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[ultimate_heading main_heading=”What is Spinal Cord Stimulation (SCS)?” main_heading_color=”#313132″ alignment=”left” main_heading_font_family=”font_family:Montserrat|font_call:Montserrat” main_heading_font_size=”desktop:30px;” main_heading_line_height=”desktop:36px;”][/ultimate_heading]

Spinal Cord Stimulation (SCS) is a well-established pain treatment which has been used globally for over 30 years. It involves implanting a small device which delivers mild electrical pulses to the spinal cord. These pulses modulates the transmission of pain signals to the brain, thus reducing pain.

SCS treats chronic neuropathic pain by using different frequencies of electrical stimulation. Traditionally, SCS systems used low frequencies of stimulation, producing a “tingling” sensation along with the desired pain relief. Recently, new patterns of stimulation have been developed and successfully tested in clinical trials, offering improved long-term pain relief and absence of stimulation-induced sensations.

Orthopaedic Specialists have always embraced cutting edge technology. This is reflected in our choice of offering the most advanced SCS systems which offer improved pain relief, full MRI compatibility and the ability to deliver the treatment continuously during sleep and while driving. Among our SCS offer, we use a high-frequency stimulation system (HF10, Senza II),  developed by Nevro: it is the only individual SCS device to be subject to comprehensive, independent evidence review and is the first and only SCS therapy to receive NICE endorsement from the Medical Technologies Advisory Committee (MTG41).

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SCS systems are intended to aid in the management of chronic pain, including unilateral or bilateral pain associated with the following:

  • Back and/or leg pain persisting and/or recurring after one or more spine surgeries (Failed back surgery syndrome – FBSS)
  • Intractable low back or upper neck pain not responsive to other non-invasive therapies in subjects not candidate for spine surgery, with or without extremities pain
  • Chronic nerve pain resulting from a nerve damage in either the upper or lower extremity (i.e. as a complication from diabetic neuropathy, or as resulting from traumatic nerve damage)
  • Chronic abdominal pain in individuals without a surgically amendable pain cause
  • Complex regional pain syndrome (CRPS)
  • Chronic pain following surgery (i.e. groin pain after hernia repair, or trunk pain following breast or lung surgery)
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SCS systems work by delivering electrical energy from a small, implanted device to an area around your spine. Patients first go through a trial phase where you and your consultant evaluate the therapy to see if it is right for you.

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During the trial phase, you will temporarily use an external trial stimulator, which is not implanted in the body.

These trials usually last between 1-2 weeks. Patients undergo a minimally invasive procedure under sedation where leads are placed directly into the spine, through a small hole which is made in the skin. A trial device is then worn externally for 1-2 weeks under clothes or on a belt. The system is customised for your pain and you are given multiple programmes to try over the course of the week/weeks. At the end of this week you meet with the consultant again for a feedback session where you are asked questions about your function, pain relief and overall health to evaluate if the trial was successful in treating your pain. Only after a successful trial, your consultant will discuss with you the implantation of a battery-powered device after the trial phase.

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During a minimally invasive procedure, a small device is implanted under the skin, just above the beltline or in the buttocks area. It is connected to thin, flexible wires, just like those used in the trial, which are placed near the spine. It is also possible your consultant may recommend an alternative approach using either a different type of wire or battery location according to your unique clinical needs, and this might require a slightly different procedure.

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SCS systems are intended to aid in the management of chronic pain, including unilateral or bilateral pain associated with the following:

  • Back and/or leg pain persisting and/or recurring after one or more spine surgeries (Failed back surgery syndrome – FBSS)
  • Intractable low back or upper neck pain not responsive to other non-invasive therapies in subjects not candidate for spine surgery, with or without extremities pain
  • Chronic nerve pain resulting from a nerve damage in either the upper or lower extremity (i.e. as a complication from diabetic neuropathy, or as resulting from traumatic nerve damage)
  • Chronic abdominal pain in individuals without a surgically amendable pain cause
  • Complex regional pain syndrome (CRPS)
  • Chronic pain following surgery (i.e. groin pain after hernia repair, or trunk pain following breast or lung surgery)
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[ultimate_heading main_heading=”Frequently asked questions” main_heading_color=”#002245″ alignment=”left” main_heading_font_family=”font_family:Lato|font_call:Lato|variant:regular” main_heading_style=”font-weight:normal;font-style:normal;” main_heading_margin=”margin-top:0px;margin-bottom:10px;” main_heading_font_size=”desktop:22px;” main_heading_line_height=”desktop:28px;”][/ultimate_heading]

I’ve tried everything. Why should I try this?

SCS has been proven to deliver significant and long lasting pain relief from chronic back and leg pain than other SCS systems. It has also proven successful for people who have had surgery or tried other pain therapies.

Is it safe?

Yes. All the SCS systems offered here at Orthopaedic Specialists deliver stimulation that doesn’t interfere with normal sensory perception, cognitive abilities, or motor functions. It doesn’t interact with medications you are currently taking or require major surgery, and it is completely reversible.

How long will the temporary evaluation trial last?

The trial typically lasts about 1-4 weeks, depending on your doctor’s guidance and the need for adjustments to tailor the stimulation pattern to your unique clinical needs.

Will I feel anything?

No. Unlike old, traditional SCS systems, Orthopaedic Specialists uses SCS systems which do not create a tingling sensation (also known as paraesthesia).

How will my doctor know if it’s working?

You will be involved every step of the way, giving your doctor feedback and making sure the SCS system is programmed to meet your clinical needs.

Will it interfere with sleep or driving?

Yes. Unlike the previous generation of SCS systems, Orthopaedic Specialists uses SCS systems that can be used while driving and that can remain on while sleeping.

Do I need to change my medication?

SCS therapy may reduce or eliminate the need for pain medications, however always discuss medications with your doctor prior to making adjustments.

Can I turn it off if I need to?

Yes. The system includes a remote-control device that lets you turn your stimulator off and on. However, 99% of patients keep their therapy on all the time.

Can I have an MRI with a permanent implanted?

The device has conditional MRI approval therefore you can have an MRI, however only under certain conditions.

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