A spinal cord stimulator is a surgically-implanted device that sends mild electrical currents to the spinal cord to reduce back pain. Also called neurostimulation, a Tulsa Pain physician implants small wire leads and a generator along nerve fibers in the spine to interfere with pain signals being sent to the brain. This treatment option is typically recommended for patients who experience chronic back pain and have not felt adequate relief from alternative therapeutic methods. Before patients can be outfitted with a permanent device, a physician must insert a trial stimulator to determine the efficacy of this treatment option. If the patient experiences a significant improvement in their pain symptoms from the trial stimulator, a permanent spinal cord stimulator will be implanted shortly thereafter.
As we mentioned previously, a trial device must be implanted prior to performing the permanent procedure. Implanting the spinal cord stimulator requires about 1 to 2 hours of the physician’s time, and patients will be allowed to return home after the procedure. The surgery starts the same way each time: the patient lies face down on an operating table and is given a sedative to reduce pain and discomfort. A Tulsa Pain physician will cleanse and numb the incision sites, which are usually the mid-back and buttocks. Using fluoroscopy, small wire leads are fastened along the epidural space and attached to the generator to control stimulation. They are then attached to an extension wire and the pulse generator, which is surgically implanted in the buttocks. A few tests are done to determine the efficacy of the spinal cord stimulator before the incisions are closed.
After the procedure, the patient’s vitals are monitored before he or she is sent home to recover further. A Tulsa Pain physician will provide the patient with discharge instructions and prescription pain medications to keep post-procedural pain at bay. Patients should avoid performing certain activities, such as bending, twisting, raising the arms, and lifting heavy objects, for at least six weeks after spinal cord implantation. Your Tulsa Pain physician may also advise against driving, housework, and sexual activity for at least four weeks. Although uncommon, it is possible for patients to develops adverse reactions from the permanent spinal cord stimulator. Notify a Tulsa Pain physician immediately if you develop a fever, increased pain and swelling, sudden weakness in the lower extremities, loss of bladder or bowel function, or signs of an infection.
