine,Mayo Clinic,Rochester,MN,USA;5Ainsworth Institute of Pain Management,New York,NY,USA;Napa Valley Orthopedic Medical Group.Napa,CA USA;Department of Anesthesiology,Critical Care and Pain Medicine,NorthShore University Health System,Evanston,IL USA;Department of Anesthesia&Critical Care,University of Chicago,Chicago.IL.USA;Spine Pain Physicians,Maple Grove,MN,USA;FullertonOrthopedic Surgery Medical Group.Fullerton,CA USA:12IPM Medical Group,Inc.Walnut Creek.CA USA:3The Spine and Nerve Center of theVirginias,Charleston,WV.USA:Department of Anesthesiology and Pain Medicine.University of California San Diego Health Sciences,San Diego.CA.USA:I5VA San Diego Healthcare System,San Diego.CA.USACorrespondence:Kenneth B Chapman.NYU Langone Medical Center.Zucker School of Medicine at Hofstra/Northwell.Pain Medicine at StatenIsland University Hospital,1360 Hylan Boulevard,Staten Island,NY,10305,USA,Email chapmanken@spinepainny.comAbstract:With continued innovations in neuromodulation comes the need for evolving reviews of best practices.Dorsal rootganglion stimulation (DRG-S)has significantly improved the treatment of complex regional pain syndrome (CRPS),and it has broadapplicability across a wide range ofother conditions.Through funding and organizational leadership by the American Society for Painand Neuroscience(ASPN),this best practices consensus document has been developed for the selection,implantation,and use of DRGstimulation for the treatment of chronic pain syndromes.This document is composed of a comprehensive narrative literature reviewthat has been performed regarding the role of the DRG in chronic pain and the clinical evidence for DRG-S as a treatment for multiplepain etiologies.Best practice recommendations encompass safety management,implantation techniques,and mitigation of thepotential complications reported in the literature.Looking to the future of neuromodulation,DRG-S holds promise as a robustintervention for otherwise intractable pain.Keywords:dorsal root ganglion,neurostimulation,chronic pain,best practice,guidelinesIntroductionWith the introduction of new medical therapies,there is an inevitable growth of fundamental knowledge and improve-ments i
