Spinal Cord Stimulator/Peripheral Nerve Stimulator

Spinal cord stimulation (SCS) is an FDA-approved treatment that has revolutionized chronic pain management for patients who have not found relief from other therapies. Since its introduction in 1989, SCS has become a standard treatment for individuals experiencing chronic back and limb pain. While it may not be effective for everyone, many patients who qualify for neurostimulation therapy report significant reductions in pain, typically ranging from 50 to 70%.

Additionally, they experience an improved ability to engage in daily activities with their families and at work. One of the remarkable outcomes of SCS is that many patients are able to reduce or eliminate their reliance on painkillers and other medications after undergoing the procedure. This has led to ongoing advancements and investments in spinal cord stimulation technology, positively impacting the lives of countless individuals living with chronic pain.

Blocking Pain Signals through Electrical Stimulation

Neurostimulation functions by delivering an electrical current to the source of chronic pain, creating a pleasant sensation that disrupts the brain’s ability to perceive the previously experienced pain.

There are two commonly used forms of electrical stimulation for chronic pain treatment:

1. Spinal Cord Stimulation (SCS): During SCS, soft and thin wires with electrical leads at their tips are inserted near the spinal column using a needle. This process requires no incision. Following this, a small incision is made, and a tiny, programmable generator is placed beneath the skin in the upper buttock or abdomen. The generator emits electrical currents to the spinal column, providing pain relief.
2. Peripheral Nerve Field Stimulation (PNFS):Similar to spinal cord stimulation, PNFS involves placing the leads just beneath the skin in an area close to the nerves associated with the pain.

Both approaches allow for the programming of the generator, akin to adjusting a television with a remote control. The area and intensity of electrical stimulation can be modified, and the system can be turned on or off, or adjusted as needed to achieve optimal pain relief. Although the initial programming is performed at the physician’s office, patients are empowered to control the stimulation on their own and make adjustments based on their pain levels.