Program Spinal Cord Stimulation

What is Spinal Cord Stimulation (SCS)?

Spinal cord stimulation (SCS) is a treatment for chronic pain that involves implanting a small device under the skin that sends electrical impulses to the spinal cord. These impulses mask pain signals, offering relief from conditions that cause ongoing pain, particularly when other treatments haven’t been effective.

Who Can Benefit from Spinal Cord Stimulation?

It is suitable for individuals suffering from:

• Chronic back pain
• Failed back surgery syndrome (FBSS)
• Complex regional pain syndrome (CRPS)
• Neuropathic pain
• Leg or arm pain from nerve damage

It is often recommended when other pain management options, such as medications or surgeries, have not provided adequate relief.

How Does Spinal Cord Stimulation Work?

The spinal cord stimulator consists of a small pulse generator implanted under the skin in the abdomen and a lead (electrode) placed near the spinal cord. The device delivers mild electrical impulses to the spinal cord, which interfere with the pain signals traveling to the brain, thereby reducing the sensation of pain. You might experience tingling in the painful area, depending on the mode being used.

What’s the Procedure Like?

1. Trial phase: Before the permanent implant, a trial phase is conducted where temporary leads are placed to assess the effectiveness of the device in relieving pain. If successful, the permanent device is implanted.
2. Sedation is used to keep the patient comfortable during the procedure.
3. Implantation: The procedure typically takes about 1 hour. The pulse generator is placed under the skin in the abdomen, and the lead is placed near the spinal cord.
4. Recovery: After implantation, patients may experience mild soreness for a few days.

Benefits of Spinal Cord Stimulation

• Effective pain relief: Significantly reduces chronic pain, especially for those who haven’t responded to other treatments.
• Minimal side effects: Compared to oral medications, SCS has fewer systemic side effects such as drowsiness or gastrointestinal issues.

What Are the Risks and Considerations?

Like any other surgery, spinal cord stimulation carries some risks, including infection, lead displacement, and rarely, nerve damage.

Is Spinal Cord Stimulation Right for You?

Spinal cord stimulation is ideal for patients with chronic pain who have not found relief from other treatments, including medications and surgeries. If you’re considering this treatment, speak with a pain management expert to explore whether SCS could be an effective option to help manage your pain and improve your quality of life.

Compiled by;Rarinthorn Choomsai Na Ayuthaya, M.D. Interventional Pain Specialist