Best Spinal Cord Stimulator in New Jersey

Spinal cord stimulators are placed in patients with low back and leg pain even after multiple back surgeries, Complex Regional pain syndromes, chronic neuralgia or neuropathy and more recently diabetic neuropathy. Spinal cord stimulator is an implanted device that sends pain inhibitory signals into the spinal cord. The best spinal cord stimulator in New Jersey utilized at Mainland Pain Management is considered a successful treatment for addressing spinal cord pain. The device consists of thin wires (electrodes) and battery pack which is similar to pacemaker (generator). The electrodes are placed using needles into epidural space under fluoroscopy guidance. They are then connected to a generator. The advantage of spinal cord stimulator is you can test drive the device. Before a decision is made to permanently implant the device the physician will perform a “trial”. Trial is placing the electrodes in the epidural space using needles. The generator sits outside your body at this stage and this is a totally reversible process. Once you are happy with the results of the trial, you will be scheduled for an implant. This procedure is usually performed under general anaesthesia.

Spinal cord stimulators (SCS)

Spinal cord stimulator is an implanted device that sends low levels of electric signals to the spinal cord to alleviate pain. This treatment is used in cases where more conservative measures (physical therapy, chiropractors, epidural, facet injections, medications) have failed. It is a two part procedure, first one is a trial and then second is the actual implantation of the device. SCS can reduce pain, improve function and sleep, sometimes adjuncts may be needed with spinal cord stimulators.

What is a spinal cord stimulator and how does it work?

The device consists of thin wires with active electrodes at the tip and a generator which when connected to the wires sends electrical signals. The electrodes are placed in the epidural space which is the space between the spinal column and spinal cord. The generator is usually taped around the lower abdomen or buttocks in the trial phase and placed under the skin in the implant phase. The device comes with a remote, which allows the patients to turn on the stimulator when they are in pain, it also allows them to change the settings.
Traditional spinal cord stimulators replace pain sensations with light tingling, however the newer devices are available for patients who do not like these sensations, so that they don’t feel any paresthesia.

Who is a candidate for spinal cord stimulator

Spinal cord stimulator in New Jersey is a treatment that is used in patients where conservative measures have failed to provide any pain relief.
Indications of spinal cord stimulators include but are not limited to

  • Back or neck pain after surgery (post laminectomy syndrome)
  • Post surgical pain
  • Arachnoiditis (inflammation of the lining of spinal cord)
  • Injuries to spinal cord
  • Peripheral vascular disease
  • Complex regional pain syndrome
  • Pain after amputation

Visceral pain

Spinal cord stimulator improves pain, sleep, function especially if used in conjunction with physical therapy, medications, exercise, relaxation techniques. Every patient is different but spinal cord stimulators are more of a benefit to people:

  • Who have failed conservative measures
  • Who do not have any untreated mental health issues such as depression, bipolar disorder, mania, substance use disorders.

Types of spinal cord stimulators

There is a wide variety of SCS available most commonly they can be rechargeable or non rechargeable, they can be dorsal column or dorsal root.

The exact type and choices will be discussed with you by the physician and then the representative will explain more about the device.

Spinal cord stimulator procedure

It is a two step procedure,

  • The first step is also called a trial where the generator is not implanted and you get to test the system before getting any implant.
  • The second part is the actual surgery where the generator and leads are placed under the skin.

How to prepare

If you are a candidate for spinal cord stimulator you should already have your required X rays and MRI of spine, you might have already tried PT, Injections and medications.

You will be sent for psychological evaluation for any untreated mental health disorders

Your physician will need to know if you have complicated medical or surgical history. Let your physician know of any heart or respiratory or neurological problems in the past. Also give them a complete list of medications and allergies. It is important to tell them if you are on anticoagulants or blood thinners. If you are on heart medications and or anticoagulants the physician will consult with your cardiologist or neurologist if it’s safe for you to hold blood thinners.
There might be additional blood tests involved including your blood count or CBC, electrolytes or BMP and PT/INR/PTT for coagulation profile

On the day of procedure

  • You will be asked to not eat anything 8 hours prior to procedure
  • You can have all your medications with a sip of water or pulpless apple juice. You can have black coffee up to 2 hours prior to procedure
  • You will need to hold blood thinners, the provider will provide you information regarding what medications need to be held, and for how long, prior to the procedure.
  • You will need a responsible adult to bring you to and from the procedure as you will not be able to drive 24 hours of the procedure

The procedure is usually performed using deep sedation or general anaesthesia, typically you will talk to the anaesthesia team or sedation team prior to the procedure. There will be bandages around the site of the procedure. You will be prescribed pain medications for any procedure related

Spinal cord stimulator trial

The first step is a trial. The surgeon places temporary electrodes in the epidural space using fluoroscopy and then these electrodes are connected to an external generator to alleviate pain. Usually the trial leads are placed for 7-10 days, where you are expected to resume your normal activity at home and see if you get adequate pain relief. The location of your pain will determine where the electrodes will be placed in your spine.
Trial incision is usually a single incision in your back. The trial is considered successful if you have 50 percent pain relief with functional improvement.
If unsuccessful the wire can be removed easily, and you don’t need any additional surgery.

Spinal cord stimulator implant

During the implantation, sterile electrodes are placed in the same space as the trial electrodes and connected to a generator which is now placed under the skin in the predetermined area (The surgeon will ask you the preferred site for the generator in the preoperative area).
Implantation is an outpatient procedure where you go home the same day, it is usually a 1-2 hour surgery.
The procedure is performed under sterile conditions. After the local anaesthesia is administered the surgeon will make an incision in the back and place electrodes under fluoroscopic guidance. Then another incision is made for the generator placement. After the system is tested the incisions are closed with sutures.

Spinal cord Stimulator recovery

You can go home after the surgery and recovery from anaesthesia. Avoid pulling, stretching, lifting after the surgery. Dressings will be there on incisions, which can be removed after 3-4 days. Incisions heal 2-4 weeks after surgery.
Light activity is encouraged 2 weeks after surgery, you can walk about the day after surgery. Once approved by the surgeon, you can drive or work after the surgery.
It is best to avoid soaking, swimming pool for 2 weeks after the surgery.
You will be following up with the surgeon 2-3 weeks after surgery for suture removal.

Spinal cord stimulator complications

  • Infection
  • Bleeding
  • Device migration
  • Device damage
  • Dural puncture
  • Spinal cord trauma

Long term follow up questions

  • You can get X rays and CT scan after stimulator placement
  • You can reach out to device representative if you need an MRI
  • At airports your device can set off the alarm, you will get a card stating you can bypass the machine
  • It is advised to turn off the device while driving
  • If you are not happy with the device it can easily be removed surgically.

To get the advanced treatment using the best spinal cord stimulator in New Jersey for chronic pain alleviation, consult at Mainland Pain Management.

FAQs - Frequently Asked Questions

What is Spinal Cord Stimulation?

Ans. Spinal cord stimulation sends modest electrical impulses to the spinal cord, interrupting pain signals and replacing them with a tingling sensation. These impulses are produced by a tiny device implanted beneath your skin. This is an advanced non surgical treatment used to provide pain relief.

To get the best spinal cord stimulator in New Jersey, book an appointment at Mainland Pain Management with Dr. Dipty Mangla. The expert pain management specialist uses this for back or neck pain, post surgical pain, arachnoiditis, injuries to spinal cord, and many more.

What Happens During Spinal Cord Stimulation?

Ans. During a spinal cord stimulation, the electrodes are positioned between the spinal cord and the vertebrae (the epidural space), and the generator is positioned beneath the skin, typically near the buttocks or abdomen. When patients experience pain, spinal cord stimulators send electrical impulses using a remote control. This is an interventional as well as a non-invasive method used to treat pain.

Consult Mainland Pain Management for advanced therapy with the best spinal cord stimulator in New Jersey for chronic pain relief.

What Precautions Should be Taken with a Spinal Cord Stimulator?

Ans. Some activities should be restricted after spinal cord stimulator treatment to allow you to recuperate. Within the first two weeks, do not:

  • Lift things weighing greater than five pounds
  • Perform strenuous physical exercise such as twisting, bending, or climbing.
  • Raise your arms above your head, if you have fresh leads placed.
  • Pulling or jiggling the leads
  • Avoid soaking, swimming, etc.

To get detailed precautions guidelines, you can consult Dr. Dipty Mangla a leading pain management physician at Mainland Pain Management.

What are the Risks of Spinal Cord Stimulation?

Ans. Spinal Cord Stimulator is an advanced pain relief treatment. But just like any other treatment it does carry some risks. It includes complications such as risk of infection, leads breaking or malfunction, leads moving out of position, injuries from broken or displaced leads.

What is the Most Common Complication of the Spinal Cord Stimulator?

Ans. Spinal cord stimulator implantation is an outpatient procedure that can provide pain relief to people suffering from a variety of chronic pain syndromes. As per NCBI, the complication rates of spinal cord stimulation have been reported to range from 5.3% to 40%. With mechanical hardware failure being the most common cause. Lead migration is the most common mechanical problem.

What is the Success Rate of the Spinal Cord Stimulator?

Ans. Spinal cord stimulator outcomes are dependent on cautious patient selection, successful trial stimulation, competent surgical technique, and patient education. Stimulation does not treat the underlying cause of the pain. Rather, it aids patients in managing their pain. SCS is regarded as successful if pain is cut in half or less.

As per the published research on spinal cord stimulation by NCBI, it demonstrates that it provides good to excellent long-term pain alleviation in 50 to 80% of chronic pain sufferers. To avail of the benefits of the best spinal cord stimulator in New Jersey, book an appointment at Mainland Pain Management with Dr. Dipty Mangla.

How long is a Hospital Stay for a Spinal Cord Stimulator?

Ans. Wires (leads) will be placed under your skin and stretched into the space above your spinal cord. These wires will be linked to a small current generator outside of your body that you will carry around with you like a cell phone. The process is an outpatient procedure that takes between 1 and 2 hours. After the leads are installed, you will be able to return home.

To get the best spinal cord stimulator in New Jersey, you can consult Dr. Dipty Mangla at Mainland Pain Management.

Can You Live a Normal Life with a Spinal Cord Stimulator?

Ans. Yes, one can lead a normal life with a spinal cord stimulator. While there are no specific permanent activity restrictions following the permanent implant, patients are urged to use caution in order to safeguard their device and keep the leads from breaking or migrating. To get the advanced treatment consult the expert pain management specialist Dr. Dipty Mangla.

Can you Shower while Wearing a Spinal Cord Stimulator?

Ans. Swimming and showering are typical issues for stimulator patients. The good news is that if you have a permanent stimulator, you can jump in the pool, lake, or ocean and submerge yourself in water. However, a trial stimulator must not be damp, especially when using fresh sutures.

How Do You Sleep After Receiving a Spinal Cord Stimulator?

Ans. Sleeping on your back. When it comes to sleeping with a spinal cord stimulator, sleeping on your back with a pillow under your knees is the greatest approach to prevent pain and your risk of developing a post-procedural problem. This gives much-needed support to the cervical and thoracic spines, which may alleviate your post-surgery pain.

Is it Safe to Travel While Wearing a Spinal Cord Stimulator?

Ans. You can fly securely with spinal cord stimulator devices in any configuration. The device, however, will be detected when you pass through airport security. Bring documentation of your medical implant with you to avoid disagreement when you go through the x-ray machine.

Who is Not a Good Candidate for Spinal Cord Stimulator?

Ans. When your body is otherwise healthy, spinal cord stimulation works best. Here are a few reasons why you would consider deferring SCS:

  • You suffer from an untreated bleeding problem.
  • You have a cardiac pacemaker (especially a demand type).
  • You experience depression.
  • You suffer from a mental ailment or disability.
  • You are addicted to drugs or alcohol.

To know more or to get the best spinal cord stimulator in New Jersey, please contact us at +1 (609) 788-3626 or mail us at info@mainalnd-pain-management.com to schedule an appointment.

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