What is Neuromodulation?

Neuromodulation is defined by the International Modulation Society as “The alteration of nerve activity through targeted delivery of a stimulus, such as electrical stimulation or chemical agents, to specific neurological sites in the body.” While neuromodulation can be applied broadly to a number of conditions, in our clinic it mostly consists of the use of spinal cord stimulation at various sites for the treatment of pain.

What is Spinal Cord Stimulation?

Spinal Cord Stimulation involves the use of small amounts of electricity applied near the spinal cord for the treatment of painful conditions that do not respond to less invasive procedures.

What are some of the conditions commonly treated with spinal cord stimulator therapy?

Post-Laminectomy Syndrome (Failed Back Surgery Syndrome), Lumbar Radiculopathy, Complex Regional Pain Syndrome I and II, Angina Pectoris, Peripheral Ischemic Limb Pain, peripheral causalgia as well as numerous other conditions.

What is the usual process to obtain spinal cord stimulator therapy?

At your initial clinic visit you and your physician will have an in-depth discussion of your pain and previous treatments as well as a discussion of risks, benefits, and alternatives to SCS therapy. We will also review with you any recent MRI or CT imaging and order additional imaging if required.  A psychological screening with outside provider as required by most insurers.

After the required studies and consultations are obtained, temporary of spinal cord stimulator leads in office to see if spinal cord stimulator therapy is right for you and your pain. These trials typically last 7-10 days, after which the leads are removed at your outpatient clinic visit. At this point, after a successful trial you can be scheduled for permanent implant in as few as 3 weeks.

Is this covered by my insurer?

Spinal cord stimulator therapy is commonly covered by numerous insurers as well as Medicare for the treatment of various conditions. This can be discussed further in our office.

How can I learn more about spinal cord stimulator therapy?

We would be happy to discuss spinal cord stimulator therapy as well as other treatments with you in our clinic. A referral is required and can be made by your primary care provider or other physicians.

Online resources from some of the companies we work with:

Nevro: http://www.hf10.com

Boston Scientific: http://www.controlyourpain.com/

Abbott: https://www.sjm.com/en/patients/chronic-pain/managing-chronic-pain/spinal-cord-stimulation

Medtronic: https://www.medtronic.com/us-en/patients/treatments-therapies/spinal-cord-stimulation.html

Nuvectra https://nuvectramedical.com/us/patient/about-scs/

 

If you or your family member would like to learn more about neuromodulation, please visit our Become a Patient page.