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SPINAL CORD STIMULATOR
Spinal cord stimulation (SCS) is a minimally invasive treatment that uses mild electrical pulses to mask pain signals sent to the brain. SCS is commonly used to treat pain from failed back surgery syndrome, complex regional pain syndrome, and other types of chronic pain such as post-surgical, diabetic neuropathy, or ischemic pain.
Self Pay Rate: $3,100
Spinal Cord Stimulator Trial Procedure:
The trial SCS is an outpatient procedure and can be done in a doctor's office or an outpatient facility. During the spinal stimulator trial procedure, your pain management doctor will place the temporary SCS trial implant using fluoroscopy.
Fluoroscopy is a medical imaging technique that uses X-rays to create real-time moving images of the internal structures of a patient's body. It is often used to assist doctors during surgical procedures, allowing them to see the inside of the body and guide their instruments with precision.
Based on the location of your pain, the SCS trial leads will be carefully and precisely placed in specific portions of your epidural space, which is the area surrounding the spinal cord.
Spinal cord stimulation leads are thin wires that are connected to a small device called a spinal cord stimulator, which delivers electrical impulses to the spinal cord. These impulses are what interfere with the pain signals that are sent to the brain.
For the SCS trial, the stimulator device will not be surgically implanted inside the body; only the lead wires will be placed fluoroscopically.
Spinal Cord Stimulator Implant And Lead Placement
After a successful spinal cord stimulation trial, you can move forward with a permanent implant procedure. The procedure requires minimally invasive surgery, but surgery nonetheless.
Please note that a permanent spinal cord stimulation implant can be removed in the future if necessary. Reasons for removal may include a change in the patient's medical condition or if the device is no longer effectively controlling the patient's pain.
Spinal Cord Stimulator Implant Procedure Steps:
01 Preoperative Preparation:
The patient is prepared for surgery, which involves cleaning the area where the generator will be implanted and administering local anesthesia to numb the area.
02 Placement of the Leads:
Dr. Tolman will make a small incision in the patient's back, carefully insert the leads through a needle or catheter, and place them in the epidural space surrounding the spinal cord. The leads are then secured in place with sutures.
03 Placement of the Generator:
Once the leads are in place, a small incision is made near the hip or abdomen, and the generator is implanted under the skin. Dr. Tolman will then connects the leads to the generator and tests the system to ensure it works correctly.
04: Closing the Incisions:
After the generator is in place, Dr. Tolman will close the incisions with sutures or surgical staples and cover them with a sterile dressing.
05: Postoperative Recovery:
After the procedure, the patient is taken to a recovery area, where they are monitored for a short period before being released. The patient can usually go home the same day or the day after the surgery.
