Spinal Cord Stimulation

Conditions It Treats:

Spinal cord stimulation (SCS) is used to treat chronic pain conditions that have not responded to conservative treatments, such as medication, physical therapy, or surgery. It is particularly effective for neuropathic pain conditions, including failed back surgery syndrome, complex regional pain syndrome, and peripheral neuropathy.

Procedure Description:

The spinal cord stimulation procedure involves the implantation of a small device, called a spinal cord stimulator, under the skin near the spinal cord. The stimulator delivers electrical impulses to the spinal cord, which interfere with the transmission of pain signals to the brain, thereby reducing pain perception.

During the procedure, the patient lies on their stomach or back on an operating table, depending on the location of the implant. The area where the device will be implanted is numbed with a local anesthetic, and a small incision is made to insert the leads (electrodes) into the epidural space near the spinal cord.

Once the leads are in place, they are connected to a small generator device, which is implanted under the skin, typically in the buttock or abdomen. The generator delivers electrical impulses to the spinal cord, modulating pain signals and providing pain relief.

How Does It Help:

Spinal cord stimulation helps alleviate chronic pain by interrupting the transmission of pain signals from the spinal cord to the brain. The electrical impulses delivered by the stimulator interfere with the pain signals, preventing them from reaching the brain and reducing pain perception.

Procedure Benefits:

• Effective Pain Relief: Spinal cord stimulation can provide significant pain relief for patients with chronic, neuropathic pain conditions that have not responded to other treatments.
• Improved Function: By reducing pain intensity and improving pain control, SCS can help improve function and mobility for patients, allowing them to resume normal activities with less discomfort.
• Adjustable Therapy: The settings of the spinal cord stimulator can be adjusted to optimize pain relief and address individual patient needs, providing personalized pain management.

How Long Does It Take:

The spinal cord stimulation procedure typically takes several hours to complete, including preoperative preparation, implantation of the device, and postoperative recovery. Patients may need to stay overnight in the hospital for observation following the procedure.

What Are the Expected Results:

Many patients experience significant pain relief and improvement in quality of life following spinal cord stimulation. The degree of pain relief may vary depending on factors such as the specific condition being treated, the severity of the pain, and individual differences in response to treatment.

Expected results may include reduced pain intensity, improved function and mobility, reduced reliance on pain medications, and enhanced overall well-being.

If It Doesn’t Help, What Is Next:

If spinal cord stimulation does not provide the desired pain relief, alternative treatment options may be considered, including:

• Reevaluation: Further evaluation may be needed to reassess the underlying pain condition and identify any factors contributing to treatment failure.
• Revision or Replacement: In some cases, adjustments to the spinal cord stimulator settings or replacement of the device may be necessary to optimize pain relief.
• Alternative Interventions: Depending on the specific condition and individual circumstances, alternative treatments such as medication management, physical therapy, or surgical options may be recommended.

Is This Treatment Right for Me:

Spinal cord stimulation may be a suitable treatment option for individuals with chronic, neuropathic pain conditions that have not responded to conservative treatments. However, it's essential to consult with a healthcare provider to determine if SCS is appropriate for your specific condition and individual health needs.

Factors such as the location and severity of the pain, previous treatment history, overall health, and potential risks and benefits of the procedure will be considered to make an informed decision about whether spinal cord stimulation is right for you.