Spinal Cord Stimulation

Spinal Cord Stimulation

Spinal cord stimulation (SCS) is a new therapy for chronic pain. It delivers low-level electrical pulses to the spinal cord. This treatment is for those who have not found relief from traditional pain management methods, like medications or physical therapy. SCS interrupts pain signals before they reach the brain. It is a life-changing solution for those with failed back surgery syndrome, CRPS, and other neuropathic pain.

Types of Spinal Cord Stimulation

Several types of spinal cord stimulation systems exist. Each offers a unique method to deliver electrical impulses to manage chronic pain. The main types include:

• Conventional Spinal Cord Stimulators: These systems deliver a continuous electrical pulse to the spinal cord and require periodic adjustment by the patient using an external remote.
• Rechargeable Spinal Cord Stimulators: These are like conventional stimulators but have a rechargeable battery. It can last several years, reducing the need for frequent surgeries to replace it.
• Burst Spinal Cord Stimulators: They provide bursts of electrical stimulation that mimic natural nerve firing. This may relieve pain better for some people.
• High-Frequency Spinal Cord Stimulators: These systems use high-frequency electrical impulses. They may reduce the tingling, or “paresthesia,” from traditional stimulators, offering a more comfortable experience.

Symptoms of Spinal Cord Stimulation

Spinal cord stimulation can be used to address various symptoms related to chronic pain conditions. Some common symptoms that may indicate the need for SCS include:

• Chronic Back or Neck Pain: Ongoing and persistent discomfort in the back or neck that hasn’t responded to other therapies or treatments.
• Nerve Pain (Neuropathy): Sharp, burning, or tingling sensations caused by damaged or irritated nerves that don’t improve with medications.
• Pain Following Spine Surgery (Failed Back Surgery Syndrome): Continued or worsening pain after undergoing spine surgery, indicating that the procedure didn’t fully address the issue.
• Complex Regional Pain Syndrome (CRPS): Intense and long-lasting pain that affects a limb after an injury or surgery, often accompanied by swelling and changes in skin color or temperature.
• Reduced Sensation or Numbness: A loss of sensation or numbness in areas affected by nerve damage, which can be accompanied by chronic pain that limits mobility.

Risk Factors

Risk factors for conditions needing spinal cord stimulation include some physical and lifestyle factors. Individuals with a history of chronic back or neck pain, especially those who have undergone multiple surgeries, are at a higher risk. Conditions like arthritis, disc herniation, or spinal stenosis can raise the need for this treatment. Injuries or trauma to the spine and nerves can lead to persistent pain that may not respond well to traditional therapies.

Lifestyle factors such as lack of physical activity, smoking, and obesity can further aggravate chronic pain. Stress and depression may heighten pain perception. This can increase the need for advanced treatments like spinal cord stimulation.

Diagnosing Spinal Cord Stimulation

Diagnosing spinal cord stimulation candidates usually starts with a thorough exam by a pain management or neurology specialist. It often includes a detailed medical history review. This helps understand the patient’s chronic pain, past treatments, and underlying conditions. Next, a physical exam will assess the pain’s location and intensity. It will also evaluate mobility and neurological function. Imaging studies, such as X-rays, magnetic resonance imaging (MRI), or computed tomography (CT) scans, may be conducted to visualize the spine and identify structural abnormalities. Your physician may do tests, like a trial spinal cord stimulation, to see how you respond to the treatment. This process helps ensure spinal cord stimulation will manage your pain.

Treatment Options

Various treatment options exist when considering spinal cord stimulation. They can be tailored to meet the needs of those with chronic pain. Common treatment options include:

• Spinal Cord Stimulation Device: This involves implanting a device that delivers electrical impulses to the spinal cord, helping to interrupt pain signals before they reach the brain.
• Trial Stimulation: A temporary device may be implanted to assess the effectiveness of spinal cord stimulation in relieving pain before committing to a permanent solution.
• Medications: Patients may be prescribed analgesics or anti-inflammatory drugs to manage pain effectively alongside spinal cord stimulation.
• Physical Therapy: A structured physical therapy program can enhance the benefits of spinal cord stimulation by improving mobility and strength.
• Lifestyle Modifications: Implementing changes in daily habits, such as exercise, weight management, and stress reduction techniques, can complement the effects of spinal cord stimulation.

Prevention Strategies

To prevent the need for spinal cord stimulation, we must promote spinal health. This will reduce the risk of chronic pain. Consider the following effective prevention strategies:

• Regular Exercise: Regular physical activity can strengthen muscles, improve flexibility, and maintain a healthy weight, all contributing to spinal health.
• Proper Posture: Maintaining good posture while sitting, standing, and lifting can help reduce strain on the spine and prevent injuries.
• Ergonomic Adjustments: Making ergonomic changes to workspaces and daily activities can minimize repetitive strain and support spinal alignment.
• Stress Management: Incorporating stress-reduction techniques like mindfulness or relaxation exercises can help lower muscle tension and reduce pain
• Healthy Weight Management: Maintaining a healthy weight through balanced nutrition and exercise can decrease pressure on the spine, reducing the risk of chronic pain.

Our Approach to Spinal Cord Stimulation Care

Spinal cord stimulation is an important step forward in treating chronic pain, offering hope to those who haven’t found relief with other treatments. As technology improves, so does our ability to manage pain through new techniques like neuromodulation. While spinal cord stimulation isn’t a cure for everyone, it has helped many patients experience a better quality of life.

At Florida Medical Clinic Orlando Health, we focus on personalized care using advanced treatments like spinal cord stimulation. We know that every patient’s pain journey is different, so we carefully evaluate each person to find the best treatment plan for their needs. If you’re considering spinal cord stimulation for your chronic pain, contact us today to explore your options and take the first step toward a more comfortable life. Find the pain relief you deserve and contact us today for an appointment.