Our research assesses new treatments and technologies for chronic pain and how they compare to existing standards to improve future care and outcomes for patients with chronic pain.
The Group has an international reputation, particularly in the field of neuromodulation. We have strong links with academia, national bodies and industry with active involvement in several current research studies.
Please feel free to follow us @LeedsPainRes on Twitter!
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Chronic Pain PPI Group at Leeds
Welcome to the Chronic Pain PPI Group @ Leeds!
We have an active Patient and Public Involvement (PPI) Group which gets involved with our research to make sure it is important, meaningful and has clear outcomes for patient and public groups.
Patient and public involvement (PPI) in research means actively working with patients and members of the public to design, plan, manage, carry out and disseminate research. Getting involved can improve research, making it more relevant and useful for patient and public groups.
The Chronic Pain PPI Group @ Leeds is a group of adults with an interest in pain research and who would like to make it better! Members of the group have experience of chronic pain, including direct and indirect experiences. Members include patients, carers, family members, friends and members of the public.
You don’t need to have any experience of research or being in a PPI Group, just enthusiasm and a willingness to get involved and share your thoughts and feedback.
There are many different ways to get involved with the Group and how much you get involved is up to you. You may like to receive our quarterly newsletter (please see below), provide your feedback on a new research idea, help with communicating research findings to others, provide your thoughts and suggestions on funding proposals or assist with managing research studies. The Group makes such a difference to the research we do.
The majority of activities are done remotely e.g.: reviewing materials over email, completing online or paper-based surveys, attending one-to-one or group discussions over Zoom or Microsoft Teams. In time, we hope to run some face-to-face activities.
Activities are arranged at a time that suits you and some projects offer a recognition payment for those who get involved. Recognition payments are not typical and are dependent on the project.
Group Newsletter
Summer newsletter issue 1Interested in learning more about the Group or would like to join?
Please email [email protected] and a member of the PAIN Research Group will be in touch.
Current research studies
This randomised controlled trial evaluates the effectiveness and cost-effectiveness of radiofrequency denervation for chronic and moderate to severe low back pain. Development of the study protocol has been published.
This global registry evaluates the long-term effectiveness of Boston Scientific neurostimulation therapy systems for pain in routine clinical practice. More details about the study can be found on the Clinical Trials website.
This multi-centre randomised controlled trial compares the Minuteman device with surgical decompression for the treatment of lumbar spinal stenosis. More details about the study can be found on the Clinical Trials website.
This study examines the extent to which facet block injections predict response to stimulation of the medial branch of the dorsal ramus with the ReActiv8 device.
This is a post-market study that aims to gain broader understanding of how Abbott’s neurostimulation systems are being used in real-world settings. More details about the study can be found on the Clinical Trials website.
This study evaluates the effects of 10 kHz spinal cord stimulation on measures of autonomic function in patients with failed back surgery syndrome. Findings from the feasibility stage have been published.
This is a randomised controlled trial evaluating the efficacy and safety of Qutenza in individuals with post-surgical pain. More details about the study can be found on the Clinical Trials website.
This retrospective data collection study characterises real-world clinical outcomes for patients implanted with a Boston Scientific spinal cord stimulator. More details can be found on the Clinical Trials website.
This feasibility study evaluates the treatment of evoked compound action potentials (ECAPs) in patients with chronic abdominal pain.
This observational study will evaluate spinal cord stimulation in individuals with painful diabetic neuropathy in a real-world healthcare setting. More details about the study can be found on the Clinical Trials website.
This study evaluates the effects of 10 kHz spinal cord stimulation on measures of autonomic function in patients with painful diabetic neuropathy.
This feasibility study will explore the effects of stimulation of the lumbar sympathetic chain in patients with knee osteoarthritis or endometriosis
Upcoming research studies
This pilot study will assess the effects of spinal cord stimulation on autonomic function in individuals with post-chemotherapy and post-radiation.
This multi-centre, randomised controlled trial will assess the effects of Cannabis Extract Ver-01 in patients with chronic non-specific low back pain.
Completed research studies
This multi-centre study collects electrophysiological, device data and the programmability of the EVOKE closed loop spinal cord stimulation system for chronic trunk and/or limb pain.
This multi-centre, randomised controlled trial evaluates the ReActiv8 device for the treatment of chronic low back pain in conjunction with medical management. The one-year results of the study have been published. More details can be found on the Clinical Trials website.
The Phase 1b part of the PERSICA study will investigate the safety, tolerability and efficacy of the drug PP353 in the treatment of patients with chronic low back pain associated with bone oedema. More details about the study can be found on the Clinical Trials website.
This pilot study investigated the long-term efficacy, safety, tolerability and quality of life associated with 10 kHz spinal cord stimulation in patients with non-surgical chronic low back pain. The first 12-month results of the study have been published. More details can be found on the Clinical Trials website.
This randomised controlled trial assessed the efficacy of Burst spinal cord stimulation as a treatment for visceral pain secondary to chronic pancreatitis. More details can be found on the Clinical Trials website.
This multi-centre randomised controlled trial compared 10 kHz spinal cord stimulation with conventional medical management for non-surgical back pain. More details can be found on the Clinical Trials website.
This randomised controlled trial compared 10 kHz spinal cord stimulation plus usual care with sham 10 kHz spinal cord stimulation plus usual care. More details can be found on the Clinical Trials website.
This study investigated change in brain patterns in patients with failed back surgery syndrome who had 10 kHz and Burst spinal cord stimulation.
This randomised controlled trial investigated the clinical utility and cost-effectiveness of a screening trial for spinal cord stimulation. The primary outcomes, patient preferences for a screening trial and 36-month results are published.
This multi-centre feasibility study compared the efficacy of paraesethesia mapping to anatomical placement in Burst spinal cord stimulation. The initial study results and the longer-term results have been published.
This multi-centre study evaluated the ReActiv-8 device for the treatment of non-surgical chronic low back pain. More details can be found on the Clinical Trials website.
This was a randomised controlled trial to test the superiority of BurstDR spinal cord stimulation compared to sham stimulation for the treatment of failed back surgery syndrome in patients with predominant back pain.
This registry evaluated the long-term safety and performance of neurostimulation for the treatment of chronic migraine in real-world practice.
This post-market clinical follow-up study investigated the long-term efficacy of the Prodigy neuromodulation system in the management of failed back surgery syndrome or chronic intractable pain of the trunk and/or limbs.
This post-market study evaluated the St Jude Medical MR conditional neurostimulation systems.
This post-market study evaluated the clinical outcomes of neuromodulation for the management of moderate to severe chronic pain. The first 12-month results have been published as well as the 24-month outcomes.
This post-market study investigated the use of Prialt® (ziconotide intrathecal infusion) and alternative drugs for the management of severe, chronic pain.
This randomised controlled trial compared the clinical and cost effectiveness of transforaminal epidural steroid injection to surgical microdiscectomy for the treatment of chronic radicular pain secondary to prolapsed intervertebral disc herniation.
This multi-centre study aimed to characterise the real-world outcomes of high rate spinal cord stimulation therapy using Boston Scientific Precision spinal cord stimulator system.
This multi-centre, retrospective review evaluated the applicability of the e-health tool on real patient spinal cord stimulation data, and explored relationships between panel recommendations, centre decisions and patient outcomes.
This study investigated surgical fixation versus non-operative management for patients with stable thoracolumbar fractures.
This study investigated QUTENZA versus pregabalin in subjects with peripheral neuropathic pain.
This study investigated the use of transdermal buprenorphine patches for the treatment of chronic pain. The study results have been published and more details about the study can be found on the Clinical Trials Website.
This study investigated the prevalence and genetic profile of patients with chronic pain who do not respond to oral codeine.
This study investigated the efficacy, safety and tolerability of oral cebranopadol versus morphine sulfate PR in subjects with chronic moderate to severe pain related to cancer.
This study investigated the safety and tolerability of oral cebranopadol administered for 26 weeks in subjects with cancer related pain who have completed treatment in an earlier trial.
This multi-centre feasibility study evaluated the Nalu Alpha External Trial Stimulator for the treatment of chronic pain via spinal cord stimulation.
This post-market trial evaluated dorsal root ganglion (DRG) stimulation with the commercially available Axium neurostimulator system.
Closed research Studies
This multi-centre study collects electrophysiological, device data and the programmability of the EVOKE closed loop spinal cord stimulation system for chronic trunk and/or limb pain.
This multi-centre, randomised controlled trial evaluates the ReActiv8 device for the treatment of chronic low back pain in conjunction with medical management. The one-year results of the study have been published. More details can be found on the Clinical Trials website.
The Phase 1b part of the PERSICA study will investigate the safety, tolerability and efficacy of the drug PP353 in the treatment of patients with chronic low back pain associated with bone oedema. More details about the study can be found on the Clinical Trials website.
This pilot study investigated the long-term efficacy, safety, tolerability and quality of life associated with 10 kHz spinal cord stimulation in patients with non-surgical chronic low back pain. The first 12-month results of the study have been published. More details can be found on the Clinical Trials website.
This randomised controlled trial assessed the efficacy of Burst spinal cord stimulation as a treatment for visceral pain secondary to chronic pancreatitis. More details can be found on the Clinical Trials website.
This multi-centre randomised controlled trial compared 10 kHz spinal cord stimulation with conventional medical management for non-surgical back pain. More details can be found on the Clinical Trials website.
This randomised controlled trial compared 10 kHz spinal cord stimulation plus usual care with sham 10 kHz spinal cord stimulation plus usual care. More details can be found on the Clinical Trials website.
This study investigated change in brain patterns in patients with failed back surgery syndrome who had 10 kHz and Burst spinal cord stimulation.
This randomised controlled trial investigated the clinical utility and cost-effectiveness of a screening trial for spinal cord stimulation. The primary outcomes, patient preferences for a screening trial and 36-month results are published.
This multi-centre feasibility study compared the efficacy of paraesethesia mapping to anatomical placement in Burst spinal cord stimulation. The initial study results and the longer-term results have been published.
This multi-centre study evaluated the ReActiv-8 device for the treatment of non-surgical chronic low back pain. More details can be found on the Clinical Trials website.
This was a randomised controlled trial to test the superiority of BurstDR spinal cord stimulation compared to sham stimulation for the treatment of failed back surgery syndrome in patients with predominant back pain.
This registry evaluated the long-term safety and performance of neurostimulation for the treatment of chronic migraine in real-world practice.
This post-market clinical follow-up study investigated the long-term efficacy of the Prodigy neuromodulation system in the management of failed back surgery syndrome or chronic intractable pain of the trunk and/or limbs.
This post-market study evaluated the St Jude Medical MR conditional neurostimulation systems.
This post-market study evaluated the clinical outcomes of neuromodulation for the management of moderate to severe chronic pain. The first 12-month results have been published as well as the 24-month outcomes.
This post-market study investigated the use of Prialt® (ziconotide intrathecal infusion) and alternative drugs for the management of severe, chronic pain.
This randomised controlled trial compared the clinical and cost effectiveness of transforaminal epidural steroid injection to surgical microdiscectomy for the treatment of chronic radicular pain secondary to prolapsed intervertebral disc herniation.
This multi-centre study aimed to characterise the real-world outcomes of high rate spinal cord stimulation therapy using Boston Scientific Precision spinal cord stimulator system.
This multi-centre, retrospective review evaluated the applicability of the e-health tool on real patient spinal cord stimulation data, and explored relationships between panel recommendations, centre decisions and patient outcomes.
This study investigated surgical fixation versus non-operative management for patients with stable thoracolumbar fractures.
This study investigated QUTENZA versus pregabalin in subjects with peripheral neuropathic pain.
This study investigated the use of transdermal buprenorphine patches for the treatment of chronic pain. The study results have been published and more details about the study can be found on the Clinical Trials Website.
This study investigated the prevalence and genetic profile of patients with chronic pain who do not respond to oral codeine.
This study investigated the efficacy, safety and tolerability of oral cebranopadol versus morphine sulfate PR in subjects with chronic moderate to severe pain related to cancer.
This study investigated the safety and tolerability of oral cebranopadol administered for 26 weeks in subjects with cancer related pain who have completed treatment in an earlier trial.
This multi-centre feasibility study evaluated the Nalu Alpha External Trial Stimulator for the treatment of chronic pain via spinal cord stimulation.
This post-market trial evaluated dorsal root ganglion (DRG) stimulation with the commercially available Axium neurostimulator system.
Publications
View our publications from the past few years
- Exploring patient satisfaction and other outcome measures with pain relief in spinal cord stimulation: a single-site, cohort auditCureus.
- Women in pain medicine. British Journal of Anaesthesia.
- ECAP-controlled closed-loop versus open-loop SCS for the treatment of chronic pain: 36-month results of the EVOKE blinded randomized clinical trial. Regional Anaesthesia & Pain Medicine.
- A novel pulsed stimulation pattern in spinal cord stimulation: clinical results and postulated mechanisms of action in the treatment of chronic low back and leg pain. Neuromodulation.
- Does a screening trial for spinal cord stimulation in patients with chronic pain of neuropathic origin have clinical utility (TRIAL-STIM)? 36-month results from a randomized controlled trial. Neurosurgery.
- Applicability and validity of an e-health tool for the appropriate referral and selection of patients with chronic pain for spinal cord stimulation: results from a European retrospective study. Neuromodulation.
- Neuropathic pain questionnaires for back pain, what do we know? Musculoskeletal Science and Practice.
- Three-year durability of restorative neurostimulation effectiveness in patients with chronic low back pain and multifidus muscle dysfunction. Neuromodulation.
- A feasibility study exploring measures of autonomic function in patients with failed back surgery syndrome undergoing spinal cord stimulation. Neuromodulation.
- Long-term outcomes of restorative neurostimulation in patients with refractory chronic low back pain secondary to multifidus dysfunction: two-year results of the ReActiv8-B pivotal trial. Neuromodulation.
- Patient selection for spinal cord stimulation: The importance of an integrated assessment of clinical and psychosocial factors. European Journal of Pain.
- Men and women respond equally well to spinal cord and dorsal root ganglion stimulation. Neuromodulation.
- Screening trials of spinal cord stimulation for neuropathic pain in England – A budget impact analysis. Frontiers in Pain Research.
- Lumbar radicular pain. BJA Education.
- Implantable technology for pain management. Anaesthesia & Intensive Care Medicine.
- B10â Developing appropriateness criteria for radiofrequency in chronic low back and neck pain: a RAND/UCLA appropriateness study. Regional Anaesthesia & Pain Medicine.
- A case series of new radicular pain following the insertion of spinal cord stimulator. British Journal of Pain.
- A prospective long-term follow-up of dorsal root ganglion stimulation for the management of chronic intractable pain. Pain.
- Reporting guidelines for clinical trial protocols and reports of implantable neurostimulation devices: protocol for the SPIRIT-iNeurostim and CONSORT-iNeurostim extensions. Neuromodulation.
- Comparison of paresthesia mapping with anatomic placement in burst spinal cord stimulation: long-term results of the prospective, multicenter, randomized, double-blind, crossover CRISP study. Neuromodulation.
- Durability of clinical and quality-of-life outcomes of closed-loop spinal cord stimulation for chronic back and leg pain: a secondary analysis of the Evoke randomized clinical trial. JAMA Neurology.
- An implantable restorative-neurostimulator for refractory mechanical chronic low back pain: a randomized sham-controlled clinical trial. Pain.
- Durability of the therapeutic effect of restorative neurostimulation for refractory chronic low back pain. Neuromodulation.
- Radiofrequency denervation of the lumbar facet joints: guidelines for the RADICAL randomised controlled trial. British Journal of Pain.
- The impact of the COVID-19 pandemic on patients awaiting spinal cord stimulation surgery in the United Kingdom: a multi-centre patient survey. British Journal of Pain.
- Pain relief and safety outcomes with cervical 10 kHz spinal cord stimulation: systematic literature review and meta-analysis. Pain and Therapy.
- Technical challenges of performing S1 root block: role for double needle and multilevel needle technique. British Journal of Pain.
- Oneâyear results of prospective research study using 10 kHz spinal cord stimulation in persistent nonoperated low back pain of neuropathic origin: maiden back study. Neuromodulation.
- To trial or not to trial before spinal cord stimulation for chronic neuropathic pain: the patients’ view from the TRIAL-STIM randomized controlled trial. Neuromodulation.
- Surgical microdiscectomy versus transforaminal epidural steroid injection in patients with sciatica secondary to herniated lumbar disc (NERVES): a phase 3, multicentre, open-label, randomised controlled trial and economic evaluation. Lancet Rheumatology.
- Efficacy and safety of 10 kHz spinal cord stimulation for the treatment of chronic pain: a systematic review and narrative synthesis of real-world retrospective studies. Biomedicines.
- Does a screening trial for spinal cord stimulation in patients with chronic pain of neuropathic origin have clinical utility and cost-effectiveness (TRIAL-STIM); A randomised controlled trial. Pain.
- Pocket pain, does location matter: a single-centre retrospective study of patients implanted with a spinal cord stimulator. Regional Anesthesia & Pain Medicine.
- BurstDR spinal cord stimulation in the treatment of chronic visceral pain. Pain Management.
- A systematic literature review of dorsal root ganglion neurostimulation for the treatment of pain. Pain Medicine.
- Appropriate referral and selection of patients with chronic pain for spinal cord stimulation: European consensus recommendations and e-health tool. European Journal of Pain.
- Comparison of paresthesia mapping to anatomical placement in burst spinal cord stimulation: initial trial results of the prospective, multicenter, randomized, double-blinded, crossover, CRISP study. Neuromodulation.
- Spinal cord stimulators and implications for anaesthesia. BJA Education.
- Anatomic lead placement without paresthesia mapping provides effective and predictable therapy during the trial evaluation period: results from the prospective, multicenter, randomized, DELIVERY study. Neuromodulation.
- Public opinion on the use of psychedelics in the treatment of cluster headache. Anaesthesia & Critical Care Medicine Journal.
Research posters
The Group have presented poster presentations at a number of conferences. Below is a selection of our poster presentations.
- A retrospective, single-site evaluation into spinal cord stimulation for treating individuals with chronic pelvic or perineal pain
- Case series of peripheral nerve stimulation of the brachial plexus
- Neuromodulation for cancer-related pain – a case series
- Four-month results of a prospective, randomised, crossover, controlled feasibility study using spinal cord stimulation to treat visceral pain secondary to chronic pancreatitis: The PANACEA trial
- A retrospective, single-site evaluation into spinal cord stimulation for treating individuals with complex regional pain syndrome
- The effects of 10 kHz spinal cord stimulation in persistent low back pain of neuropathic origin: the Maiden Back Study.
- The Leeds Teaching Hospitals Trust experience of high frequency spinal cord stimulation in treating individuals with chronic pain: a retrospective evaluation.
- The Leeds Teaching Hospitals Trust experience of Burst spinal cord stimulation in treating individuals with chronic pain: a retrospective evaluation.
- The Leeds Teaching Hospitals Trust experience of spinal cord stimulation: a retrospective evaluation in chronic pain conditions.
- First use of the StimRouter peripheral nerve stimulation for the treatment of brachial plexus related neuropathic arm pain in the United Kingdom.
- Feasibility study to assess the efficacy and safety of psilocybin as a treatment in cluster headaches (PSILOCLEAD study).
- Are BurstDR and HF10 fundamentally the same? A prospective, randomised, single blind, cross over EEG-study
- Prospective, open label, pilot study: one year results of 10kHz spinal cord stimulation (SCS) for neuropathic back pain in non-operated patients
- National neuromodulation registry (NNR): United Kingdom
- A retrospective evaluation on the efficacy and complications of the use of spinal cord stimulation (SCS) in treating chronic pain patients at Leeds Teaching Hospitals Trust (LTHT)
- Are pain scores an appropriate measure of trial success and long-term efficacy, in chronic pain patients treated with spinal cord stimulation?
- Incidence of pain at implantable pulse generator (IPG) site following spinal cord stimulator (SCS) surgery – a retrospective case series
Want to learn more?
Get involved in our research
If you are a patient with chronic pain and are interested in our research studies or would like more information, please contact us directly on 0113 3926236 or email [email protected].
Collaborate with us
If you are interested in collaborating with us on a research project, please contact us directly on 0113 3926236 or email [email protected].
Patient and public involvement opportunities
We have an active chronic pain patient and public involvement (PPI) group which gets involved with discussing new research ideas, providing feedback to the research team on research project documentation and contributing to plans for how to communicate research findings with others.
Contact us
Leeds PAIN Service
B Floor
Brotherton Wing
Leeds General Infirmary
LS1 3EX
- If you are interested in getting involved in our research, would like to collaborate or are interested in joining our patient and public involvement (PPI) group, please contact us directly on 0113 3926236.
- Email: [email protected]
- To get in touch about waiting lists, appointments and arrangements for procedures, please call 0113 3923495.
- Email: [email protected]
- Nursing Service: Mon to Fri 8am to 4pm.
- For non-urgent queries or concerns for patients with spinal cord stimulators or intrathecal pumps, you can call the following number and leave a message, we’ll aim to return your call as soon as possible – 0113 3922178 (voice mail) but due to clinical commitments, it may not be the same day.
- Email: [email protected]
- If you have a spinal cord stimulator or Intrathecal pump and have an urgent problem, please attend the Emergency Department at the LGI or your nearest department.
- Elizabeth Mountain – 0113 3925606
Lauren Barrow – 0113 3925606
Georgina Rimmington (Clerical officer) – 0113 3925606 - Email: [email protected]
Samantha Rayworth – 0113 3926520
- Paula Harrison – Secretary to Dr Baranidharan, Dr Black and Dr Whelan – 0113 3922075
- Helen Kyriacou – Secretary to Dr Montgomery – 0113 3922064
- Elizabeth Styan – Secretary to Dr Titterington – 0113 3925730
- Email: [email protected]
Jenny Jennings – 0113 3922178
Fiona Drummond – 0113 3923536