This article provides an overview of transcutaneous spinal cord stimulation (tSCS), a non-invasive spinal stimulation therapy used in neurorehabilitation to support spasticity reduction, neuropathic pain management, and rehabilitation alongside therapy. It explains how tSCS works, reviews current research evidence, outlines safety considerations, and explores the growing availability of commercial tSCS devices for clinical and home-based use.

This article explains transcutaneous spinal cord stimulation (tSCS), a non-surgical approach that is generating significant interest in the spinal cord injury community. We'll explore what it is, how it differs from implanted stimulation, what the current research shows — including applications for pain and spasticity management — and what questions you might want to discuss with your clinical team.

Neuropathic pain is a complex and debilitating condition that affects millions worldwide, disrupting daily life with sensations that defy typical pain narratives. For those living with chronic discomfort, the challenges often feel insurmountable. However, with an estimated 7–10% of the global population impacted, the demand for solutions has never been greater.

This article explores an exciting frontier in treatment—electrical stimulation. By directly engaging the nervous system, this innovative approach offers the possibility of relief where traditional methods have fallen short. What makes neuropathic pain so difficult to treat? And could electrical stimulation hold the key to improving quality of life for countless individuals?

Join us as we examine this cutting-edge therapy and its potential to reshape the future of pain management.

Functional electrical stimulation (FES) Cycling is a well-researched modality with long-term benefits for those recovering from a spinal cord injury. Users can actively exercise the large muscles of the legs despite paralysis.[1][2]. Although there are some contraindications, it is a safe and effective technique for many and is used by hundreds of our clients who use these systems at home. After some 18 years of experience in the UK, we still find that this is a well-accepted and popular technique, with adoption primarily limited by the cost of the systems.

With the introduction of the new Stim2Go stimulator from Pajunk at the core of our UK FES bike offering, we’re unlocking exciting new possibilities thanks to its innovative and promising features.

In other articles, we have commented on particular features and benefits of the Stim2Go, including its ability to turn any passive-active bike into an FES cycling system. In this article, we're primarily focusing on applying tSCS within Stim2Go.