This procedure is performed approximately 4-6 week after a successful stage one trial. ![]() You will be asked to attend the clinic at the end of the trial period to remove the leads. During the trial period the neuromodulation clinical team (you will have designated person) will keep record of your progress with daily pain scores and functional reporting. Insertion of the epidural lead takes place in an operating theatre under x-ray guidance you will then go home to try the system for up to 7-10 days with an external battery attached to the lead. Spinal cord stimulation offers a unique opportunity for patients, to trial the therapy before proceeding to a implant. ![]() The field of spinal neuromodulation is rapidly expanding, talk to your doctor to explain the current modalities of stimulation available for your pain. These are few types of Spinal neuromodulation. Excessive use of opioid medications and non-compliance, probems with use of alcohol, prescription drugs or recreational drugsĪre there different types of spinal cord stimulators? Mental Health: Similar to medical conditions, psychological disorders require to be adequately addressed especially substance use disorders ,psychosis. Medical conditions:Poorly controlled diabetes poses an added infect risk, similarly all medical conditions need to be optinised to allow for a safe procedure.Ĭognition:Poor understanding and unable to operate the device or in patients with cognitive impairment e.g. Technically Difficult: Extensive metalwork in place and, or any other structural problem as a result of previous surgery and scarring may limit the access to the epidural space where the leads need to be place.īlood thinners: In situation where blood thinners cannot be stopped for the procedure Some of the issues to be considered prior to a SCS trial are Which patients may not be suitable for SCS implant? Spinal cord stimulation is indicated for a umber of conditions, some of the well know conditions which respond to SCS is as follow ![]() What conditions respond to Spinal Cord Stimulation? The implanted pulse generator is similar to a pacemaker used for heart disorders, we sometime refer it to a pacemaker for pain. The electricity changes the way pain messages are sent and processed by the brain. The system is controlled by a handheld device. A small device called a pulse generator is implanted underneath the skin, it delivers small amounts of electricity to specific parts of the spinal cord via an epidural lead containing electrodes. Spinal cord stimulation also called neurostimulation accounts for over 90% of the neuromodulation therapies. In PainMed clinic Spinal Cord therapy, they are leading spinal specialists and spinal cord stimulation for spinal surgeons, and back pain surgeons in Sydney
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