Effects of Active Versus Passive Recharge Burst Spinal Cord Stimulation on Pain Experience in Persistent Spinal Pain Syndrome Type 2: a Multicenter Randomized Trial (BURST-RAP Study)

Inclusion Criteria: * Subjects between 18 and 70 years of age * At least moderate level of catastrophizing as measured with the Pain catastrophizing scale (PCS) of at least 20 at first visit of the pain clinic. * Chronic pain diagnoses as PSPS Type 2 of at least 6 months * Neurologic exam without marked motor deficit. * LBP and/or leg pain intensity should be 5 or higher measured with the 11-box NRS 0-10 * Meets all the inclusion criteria for the implantation of a neurostimulation system as typically utilized in the study center. PM: depression is not an exclusion criteria * Subject has been screened by a multi-disciplinary panel including a psychologist and deemed suitable for implantation * Subject is able and willing to comply with the follow-up schedule and protocol * Subject is able to provide written informed consent Exclusion Criteria: * Female subject of childbearing potential is pregnant/nursing or plans to become pregnant during the course of the study * Escalating or changing pain condition within the past month as evidenced by investigator examination * BMI ≥35 * "Subject has had injection therapy or radiofrequency treatment for their low back pain (LBP) or leg pain within the past 3 months" * Subject currently has an active implantable device including ICD, pacemaker, spinal cord stimulator or intrathecal drug pump * Subject is unable to operate the device * Severe spinal column degeneration likely to cause technical problems with neuromodulation, to be assessed by the treating physician * Previous Neurostimulation therapy