Spinal Cord Stimulation
A small implanted device that sends mild electrical pulses to the spinal cord to help manage chronic back, leg or nerve pain, with a trial first.
What Is Spinal Cord Stimulation?
Spinal cord stimulation (SCS) uses thin wires (leads) placed in the epidural space to deliver mild electrical pulses that change how pain signals reach the brain. A unique feature is that you can try it first: a short trial lets you see whether it helps before deciding on a long-term implant.
Conditions It May Help
- Ongoing back or leg pain after spine surgery
- Chronic nerve (neuropathic) pain, including painful diabetic neuropathy
- Complex regional pain syndrome (CRPS)
- Chronic radiculopathy that has not responded to other treatments
How It Is Done
For the trial, Dr. Rema places temporary leads through a needle using fluoroscopy; they connect to a small external battery you wear for about a week. If the trial helps, a permanent system with a small implanted battery may be placed during a separate procedure at a hospital or ambulatory surgery center. A psychological evaluation is often part of the process.
What to Expect
During the trial you go about your daily activities and track your pain and function. After a permanent implant, expect incision soreness for a few weeks and temporary limits on bending, twisting and lifting while the leads settle.
Possible Side Effects and Risks
Infection, bleeding, lead movement that may require adjustment, discomfort at the battery site, and uncommonly spinal fluid leak or nerve injury. Dr. Rema will review your medical history and medications, including blood thinners, before your procedure.
Take the Next Step
Call 845-245-6033 to schedule a consultation with Dr. Rema at Hudson Valley Pain Management, 33 Grand Street, Suite 33A, Kingston, NY 12401. Results vary from person to person, and Dr. Rema will review the benefits and risks for your situation.