Spinal Cord Stimulation

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Spinal Cord Stimulation

Spinal cord stimulation therapy controls the pain signals before they get to the brain. A small device, similar to a pacemaker, delivers electrical pulses to the spinal cord. It aids the patients to recover from chronic pain and opioid medication.

If you are suffering from chronic back, leg or arm pain and have not found relief with non surgical pain treatments.

Spinal Cord Stimulation is done by surgical insertion of a spinal cord stimulator (SCS) under your skin that gives a mild electric current to your spinal cord. Thin wires convey current from a pulse generator to the nerve fibers of the spinal cord.

When the SCS or the spinal Cord Stimulator is on, it stimulates the nerves in the pain area. The Stimulation reduces the pain because the electrical pulses modify and mask the pain signal from reaching your brain.

Use of Spinal Cord Stimulation

Spinal cord stimulation is basically used when nonsurgical pain treatment options have failed to provide sufficient relief. Spinal cord stimulators may be used to treat or manage different types of chronic pain, including:

What we offer

Spinal Cord stimulators are of two types,

After deciding on the type of Stimulator, specialists then decides on the two procedures of the surgery viz., the trial and the implantation.

In the trial period, a pain management Physician will implant temporary electrodes under the x-ray guidance where they will be carefully inserted in the epidural space of the spine. The electrodes will be placed along the spine and will affect the pain location. The trial procedure helps you to understand and experience the action of electrodes and its effect on the pain. The Physician will ask for the patient’s comfort and the best position of the electrodes.

The trial is a week-long procedure where the patient will evaluate the efficiency of the device and how much pain it reduces. The trial is considered a success if the patient experiences a 50% or greater reduction in pain level.

If unsuccessful, the electrodes can easily be removed in the clinic without damage to the spinal cord or nerves. If successful, surgery is scheduled to permanently implant the device.

Spinal Cord Stimulator Implantation

During the permanent implantation procedure, the generator is placed underneath the skin and the trial electrodes are replaced with sterile electrodes. Unlike the trial electrodes, these will be anchored by sutures to minimize movement. The implantation can take about 1 hour and is typically performed as an outpatient procedure.

After the local anesthesia has been administered, the physician will make one incision (typically along your lower abdomen or buttocks) to hold the generator and another incision (along your spine) to insert the permanent electrodes.

Once the electrodes and generator are connected and running, the incisions are then closed.

Spinal Cord Stimulator Implant Recovery

After the surgery, the patient gets discharged the same day once the anesthesia has worn off.

The incisions can be painful for several days but in most cases it heals within 2-4 weeks after the surgery.

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