415-455-3237Spinal Cord Stimulation For Complex Regional Pain Syndrome And Postlaminectomy Syndrome
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Spinal Cord Stimulation (SCS) is an advanced therapeutic approach primarily designed to alleviate chronic pain conditions such as Complex Regional Pain Syndrome (CRPS) and Postlaminectomy Syndrome. CRPS is characterized by persistent severe pain, often in the arms, hands, legs, or feet, usually following an injury or surgery. Postlaminectomy Syndrome, also known as failed back surgery syndrome, refers to persistent pain following spinal surgery.
The SCS procedure involves the implantation of a small device, known as a spinal cord stimulator, into the body. This device delivers low-level electrical signals to the spinal cord or specific nerves to block pain signals from reaching the brain.
The procedure typically begins with a trial period, during which a temporary stimulator lead is placed in the epidural space near the spinal cord through a needle. The lead is connected to an external stimulator, allowing the patient and physician to evaluate the effectiveness of the therapy and adjust stimulation settings to optimize pain relief.
If the trial proves successful, the patient may proceed to permanent implantation of the spinal cord stimulator. This is typically placed under the skin of the abdomen or buttock and connected to the lead(s) positioned in the epidural space. The procedure is usually performed under local anesthesia and sedation, and may also involve a minimal amount of pain medication.
The implanted stimulator can be controlled by the patient using a handheld programmer, allowing them to adjust the level of stimulation to manage their pain effectively. The device can be switched off, adjusted or removed if needed.
Potential risks and complications of SCS include infection, bleeding, headache, spinal fluid leakage, and possible lead migration or failure. However, for many patients suffering from CRPS and Postlaminectomy Syndrome, Spinal Cord Stimulation can offer significant relief from chronic pain, enhancing their quality of life.