Kumar V, et al. - The objective herein was to analyze the efficacy of alternating conventional stimulation and high-frequency stimulation (HFS) (termed “shuffle” stimulation) in improving spinal cord stimulation (SCS) outcomes. Improved numerical rating scale (NRS) current pain scores were discovered due to shuffle stimulation than conventional stimulation. It was determined that more patients preferred shuffle stimulation compared to conventional stimulation. Findings illustrated that optimizing stimulation when patients were recumbent could increase patient satisfaction and pain control.