The objective of this study is to assess the effect Spinal Cord Stimulators have toward improving vascular changes of diabetes mellitus in patients eligible for SCS placement based on their condition of painful diabetic neuropathy; we will evaluate improving their disability and quality of life, improving micro-circulatory changes induced by Diabetes Mellitus (DM), improving macro-circulatory changes induced by DM and improving arterial stiffness of the vessels of the lower extremity.
Patients with DM type 2 of more than 1-year duration
DM stage 3 or less
Patients ≥18 years of age
Refractory painful diabetic peripheral neuropathy of the lower extremities
Patients on anticoagulants
Patients with active infections
Patients with HbA1>10
Psychiatric disorders and cognitive dysfunctions