This is a modality of treatment used to help central pain without the use of medications it provides a low intensity electrical signal to the spinal cord which improves pain control and has the added benefit of being almost completely under the control of the patient.
This procedure is used for the treatment of chronic low back pain and multiple types of neuropathic pain.
First, a trial of a spinal cord stimulator is performed for about one week. The trial begins with the implementation of temporary leads into the epidural space at levels deemed appropriate for control of the painful areas. This is done under X-ray guidance.
Once the leads are incorrect placement, then the leads are connected to a device and a valuation of the correct placement is confirmed.
At the end of the trial, the amount of pain control will be discussed between the physician and the patient. If the patient receives 50% or better improvement in their pain, then permanent placement of the spinal cord stimulator unit will be scheduled. The trial leads are usually removed at this meeting.
Before a patient can proceed for permanent placement of the spinal cord stimulator device, a psychological a valuation is performed. Most physicians choose to have evaluation performed before the trial is implemented.
These intrathecal pump’s are implantable and provide programmable medication delivery devices for the treatment of a specific chronic pain syndrome. They provide benefits to people with cancer pain, chronic back pain, neuropathic pain and muscle spasticity if the patient has tried and failed more conservative treatments.
If the patient receives 50% or more improvement in their painful condition, permanent placement of the intrathecal pump will be scheduled an appropriate time.