skip to main content

SCS Axial vs Radicular Pain — FRCA Final MCQ

Instant feedback + full explanation. One question, done properly.

HardPain MedicineSCS Axial vs Radicular PainFRCA Final

A patient with failed back surgery syndrome has predominant nociceptive mechanical low back pain with no radiculopathy. Is SCS appropriate?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — No — SCS is most effective for neuropathic leg pain, not mechanical back pain

SCS is most effective for neuropathic (radicular) pain, not mechanical/nociceptive axial back pain. NICE TA159 specifies neuropathic pain. Newer technologies (high-frequency, burst stimulation, DRG stimulation) may offer some benefit for axial pain but evidence is less robust.

Reference: NICE – 2023 – TA159; FPM – 2023 – Neuromodulation for chronic pain