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good morning my name is William Porter McRoberts MD I am chief of pain medicine and neurosurgery spine section at Holy Cross Hospital in Fort Lauderdale Florida and this is a continuation of our neuromodulation University a series just talking about what is inner modulation how can it benefit you what is it what are the pitfalls what are the things to understand and know about it and how to make choices in this ever-expanding environment of neuromodulation their modulation as you know a spinal cord stimulation were going to focus on today is really three different things which have come out in the past year theyve been of course approved in Europe for many years as is often the case the first one being high frequency hf 10k so high frequency spinal cord stimulation the second being dorsal root ganglion stimulation and then the third being burst stimulation all three are very different from each other and as you talk to your physician about whats right and best for you the choice bec