Spinal Cord Stimulation (SCS) Treatment

Comprehensive Therapy with Proven Results

UnderstandingSPINAL CORD STIMULATION

How it Works

Small wires are placed inside the spine along the spinal cord to selectively change the way chronic nerve pain fibers are firing. This allows people improved mobility and quality of life. The wires are attached to a battery which can be programmed to each patient's individual needs.

Who does it work for?

Who does it work for: SCS stimulation is ideal for patients with large areas of chronic neuropathic pain. This includes:

1. Low back pain +/- radiation down the legs


2. Neck pain +/- radiation down the arms


3. People who have had surgery for back/neck pain but continue to have pain


4. Painful diabetic neuropathy


5. Cancer Pain in the spine and extremities

6. Complex Regional Pain Syndrome I and II

The Evidence

1. North et al. 2005 demonstrated that in patients who had spine surgery, those who had SCS did better than those who had repeated spine surgery



2. Kumal et al. 2008 demonstrated that in patients who had spine surgery, those with SCS did better than those who continued with conventional pain medicine management (mediations, injections, therapy)



3. Al Kaisy et al. 2014 and Kapural et al 2015 demonstrated patients who received SCS had significantly improved pain control for years following their implantation without the need for surgery.


Schedule an appointment with our Neuromodulation Expert to speak more about the evidence supporting the use of Spinal Cord Stimulation for chronic pain.

REAL WORLD PATIENT SUCCESS STORIES

Spinal Cord Stimulation (SCS)
Patient Spotlight

RM is a 45-year-old man who was a triathlete but was in a bad car accident, injuring his spine. After injections, therapy, and medications, the patient had spine surgery and improved for several months, but gradually the pain returned. For the next several years the patient tried additional injections and therapy but due to lack of options was placed on opioid medications, resulting in severe constipation, and limiting his independence. After consultation at the Neuromodulation Insitute, RM had his spinal cord stimulator trial completed documenting >70% relief in his back and complete resolution in his leg symptoms. Six months after implantation, RM was back to running again and was off of opioid medication.

How Is SCS Different From Other Forms of Neuromodulation?

SCS is the procedure of choice for treating larger areas of the spine and limb. For example, patients with neck pain radiating down their arm or back pain radiating down their legs. The wires are placed in the epidural space of the spine, a different location than the DRG stimulators which are placed along specific nerves in the spine, and different than PNS where wires are placed along the nerves in the extremities and joints.

What Does The Trial Consist Of?

The trial is an outpatient procedure that typically takes 30 minutes to 1 hour. It is usually done with light sedation and completed with the use of a special X-ray machine called fluoroscopy. The procedure is similar to an epidural injection except instead of medications, wires are threaded into the thoracic spine. The needles are then removed leaving the wires in the body where they come out of the skin and are attached to a battery and taped to the back.Then the trial period begins with the assistance of the stimulator company representative who programs the device.

Is The Trial Painful?

All neuromodulation procedures can be temporarily uncomfortable. To best assist patients with this pain, they are often given a significant amount of numbing medication on the skin and where the procedure is being done, but are also given intravenous medication to keep them comfortable. Patient may also get a short course of oral medication after the procedure to assist with post-procedural discomfort.

What Am I Looking For During The Trial?

While we are focused on pain relief during the trial, we also want to know how your functional mobility has changed, sleep quality, medication use etc. has changed with the treatment in place. You will receive daily communication from the company representative to ensure the device is working properly and covering your areas of pain.

Is SCS Covered By Insurance?

Yes, almost all insurance carriers including PPO and HMOs cover SCS, as does medicare.

How Long Does The Device Last?

If effective, this device can be used as long as you would like it to be used. The battery has a lifespan of approximately 5-10 years depending on power usage and model. The battery can be replaced in a simple outpatient procedure. If desired, the procedure is fully reversible if you would like it removed.

Tell us your story.

HAS THE NEUROMODULATION INSTITUTE
CHANGED YOUR LIFE? LET US KNOW!

We want to tell your story. If you are interested in recording a video or submitting your story to be featured on our site, please email info@stimcenter.com with the subject line "Submit your story" for more information. If interested, we can arrange for a professional video to capture your journey and you will be compensated for your time.