Temperature assisted stimulation

An implantable system for delivering therapy, comprising:

• at least one of a heat sink configured to reduce temperature of excitable tissue or a heat source configured to increase temperature of excitable tissue;
• a pulse generator and at least one stimulation electrode configured to deliver electrical stimulation to excitable tissue;
• a memory with instructions for performing at least one stimulation routine and for performing at least one thermal routine, and further with integration instructions for integrating the at least one thermal routine with the at least one stimulation routine;
• and
• a controller configured to operate on the instructions to perform the at least one stimulation routine using the pulse generator and the at least one stimulation electrode, to perform the at least one thermal routine using the heat sink or the heat source, and to operate on the integration instructions to integrate the at least one thermal routine with the at least one stimulation routine.