NEUROMODULATION (spinal cord stimulation)

Neuromodulation therapy is a type of pain management technique that involves the use of electrical or chemical signals to modulate or alter the activity of the nervous system in order to alleviate chronic pain. The therapy works by targeting specific nerves or areas of the brain that are involved in the perception and processing of pain signals. By modulating the activity of these nerves or areas, neuromodulation therapy can help reduce the intensity of pain signals, increase the body's natural pain-relieving mechanisms, and improve overall pain control. It may be used to treat conditions such as failed back surgery syndrome, complex regional pain syndrome, and neuropathic pain.

Neuromodulation therapies that are commonly used in pain management include:

1. Spinal cord stimulation (SCS): A spinal cord stimulator is a medical device that is surgically implanted under the skin of the back to treat chronic pain. It works by sending electrical impulses to the spinal cord, which can interrupt or block the pain signals that travel from the nerves to the brain. The device consists of a small pulse generator and thin wires (leads). The generator produces a mild electrical current that travels through the leads and stimulates the nerves in the spinal cord. The patient can adjust the level of stimulation using a handheld remote control.
2. Peripheral nerve stimulation (PNS): Similar to SCS, but the electrical impulses are sent to nerves outside of the spinal cord, such as those in the limbs.

There are several steps in determining if you are a good candidate for Spinal Cord Stimulation (SCS). Here is an overview of what you can expect:

1. Consultation: The first step is to schedule a consultation with one of our qualified pain management specialist who are well-experienced in performing spinal cord stimulator procedures. During the consultation, the doctor will assess your medical history and examine your symptoms to determine if you are a good candidate for a spinal cord stimulator.
2. Trial implantation: If the doctor determines that you are a good candidate for a spinal cord stimulator, the next step is to undergo a trial implantation. This involves placing a temporary electrode in the epidural space of your spine and connecting it to an external device that you can control. The trial period typically lasts for a week or two, during which time you will keep a diary to track your pain relief.
3. Evaluation: After the trial period is complete, you will return to your doctor for an evaluation. The doctor will review your diary and assess your pain relief to determine if the spinal cord stimulator is effective for you.
4. Permanent implantation: If the spinal cord stimulator is effective, the next step is to schedule a permanent implantation procedure. During this procedure, a small incision is made in your back, and the electrode is placed in the epidural space. The electrode is then connected to a small battery-powered generator that is implanted under your skin.
5. Post-implantation follow-up: After the permanent implantation, you will need to attend follow-up appointments with your doctor to ensure that the spinal cord stimulator is working properly and providing effective pain relief. You may also need to make adjustments to the settings of the stimulator to optimize its effectiveness.

Spinal cord stimulation can help to reduce the intensity of pain and improve quality of life for some patients. It is important to discuss the potential risks and benefits of the procedure with our experienced interventional pain management doctors in order to determine if it's the right treatment for you.