Spinal Cord Stimulator

Spinal cord stimulation a cutting-edge therapy that offers effective relief for chronic pain conditions. Whether you're struggling with back pain, neuropathy, or failed back surgery syndrome, SCS may be the solution you've been searching for.

How It Works

Spinal cord stimulation involves the use of a small device, similar to a pacemaker, that delivers electrical impulses to the spinal cord to interrupt pain signals before they reach the brain. This innovative therapy modulates pain perception and provides significant relief for individuals who have not found success with other treatments.

During spinal cord stimulation, thin wire leads are placed in the epidural space near the spinal cord. These leads are connected to a pulse generator, which delivers electrical impulses to the spinal cord. By interfering with the transmission of pain signals, SCS can reduce or eliminate chronic pain, improve function, and enhance quality of life.

Conditions Treated

Spinal cord stimulation is an effective treatment option for various chronic pain
conditions, including:

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Treatment Procedures

The spinal cord stimulator implantation procedure typically involves the following steps:

Trial Period

Before permanent implantation, patients undergo a trial period during which temporary leads are placed in the epidural space to assess the effectiveness of spinal cord stimulation in reducing pain.

Lead Placement

If the trial period is successful, permanent leads are implanted in the epidural space near the spinal cord. This procedure is performed under local anesthesia and guided by fluoroscopy or X-ray imaging.

Pulse Generator Implantation

Once the leads are in place, a pulse generator (often placed in the buttock or abdomen) is implanted under the skin through a small incision. The pulse generator is programmed to deliver electrical impulses according to the patient's pain patterns and preferences.

Programming and Adjustment

After implantation, the device is programmed by a specialist to optimize pain relief and minimize side effects. Patients can adjust the stimulation settings using a handheld remote control provided by the manufacturer.

Frequently Asked Questions

A: Spinal cord stimulation (SCS) is used to treat chronic pain conditions, including:

  1. Failed back surgery syndrome (FBSS)
  2. Complex regional pain syndrome (CRPS)

  3. Neuropathic pain
  4. 
Peripheral neuropathy

  5. Chronic back and leg pain
  6. 
And more

A: Spinal cord stimulation differs from other pain management treatments in that it involves the implantation of a device that delivers electrical impulses directly to the spinal cord to interrupt pain signals before they reach the brain. Unlike medications or injections, SCS targets the source of pain without relying on systemic drugs or invasive procedures.

A: Candidates for spinal cord stimulation typically include individuals with chronic pain conditions that have not responded adequately to conservative treatments, such as medications, physical therapy, or injections. A comprehensive evaluation
by a pain management specialist is necessary to determine eligibility for SCS.

A: The success rate of spinal cord stimulation varies depending on factors such as the underlying condition being treated, patient selection, and the specific SCS system used. However, studies have shown that SCS can provide significant pain relief and improve quality of life for many patients, with success rates ranging from 50% to 70%.

A: While spinal cord stimulation is generally considered safe, some potential risks and side effects may include infection, bleeding, spinal fluid leakage, device migration or malfunction, discomfort at the implant site, nerve damage, or allergic reactions to materials used in the device. Serious complications are rare but can occur.

A: Coverage for spinal cord stimulation varies depending on individual insurance plans and providers. Many insurance companies consider SCS to be a medically necessary treatment for chronic pain conditions and may provide coverage for eligible patients. It’s advisable to check with your insurance company to determine coverage eligibility and any associated out-of-pocket costs.

A: The battery life of a spinal cord stimulator depends on factors such as the type of device, stimulation settings, and individual usage patterns. Generally, rechargeable batteries may last several years before requiring replacement, while non-rechargeable batteries may last 2 to 5 years before needing to be replaced through a minor surgical procedure.

A: Yes, spinal cord stimulation can often be combined with other pain management therapies, such as medication management, physical therapy, or psychological interventions, to provide comprehensive care and improve outcomes for patients with chronic pain conditions.

A: The recovery process after spinal cord stimulator implantation typically involves a brief hospital stay followed by a period of rest and limited activity. Patients may experience some discomfort or soreness at the implant site, but this usually resolves within a few days to weeks. Regular follow-up appointments with the healthcare provider are essential to monitor device function and adjust settings as needed.

A: Spinal cord stimulation is generally considered reversible, as the implanted device can be removed through a minor surgical procedure if necessary. However, the decision to remove the device should be made in consultation with a pain management specialist and based on individual circumstances, such as changes in pain status or the development of complications.

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Pre and Post Guidelines

Pre-Procedure Guidelines:

Dental Work

Avoid dental procedures within seven days before the nerve block to minimize infection risks.

Fasting

If sedation is required for the procedure, avoid consuming food or beverages for at least six hours prior to the scheduled appointment. Fasting helps reduce the risk of complications during sedation.

Medication Adjustments

Discontinue blood-thinning medications or supplements 3-7 days before the procedure as directed.

Consultation

Attend a pre-procedure consultation with your healthcare provider to discuss any concerns, review your medical history, and receive specific instructions tailored to your individual needs.

Post-Procedure Guidelines:

Rest

Avoid strenuous activities for the rest of the day.

Avoid Driving

Arrange transportation if sedation was administered.

Medication Management

Follow prescribed medications and post-procedure instructions.

Hydration

Stay hydrated unless instructed otherwise.

Monitor for Complications

Watch for unusual symptoms and contact your provider if concerns arise.

Follow-Up Appointment

Attend scheduled follow-ups for progress assessment.

Remember to follow these guidelines closely to ensure the safety and effectiveness of your Radiofrequency Ablation procedure. If you have any questions or concerns, don’t hesitate to reach out to your healthcare provider for clarification and guidance.


Note: To ensure safety, please refer to your pre/post-procedure packet for specific protocols and guidelines for your procedure.

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Remember to follow these guidelines closely to ensure the safety and effectiveness of your Radiofrequency Ablation procedure. If you have any questions or concerns, don’t hesitate to reach out to your healthcare provider for clarification and guidance. Note: To ensure safety, please refer to your pre/post-procedure packet for specific protocols and guidelines for your procedure.