Understanding Pain
Diagnosis & Understanding
4. Neck Pain
1:55
6. Painful Diabetic Neuropathy
1:46
8. Foot Pain
1:50
9. Ankle and Foot Pain
1:46
10. Cancer Pain
1:34
Non-Surgical Treatment Options
2. Bracing
1:30
3. Acupuncture
2:13
4. Physical Therapy
1:35
5. Cognitive Behavioral Therapy
2:08
Minimally Invasive & Surgical Treatments
2. Regenerative Medicine
2:06
5. Caudal Epidural
1:33
10. Sacroiliac Joint Fusion
1:39
11. Kyphoplasty and Vertebroplasty
2:05
12. Basivertebral Nerve Ablation
1:36
13. MILD Procedure
2:04
14. Spinal Decompression Surgeries
1:41
15. Artificial Disc Replacement
1:52
Spinal Cord Stimulation (SCS)
Diagnosis & Understanding
11. Painful Diabetic Neuropathy
1:46
12. CRPS I
1:57
13. Central Sensitization Syndrome
1:48
14. Neck Pain
1:55
Non-Surgical Treatment Options
1. Physical Therapy
1:35
2. Cognitive Behavioral Therapy
2:08
3. Bracing
1:30
Minimally Invasive & Surgical Treatments
3. Stellate Ganglion Injection
1:52
4. Lumbar Sympathetic Injection
1:36
Peripheral Nerve Stimulation (PNS)
Diagnosis & Understanding
3. CRPS I
1:57
5. Nerve Blocks
2:07
6. Nerve Blocks
2:07
7. EMG Nerve Conduction Study
1:26
Minimally Invasive & Surgical Treatments
1. Hydrodissection
1:33
Alternative & Emerging Therapies
3. Regenerative Medicine
2:06
Diabetic Neuropathy SCS
Diagnosis & Understanding
1. Painful Diabetic Neuropathy
1:46
Non-Surgical Treatment Options
Minimally Invasive & Surgical Treatments
1. Peripheral Nerve Stimulation
1:41
Alternative & Emerging Therapies
1. Regenerative Medicine
2:06
Interspinous Fusion (midline or lateral approach)
Diagnosis & Understanding
Non-Surgical Treatment Options
3. Bracing
1:30
Alternative & Emerging Therapies
Dorsal Root Ganglion Stimulation (DRG)
Diagnosis & Understanding
3. Pelvic and Perineal Pain
1:52
7. Painful Diabetic Neuropathy
1:46
8. CRPS I
1:57
Non-Surgical Treatment Options
1. Physical Therapy
1:35
2. Cognitive Behavioral Therapy
2:08
3. Bracing
1:30
Minimally Invasive & Surgical Treatments
3. Lumbar Sympathetic Injection
1:36
Alternative & Emerging Therapies
3. Regenerative Medicine
2:06
Neck or Cervical Pain
Non-Surgical Treatment Options
2. Bracing
1:30
Minimally Invasive & Surgical Treatments
2. Caudal Epidural
1:33
5. Facet Joint Injection
1:44
10. Interventional Pain Procedures
1:58
13. Artificial Disc Replacement
1:52
Alternative & Emerging Therapies
1. Regenerative Medicine
2:06
2. PRP Injection
1:42
4. MFAT
2:04
5. Shockwave Therapy (MSK)
2:03
6. Laser Therapy
2:05
7. Ozone Therapy
1:37
Low back or Lumbar Pain
Diagnosis & Understanding
1. Herniated Disc
1:58
Minimally Invasive & Surgical Treatments
Alternative & Emerging Therapies
1. Regenerative Medicine
2:06
2. PRP Injection
1:42
4. MFAT
2:04
5. Shockwave Therapy (MSK)
2:03
6. Laser Therapy
2:05
7. Ozone Therapy
1:37
Headaches
Diagnosis & Understanding
1. Migraine
2:04
2. Tension Headache
1:50
3. Cluster Headache
1:53
4. Occipital Neuralgia
2:02
5. Trigeminal Neuralgia
1:35
6. Neck Pain
1:55
Non-Surgical Treatment Options
4. Acupuncture
2:13
Minimally Invasive & Surgical Treatments
2. Botox (Migraines/Dystonia)
2:07
3. Sphenopalatine Block
1:47
6. Peripheral Nerve Stimulation
1:41
Alternative & Emerging Therapies
1. Regenerative Medicine
2:06
2. PRP Injection
1:42
3. Shockwave Therapy (MSK)
2:03
4. Laser Therapy
2:05
5. Ozone Therapy
1:37
Robert Moghim MD
Anchor Healthcare
Spinal Cord Stimulation (Percutaneous)
1746872790
Spinal Cord Stimulation (SCS) is a procedure that helps manage chronic pain by sending electrical signals to the spinal cord. These signals interfere with pain messages before they reach the brain, which can reduce the feeling of pain. The procedure is often considered when other treatments, like medications or physical therapy, have not provided adequate relief.
During SCS, a small device, similar to a pacemaker, is placed under the skin. Thin wires also called leads are inserted near the spinal cord. The device sends mild electrical pulses through the electrodes to the spinal cord. This procedure is done percutaneously, which means it's minimally invasive and involves small incisions.
Patients often feel a tingling sensation in the area where they usually experience pain, which helps to lessen the pain. It's commonly used for conditions like failed back surgery syndrome, complex regional pain syndrome, or other long-lasting nerve pain.
While this treatment can greatly improve quality of life, there are alternatives to consider like medication management, physical therapy, or, in more severe cases, further surgery. Risks include infection, bleeding, or lead movement, which may require additional adjustment or surgery. Most people resume light activities soon after and may gradually return to normal activities as guided by their doctor. Trial stimulation is usually conducted to ensure SCS will be effective for each patient before a full implant.
FAQs
How is the effectiveness of Spinal Cord Stimulation evaluated?
To evaluate the effectiveness of SCS, a trial stimulation phase is conducted before permanent implantation. Temporary electrodes are placed to assess whether the patient experiences significant pain reduction (typically at least 50%). Successful trial results can lead to the permanent placement of the SCS system.
What alternatives are available if Spinal Cord Stimulation is not suitable?
If SCS is not suitable or effective, alternatives might include other interventional procedures like epidural injections, nerve blocks, dorsal root ganglion stimulation, or optimizing medication regimens. Further surgical interventions may also be considered in more severe cases.
What are the potential risks and complications associated with Spinal Cord Stimulation?
Potential risks of SCS include infection, lead migration, and complications related to the implantation procedure, such as bleeding or device malfunctions. A psychological evaluation is often required to ensure good outcomes, as untreated mental health issues can influence the success of the procedure.
What is Spinal Cord Stimulation (SCS) and how does it work?
Spinal Cord Stimulation (SCS) is a procedure designed to manage chronic pain by sending electrical signals to the spinal cord. These signals disrupt the pain messages before they reach the brain, which can significantly reduce the perception of pain. The procedure involves placing a small device under the skin and inserting thin wires near the spinal cord to deliver mild electrical pulses.
When is Spinal Cord Stimulation typically recommended?
SCS is generally considered when other treatments, such as medications or physical therapy, have not provided sufficient relief from chronic pain. It is commonly used for conditions like failed back surgery syndrome, complex regional pain syndrome, and other nerve pain conditions that persist despite conventional treatments.