New Developments in Spinal Stimulation for Pain Management

Nov 20, 2018 | Markus (Mark) A. Bendel, M.D. | @markusabendelmd | Comments (62)

patient and provider looking at spinal column

Spinal cord stimulation (SCS) has been a medical treatment available for certain types of chronic pain for over 50 years.  In general, this minimally invasive therapy involves putting a small lead in the spinal canal and using electrical energy from a battery to stimulate the sensory nerves of the spinal cord. This has been shown to decrease chronic pain from a variety of conditions.

There has been a rapid expansion of technologies and therapies in this area over the past few years.  Physicians are now able to treat certain pains more effectively than ever before. These new technologies are related to both better equipment technology, stimulation targets, and also how the electrical energy is delivered to the spine and nerves. In addition to treating chronic nerve pain, there have been improvements in the ability to treat chronic back pain, post-knee surgery pain, post-hernia repair pain, and foot pain. Traditionally, patients who have a spinal cord stimulator would feel a pleasant, buzzing sensation (called a paresthesia) in the area of their pain. Now, certain technologies allow for stimulation without creating this sensation, which some patients prefer. Other new technology allows for more specific stimulation of a particular area of the body, which has been shown to be valuable for certain pain problems. Many systems now are compatible with MRI machines which had been a hurdle for some patients in the past.

Generally, a pain medicine physician would be a good source of information to determine if a certain technology would be beneficial for an individual patient. All of this means that there are more options than ever before to treat a wide variety of patients!

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@kenc

Thanks for your concern and advice. Right now working on PT routines, and spot shots to the main pain carrying nerves. The MD is also talking about Botox. The neurosurgeon said I was too old for the pain pump.

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Good luck!

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I don't think so. I've had the wires removed several times. Four trials and one permanent SCS. I currently have a back problem but it is probably degenerative narrowing between L-4 and L-5. Pain doctor said he can target both the back problem and foot problem with my scheduled Boston Scientific SCS trial on June 12th. We'll see.

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@carynana

I have my meeting with doctor on June 12 to discuss SCS. The nurse mentioned Boston Scientific rep will be there.
What does the evaluation involve? I heard a psych eval? I just had an MRI of lumbar spine, do they require anything like that?
Thanks, I’ma little nervous
Have a great day.

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Your going to need an physiatric evaluation for the insurance company to approve the trial SCS. They should recommend one. I've had two of them. they are usually conducted by zoom or telephone. They will contact your doctor with the result. They a regood for a year. I was approved both times. The second one cost me $100.

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@martyk

Your going to need an physiatric evaluation for the insurance company to approve the trial SCS. They should recommend one. I've had two of them. they are usually conducted by zoom or telephone. They will contact your doctor with the result. They a regood for a year. I was approved both times. The second one cost me $100.

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Thank you!

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@kenc

Thanks for your concern and advice. Right now working on PT routines, and spot shots to the main pain carrying nerves. The MD is also talking about Botox. The neurosurgeon said I was too old for the pain pump.

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Perhaps you should get a second opinion about the pain pump. Good luck.

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@lifetimepain

Some. A little bit disappointed because the trial sent the signal in a 360 degree pattern, the implant is much more focused and I think it's not in the EXACT same place as the trial was. It's kind of stupid because the permanent implant should replicate the trial, and I know it's not. The trial gave me 80% relief which was almost unbelievable! The implant now reduces my pain maybe 30-40% - which the company considers a success. I know it could be better.

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Thanks for sharing your experience with the nevro unit. (the latest is the HFX iQ) Which model do you have? Sorry to hear that the real implant didn't perform as well as the trial. Its now about two and a half years since you first posted, so how much relief are you getting now?? Finally, have you had to get any spinal MRI's with the nevro in place? I am seeing mixed comments on the web re whether or not you can get an MRI with these in place. --Rich in Santa Rosa, CA.

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@martyk

I don't think so. I've had the wires removed several times. Four trials and one permanent SCS. I currently have a back problem but it is probably degenerative narrowing between L-4 and L-5. Pain doctor said he can target both the back problem and foot problem with my scheduled Boston Scientific SCS trial on June 12th. We'll see.

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Did it work

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@martyk

Looks like on June 12th, I'll be getting the seven day trial of the New Boston Scientific device. No parathesia and no recharging as with the old model. The Boston Scientific rep and the doctor claim the device can target both my foot and lower back pain. We'll see.

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Did it help you

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@martyk

I don't think so. I've had the wires removed several times. Four trials and one permanent SCS. I currently have a back problem but it is probably degenerative narrowing between L-4 and L-5. Pain doctor said he can target both the back problem and foot problem with my scheduled Boston Scientific SCS trial on June 12th. We'll see.

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So did it help you

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Hello, My name is Luanne @lulufp1975,
I am new to this group. In June of 2021 I was walking to my car after a lovely lunch when a car backed into my body. I have damage to my spine, disc and severe nerve damage. I have a Spine and Pain management specialist that I love. I have been receiving epidural injections, and oblations to different areas. I was seeing an acupuncturist three times a week. I did physical therapy. And right now I regularly see a chiropractor who I love. Not old school chiropractic where he does now manipulating and massaging. I also listen to high frequency, music which helps. Energy healing. Yesterday I saw my neurologist. And we talked about. The HF10 spinal cord stimulation system. I’ve been doing a lot of research and there’s always so much information pointing both ways to the pros and cons. I have post traumatic stress due to this injury. And I would say on a hole I am improving but I get very discouraged because I take one step forward and two steps back. On February 1 I had an ablation in my lower right side of my back and I’m due to have an ablation on the left side on 29 February. since then I have had very minimal pain in that area. But now pain has started in another area in my middle left side of my back. So that is why we were discussing the HF10 implant. as I have been very leery about surgery. I was wondering if there are any recent updates on this device and if anyone can point me to those that have had success with it. I do know that with anything there is always risks. But what I wanna know is with the advancement in technology are the risks less? Thank you all for your input.

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