This sensation of discomfort is sent as signals via the nerves in the specific area to the brain, which identifies this sensation as pain. This surgery is a reversible process, which means that the neurostimulator can be removed without any repercussions to the spine or nerves, if there is no longer any need or desire for it.įAQS Q: How does chronic pain escalate, requiring you to opt for immediate treatment?Ī: Any external stimulus such as an injury or disease can cause mild to intense discomfort to our body. On follow-up visits, the physician may alter the settings of the pulse generator – the frequency of the pulses, the width of the area where the pulses are felt, and the amplitude that determines the threshold of the pain perception. Complete recovery/return to normal life is usually around 6 to 8 weeks. Light activities such as moderate walking and driving is generally recommended the first two weeks. Incisions usually heal between 2 and 4 weeks. Your physician will advise you to be very careful of your movement so that you do not pull at the incisions. The device is programmed to suit your requirement, and you are sent home with a handheld remote control that allows the patient to turn it up or down, on or off. Implantation - Typically done as an outpatient procedure (approximately 1 hour), the generator is placed under the skin and the temporary electrodes are replaced with sterile electrodes that are anchored with sutures.Īs it is an outpatient process, patients can go home once the effect of the anesthesia wears off.Afterwards, the patient goes home and resumes normal activity to “try out” the stimulator before committing to the implant. The patient is usually asleep under anesthesia for this procedure. This procedure is done under x-ray guidance (fluoroscopy). Initial Trial - Temporary electrodes are placed, and an external device is used to generate the electrical current.There are two steps in the procedure for implanting the device: This is done via a series of imaging tests as well as a psychological evaluation, which gives the medical practitioner a holistic perspective on whether the device will function efficiently in your body.Īfter some imaging tests and psychological screening to see if the device is right for you, a neurosurgeon/pain specialist with specialized training in interventional pain management techniques performs the implantation procedure. Later models also have different waveforms for the electrical delivery – high frequency, high density, or burst stimulations.Īs a first step, your physician needs to determine if you are ready to receive spinal cord stimulation implantation. All types work with a remote control for the patient to manipulate the stimulation as required. Newer ones offer sub-perception stimulation to completely mask the pain, with no residual sensations. The device can replace pain sensations with a mild tingling called paresthesia. A remote control is provided to turn the device on or off, up or down. The patient has full control over the device. Between 8 and 32 electrodes are implanted in between the vertebrae and the spinal cord and the generator is placed just beneath the skin. The spinal cord stimulator device is comprised of two parts: thin wires, or electrodes, and a generator, which is like a pacemaker.
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