The Advanced Spine & Pain Group

Neuromodulation And Spinal Cord Stimulation

Neuromodulation and spinal cord stimulation alleviate chronic pain effectively

Neurostimulation is the use of electrical impulses to block or restore nervous system function and sensation.

Neurostimulation treatment reduces nerve activity by delivering electrical stimulation to specific areas of the body. This therapy involves using a device that sends mild electrical impulses to targeted nerves, interrupting pain signals before they reach the brain. Neurostimulation can be used to manage chronic pain, improve mobility, and enhance overall quality of life. It is often considered when other pain management strategies have proven ineffective. The procedure is minimally invasive and can be adjusted to suit individual patient needs, providing a customisable approach to pain relief.

The various form of neuromostimulation used for pain control include:

  • Spinal cord stimulation (SCS)
  • Peripheral nerve stimulation (PNS or PENS)
  • Occipital nerve stimulation (ONS)
  • Sacral nerve stimulation (SNS)

Spinal cord stimulation therapy alleviates pain by delivering a mild electrical impulse to the spinal cord, blocking pain signals from reaching the brain. This treatment is typically reserved for managing severe, intractable neuropathic pain.

The various forms of SCS include:

  • Dorsal root ganglion (DRG) stimulation
  • High frequency stimulation
  • Burst stimulation
  • High density stimulation

 

Patients are considered for neurostimulation if they have moderate to high-intensity persistent neuropathic pain and if more conservative strategies have been comprehensively applied and failed. This condition is referred to as refractory neuropathic pain.

Specific indications for consideration for neurostimulation include:

  • Complex regional pain syndrome (CRPS)
  • Failed back surgery syndrome (FBSS)
  • Postoperative nerve pain condition
  • Peripheral neuropathic pain
  • Pelvic pain
    Intractable headache

 

After a successful trial period, small electrodes are placed near the spinal cord in the epidural space. These electrodes are connected to a small battery device that delivers low-level electrical impulses, interfering with the perception of pain as it travels up the spine or other targeted nerves.

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