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Spinal cord stimulation is a very effective therapy for controlling pain related to nerve damage. Stimulating electrodes are placed next to the spinal cord and are attached to a pacemaker like device which can be implanted under the skin. The spinal cord is then stimulated with small electrical impulses which substitute a pleasant sensation for the pain the patient usually experiences. Spinal cord stimulation can be effective for failed low back syndrome, complex regional pain syndromes, peripheral neuropathy, and a variety of other pain states related to nerve damage. Trials of spinal cord stimulation can be done in the office.