5 Things to Know About Spinal Cord Stimulator Implants

by Nevada Pain

Pain is a big concern and affects hundreds of millions all over the world. On any given day, there are people who are in so much pain that they require strong medication just to feel some sort of comfort. The drugs can be addicting over a long period of time, and of course, it stops working at a certain point as well. Back pain doctor Las Vegas

Pain and suffering can be lessened if it is addressed at the source,  and pain management doctors in Las Vegas have discovered that spinal cord stimulator implants can help relieve pain by intercepting it and tricking your brain into believing that there is no pain.

What is a Spinal Cord Stimulator Implant?

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Spinal Cord Stimulator paddle

Spinal neuro stimulation therapy involves a small device called a stimulator. It is similar to a pacemaker for the heart, but this time it is implanted under the skin near the base of the spinal cord. A patient receives small, low-voltage electrical impulses to the spine. This results tingling, but not painful, sensation in the area where there is normally pain.

Take note though, that this kind of therapy is not meant for a typical migraine or a toothache. This is meant as a last resort treatment for those who have failed surgery or have a condition like RSD.  The spinal cord stimulator implant modifies the pain messages and prevents them from reaching the brain.

A Stroke of Genius

This ingenious creation was developed to help patient’s live relatively normal lives even with the pain that they are experiencing. It is also a big advantage for those who do not like taking pain medication as it impedes judgment and prevents them from doing regular tasks. The device can reduce the need for pain medications effectively.

What You Should Know About Spinal Cord Stimulation Implants

1. First and most importantly, know that a spinal cord stimulation implant is meant to be a permanent implant once a trial implant shows effectiveness. The trial is left in for 5 to 7 days and if it works well, then a permanent implant is placed completely under the skin.Back Pain Doctor Las Vegas

2. There are several components aside from the implant or the neuro stimulator that is implanted surgically on the abdominal area or the upper buttocks. These are the leads, which are the thin, insulated medical wires; the battery and programming unit placed under skin,  and the recharging belt used every few days.

3.  The patient can control the number of times the neuro stimulator is activated based on the degree or severity of pain he or she is in.

4. The spinal cord stimulator implants are not noisy at all. They are small and discreet, which means that the person can go outside and go about his or her daily life even with the device.

5. Spinal Cord Stimulator implants are effective for both back and leg pain. The initial implantsPain Clinics Las Vegas were not so great at helping back pain, but the newest ones are. Over 75% of patients receive excellent back and leg pain relief with modern SCS implants.

For the top chronic back pain treatment in Las Vegas, call Nevada Pain. The pain clinics in Las Vegas and Henderson offer comprehensive treatment options for back and neck pain along with fibromyalgia, RSD, failed surgery, headaches and much more.

Call (702) 323-0553 for pain management Las Vegas trusts!

Spinal Cord Stimulator Implants – How They Have Evolved

SCS (spinal cord stimulation) is a procedure that treats chronic pain, which involves the use of electrical currents. A small generator administers pulses in the back through an implantation procedure. Spinal Cord Stimulator Las Vegas

The procedure is quick and is typically done under a sedative or even anesthesia. This generator will send electrical pulses to the spinal cord, which can alter the way the brain perceives pain signals and provide pain relief. SCS relieves the pain associated with many spinal and back conditions.

The use of the spinal cord stimulator implants is one of the quickest and fastest growing treatment options available for pain relief from chronic back pain sufferers. It is one of the most revolutionary procedures available with Las Vegas Pain Management Doctors as the relief may be long lasting.

The placement of the stimulator is directly related to the type of pain that the patient is feeling. Typically, the stimulator is pre-programmed to send waves of electrical stimulation to the spine.

Most implants now have over 200 different programming options for maximum effectiveness with relief. For those who have failed surgery and have no surgical options, a spinal cord stimulator may be the best option.

Improving the Device: Voltage and Usability

Since the inception of the spinal cord stimulator device, many strides have been made to improve the implant. When the SCS was first introduced to the medical world, it only Las Vegas pain clinicsconsisted of a single channel feature. This meant that the stimulator was only able to put out one level of voltage.

As the need for this device grows, more steps are being taken to improve the device and add to it. New improvements to SCS devices have been made, such as making them multi-channel devices. This means that there are multiple levels of voltage that vary through different contact leads, and the device is no longer one single voltage.

Over time the usability of the spinal cord stimulator device has also improved. The leads are able to be combined with other stylets. This allows the positioning of the electrodes to be more flexible and also helps to position them better through a less invasive method. Additionally, the batteries for SCS devices have been reconstructed to consume less energy.

Pain Management Henderson NVSpinal cord stimulators are rechargeable, which allow patients to get the most use out of them without having to constantly replace them. The pulse width of the device has also been improved, so that it reaches a wider span of the area. Previously, the device could only reach a certain radius, but now, this number has been widened.

Future Outlook

Spinal cord stimulator implants are used to treat chronic pain, especially those people with chronic back pain. Although not many studies have been done about the effectiveness of the device, people who use them report an improvement in their level of pain.

When the SCS implant first came out, it was more of a simple device with a single channel voltage. Nowadays, the device has advanced to cover more voltage ranges, and the amount of voltage is regulated by a pain management doctor.

Even though there have been many advancements made to spinal cord stimulator, there is Failed Back Surgery Treatmentstill room for improvement. Many people who choose this method of pain relief have had a failed back surgery syndrome (FBSS). Additionally, it is used for various orthopedic and neurological conditions that cause spinal cord and back pain.

With time, more advances and improvements are being made to the spinal cord stimulator device. It will take time for new advances and new designs to come out, as doctors and researchers must first decide what requires change.

One of the many beneficial features that could be added to the SCS is the ease of controlling the voltage. Maybe at some point, the voltage can be patient controlled. Once Pain Management Las Vegasthe device has been perfected, it can become one of the favored treatment options for people suffering from pain.

The Nevada Pain Network offers pain doctors that are Board Certified and Award Winning. Both medical and interventional Las Vegas pain management is offered, with over 50 insurances being accepted.

There are multiple clinic locations for convenience, call (702) 323-0553 for more information and scheduling today!

An Overview of Post Laminectomy Syndrome

Post Laminectomy Syndrome, sometimes known as ‘failed back syndrome’, is a term used to refer to persistent and chronic back pain after laminectomy spinal surgery. A Las Vegas pain doctorslaminectomy is a kind of spinal surgery which is designed to bring an end to chronic back and leg pain by decompressing the spinal nerve root or roots being compressed due to a disc herniation or spinal stenosis.

A laminectomy basically focuses on relieving pain felt in the legs and arms. However, when a laminectomy doesn’t bring the desired results and the chronic pain sustains or is increased after the surgery, the condition is referred as ‘post laminectomy syndrome’ or ‘failed back syndrome’.

What may actually happen is the pain may get better after the surgery, and then eventually get worse. This is an exceptional disappointment as the patient is initially ecstatic over the decreased pain, then dismayed when it comes back months later.

Causes of Post Laminectomy Syndrome

Spinal surgeries are extremely complicated and even with everything going according to plan during the surgery; sometimes the results don’t show any improvement. There are Las Vegas pain management doctorsmany reasons as to why a laminectomy may fail or as to why a particular patient who has gone through a spinal surgery may not feel any pain relief after the surgery.

One of the primary reasons why patients regress into post laminectomy syndrome is the reaction of the spinal nerve root to the surgery. During radiculopathy, surgeons decompress the spinal nerve root so as to alleviate pain. However, sometimes, the nerve root has been compressed for so long it does not have the capacity to recover. As a result the decompression brings no result and the pain sustains even after the surgery has been performed.

Another cause of failed back syndrome is related to the human body’s healing process.  Scars are formed during any healing process and once the body starts to heal after a laminectomy, the body naturally resorts to scar formation here as well. In some cases, these scars end up gathering around the nerve root as a result of which the chronic pain comes back.

Symptoms of Post Laminectomy Syndrome

Many people don’t really give much importance to back pain or sharp pain in their limbs after a laminectomy, as they feel that the pain won’t last long as the root cause of their Pain Management Las Vegaschronic pain has been solved through the surgery. However, usually, when chronic pain returns after the procedure, it ends up being post laminectomy syndrome.

Another potential reason for pain starting again may be breakdown of adjacent levels. It may be that the initial pain stays away, but new pain is due to a new problem. When this is the case, an additional surgery may be indicated.

Treatment Options for Post Laminectomy Syndrome

Patients who experience pain after an initially successful laminectomy due to scar tissue around the nerve root(s) that were decompressed will not benefit from a repeat surgery. The best option is nonoperative management that may consist of the following:

  • NSAIDS and Tylenol
  • Prescription Medications – May include opiates, Neurontin, Lyrica, etc.Pain Management clinics in Las Vegas
  • Epidural Injections – This may help if there is inflammation around the scarred nerve(s)
  • Spinal Cord Stimulator Implant – this may be the best option for an individual with severe pain due to post-laminectomy syndrome. The implant may mask pain, which is great considering it cannot be surgically solved. The spinal cord stimulator implant is placed as an outpatient by the best Las Vegas Pain Management Doctors.

For the best Pain Clinics in Las Vegas, call Innovative Pain Care. Double Board Certified doctors offering both medication management and interventional treatments. Most insurance is accepted, and success rates are 90%.

Call (702) 323-0553 for more information and scheduling today!

What’s the best pain management for peripheral neuropathy?

Peripheral Neuropathy is a medical condition in which the patient suffers from pain that is felt in his hands, feet and various other parts of his body. Usually the result of nerve damage, the pain caused by this disorder is of a tingling nature. Peripheral Neuropathy Las Vegas

Some patients with peripheral neuropathy might also feel numbness, weakness and a loss of sensation in their hands and feet too. Exposure to toxins, injuries sustained in an accident, infection and diabetes are considered among the most common reasons for this disorder. There are several pain management regimes that are available for patients suffering from peripheral neuropathy.

Medications

Medications for relieving the pain are considered the best means of pain management for peripheral neuropathy. There are a number of medications that are prescribed by Las Vegas Pain Management Doctors for this purpose, depending on the frequency and the Pain Management Henderson NVintensity of the pain suffered by the patient.

Pain Relievers: For mild pain, the LV pain doctors usually prescribe over-the-counter pain relievers. These can include non-steroidal anti-inflammatory drugs (NSAIDs). However, if the pain persists and cannot be controlled by these medications then use of opiate drugs may become necessary

Amitriptyline: These medications are indicated for patients whose neuropathic pain does not stem from diabetes. These medications were initially developed for treating symptoms of depression but have been found to be extremely useful in the treatment of peripheral neuropathy as well.

Pregabalin: Pregabalin is an alternative for Amitriptyline that are usually prescribed by doctors for patients who are unwilling to take Amitriptyline because of its side-effects. A newer version of the medication is known as Lyrica. Both may be extremely effective for neuropathy.

Pain clinic Henderson NVDuloxetine: Duloxetine is a  medication that can prove to be quite effective in treating neuropathic pain caused due to diabetes. Similar to the Amitriptyline, the Duloxetine was also developed for treating depression but has proved itself to be excellent for managing the pain caused by peripheral neuropathy.

Lidocaine Patch: Lidocaine patches are sometimes advised by Las Vegas pain clinics for reducing the pain felt by the patients of this disorder. These patches are soaked in the topical anesthetic named Lidocaine and can help in relieving the pain.

A person can use anywhere from one to four of these patches for managing the severe pain throughout the course of a day. There are other topical pain medications which can help substantially.

Therapies

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Spinal Cord Stimulator

Besides pain medications, several therapies are also indicated by the doctors for alleviating the pain caused by peripheral neuropathy. The following are some of the best pain management therapies that are available to the patients of this disorder.

TENS: Transcutaneous Electrical Nerve Stimulation or TENS is one of the devices that are considered an effective means of managing neuropathic pain. This device sends electrical signals to the nerves present in the area where you are experiencing the pain through adhesive electrodes. These electrical signals interrupt the pain signaling mechanism of the nerves, thus alleviating the pain felt by the patient.

Spinal Cord Stimulator: This has been a revolutionary treatment for those with peripheral neuropathy. Studies have shown that a spinal cord stimulator may not only decrease the amount of pain being experiencePain clinic Las Vegasd, but also may help restore some sensation that had been lost from the neuropathy. The treatment has been an excellent option for those with diabetic neuropathy especially.

In short, there is no single best pain management technique for peripheral neuropathy. A combination of the many available treatment methods is thus, a better option to use for managing the pain in a better manner.

Top Las Vegas and Henderson pain management clinics Innovative Pain Care offers several Board Certified doctors. These doctors offer both medication management and interventional procedures to bring neuropathy patients a very high success rate for pain relief.

Over 50 insurance plans are accepted, call (702) 323-0553 for more information and scheduling today!

What are the steps in Getting a Spinal Cord Stimulator?

A spinal cord stimulator is an electronic device used for lessening the pain caused by sciatica, complex regional pain syndrome and arachnoiditis as well as other chronic pain syndromes such as failed back surgery or post laminectomy syndrome. Spinal Cord Stimulator Las Vegas

It is basically an instrument that stimulates the nerve fibers and breaks up the pain signals from reaching the brain. The stimulation provided by the spinal cord stimulator is a low voltage current that is transmitted through multiple small wires which are connected to a pulse generator.

For the stimulator to work it has to be placed inside the patient’s body with a minor surgical procedure. The following are the steps that are involved in getting a spinal cord stimulator.

Trial Stimulation

The first step in getting a spinal cord stimulator is to undergo a trial stimulation. This is conducted to check if the placement of the stimulator is going to help you in lessening Las Vegas pain clinicyour pain or not.

During this procedure a lead is inserted into the patient’s spinal canal percutaneously with an external generator providing it the current for stimulating the nerve fibers. Usually you will be given a local aesthetic for this procedure and will be over within an hour. You cannot be completely put out, since the Las Vegas pain management doctor will need input from you during the procedure after lead placement.

Test Simulation

Once the leads have been properly placed, the Henderson pain management doctor is going to try different stimulation settings to find out which one suits your pain the best. During this step, the pain management doctor in Las Vegas is going to ask you to describe the amount of pain you are feeling or the location where you are feeling the tingling sensation caused by the stimulation. This feedback is going to be used for programming the pulse generator according to your pain needs.Pain Management Clinic Las Vegas

The lead is left in place and comes out of the skin and is secured with a sterile dressing. It is left in place for 5 to 7 days to see how well it is going to work. If the trial stimulation is successful and you experience a substantial decrease in your pain, you will be scheduled for the permanent placement of the stimulator.

One additional step typically required for approval of the final SCS is a psychology evaluation. This can help uncover any concomitant mental health issues such as depression that may need treatment as well.

Final Placement

For final placement, patients llie down on an operating table and will be under general anesthesia. This will be followed by shaving the areas where the leads and the generator have to be placed.

Placement of the Leads

After the initial prepping is done, the next step is the placement of the leads. This task is going to be performed with the help of fluoroscopy and the leads are going to be placed in the epidural space of your spinal canal after making a small incision. Best pain clinic Las Vegas

Suturing is done to ensure the leads remain secure. The decision regarding the number of leads to be placed is entirely up to your LV pain doctor.

Placement of the Extension Wire

In this step, the pain management doctor is going to place an extension wire connecting the leads to the pulse generator. This extension wire will be tunneled through the soft tissues to an area above the buttock area just under the skin reaching the spot where the pulse generator will be placed.

Placement of the Pulse Generator

This is the last step of the surgery in which the pulse generator (doubles as a battery) is placed in a secure fashion inside the patient’s body usually in between the layers of skin and muscle of his buttock area. Before closing the incisions and applying the dressing, the pulse generator is going to be connected with the extension wire.

The newest spinal cord stimulators have a rechargeable battery that is able to be recharged through the skin. It’s amazing!

Las Vegas pain clinic Innovative Pain Care offers several Board Certified pain doctors at several locations in Las Vegas and Henderson. Over 50 insurance plans are accepted!

For the best pain management Las Vegas has to offer, call (702) 323-0553 for more information and scheduling today!

FAQs on Spinal Cord Stimulation from a Las Vegas Pain Clinic

Who can benefit from a spinal cord stimulator?
A spinal cord stimulator, also known as a neurostimulator, is meant for those dealing with chronic intractable pain that has been unresponsive to other treatments. This may be an individual dealing with failed back or neck surgery in which further surgery is not Pain Clinics in Las Vegasrecommended.
It also may be an individual dealing with post laminectomy syndrome or post thoracotomy syndrome along with other types of chronic back or neck pain. Maybe even RSD or diabetic neuropathy.

Willy a neurostimulator cure my pain?

A neurostimulator is not going to cure your pain. It can help it dramatically, but the purpose of a stimulator is to mask an individual’s pain when there is no treatment that will cure the problem. While spinal cord stimulators are extremely effective for pain management, their underlying purpose is only to mask pain and not cure it.

How long have spinal cord stimulators been around?

The first neurostimulators were created in 1967, so 45 years ago. The FDA has approved of these devices and they have gone through many improvements over the decades. The improvements have come in the form of better leads, better programming, better Pain Management Las Vegasgenerators, better batteries and a smaller profile.

How effective are spinal cord stimulators?

Overall the effectiveness is excellent. Studies have shown that for chronic back or leg pain the overall effectiveness is 62%. However, if the problem can be treated earlier for chronic pain, within a couple years for instance, the effectiveness rises to over 75%.

For an individual who is dealing with chronic pain that has not been helped by significant other treatments, 75% is a very, very good number. There was also a recent study presented regarding cervical spinal cord stimulators which also showed a high amount of effectiveness for chronic neck conditions.

Is a Spinal Cord Stimulator similar to a TENS Unit?

A stimulator is very different than a TENS unit. A Tens unit it is an external device that emits Pain Management Henderson NVslight electrical impulses through foam pads on the skin. It is placed directly over the area of pain and can work to mitigate pain and decrease the amount of pain medication necessary.

A spinal cord stimulator also works by electrical impulses, but these units are placed subcutaneously under the skin with leads that go right around the spinal cord for maximum effectiveness. Most tens units are not covered by insurance anymore, but are cost-effective and less then $150 or so.
Spinal cord stimulators, however, are covered by insurance and typically cost in the range of $15,000.

Are there risks associated with spinal cord stimulators?

There is a low risk profile associated with stimulators. There is a slight risk of infection along with the risk that the lead placed will shift and need to be fixed. There are other risks of anesthesia and one of the biggest risks is that the pain will not be masked sufficiently.

Overall, the benefit of neurostimulators far outweighs the risks, especially in those who arePain Doctors Las Vegas at the “end of the line” with treatment options.

If you or a loved one is suffering from significant chronic pain that has not responded to Las Vegas Pain Management options, and surgery is no longer an option, let the Nevada Pain Network help you. The Network connects those in pain with Pain Management Las Vegas and Henderson trust.

Call (702) 323-0553 for more information and scheduling today with pain clinics in Las Vegas!