BreEStim in Managing Neuropathic Pain After Spinal Cord Injury (SCI)

Inclusion Criteria: * has a history of SCI \> 1 year * has a DN4 (Douleur Neuropathique en 4 Questions) score of 4 or greater * has neuropathic pain \>3 months * is stable on oral pain medications at least one month * Able to tolerate BreEStim treatment for 1 minute Exclusion Criteria: * is on a mechanical ventilator * is currently having active urinary tract infection (UTI) * does not have any residual sensation in the arms * has other pain (musculoskeletal, visceral etc.), but not neuropathic, e.g., shoulder pain from wheelchair use * has a pacemaker to avoid possible side effect of electrical stimulation * is not able to follow commands, or to give consent * has asthma or other pulmonary disease * has a history of cardiac pathology, implanted pacemakers, or current use of rhythm altering medication like beta-blockers * has baclofen pump or deep brain implants * has respiratory tract/sinus infection and rhinorrhea * has low motor neuron injury that no responses will be triggered by electrical stimulation * has severe mental disorders (e.g., depression, substance abuse) and is receiving active treatment and frequent monitoring * is not medically stable