![]() A local anesthetic is applied to the skin where the electrode will be inserted, and the appropriate wires are inserted under the skin in the space above the spinal cord, similar to an epidural injection. To test whether electrical stimulation will be successful for a given patient, he or she is first given a trial stimulator. It may also be useful for those who have either had surgery and still suffer from pain, or where surgery is not an option. This kind of treatment is usually used in cases where other treatments like medicine, exercise, and/or injections have not been successful. Spinal cord stimulation, or SCS, is a medical treatment that involves the use of electrical signals to block pain nerves of the spine to greatly reduce the sensation of pain. One of the many options for back pain sufferers is spinal cord stimulation. In some cases, the pain is chronic and severe in a way that makes a person unable to work or function normally.įortunately, modern medicine offers a variety of treatments for the correction of spinal injuries and relief of related back pain. Whether an individual has a sudden fall that results in a herniated disc or is involved in a car accident that causes a vertebral fracture, the resulting pain and discomfort can keep a person from functioning normally. Furthermore, neck and arm pain can be equally disabling. Spinal Cord Stimulation: What Conditions Can It Treat & Is It Right for You?īack and leg pain is one of the most potentially debilitating conditions a person can endure, especially when it starts as the result of a serious spinal injury. Spinal Cord Stimulation for Chronic Back & Neck Pain.Lumbar Herniated Disc: What You Should Know.Ask the Experts: Which Tests Are Best for Diagnosing Low Back Pain?.Transforaminal Epidural Steroid Injections.The Experts Weigh In on Low Back Pain Treatments.Spinal Cord Stimulation & What Conditions it Can Treat.Cervical Facet Radiofrequency Neurotomy.Diagnosing & Treating Spinal Cord Injuries.Diagnosing & Treating Spondylolisthesis.A “Walking Time Bomb,” Now Back on Track.A Patient’s Perspective: Stefano Kaslowski.Diagnosing & Treating Spinal Schwannomas.Doctors Who Treat Spinal Compression Fractures.Surgery for Spinal Compression Fractures.Diagnosing & Treating Spinal Compression Fractures.Symptoms of Spinal Compression Fractures.Spinal Compression Fractures show submenu.Minimally Invasive Surgery for a Herniated Disc.Doctors Who Treat Ankylosing Spondylitis.Diagnosing & Treating Ankylosing Spondylitis.Physical therapy physiotherapy postoperative rehabilitation spinal cord stimulation.Ĭopyright © 2022. Further research is needed to fully appreciate the impact of an interprofessional approach to management of SCS patients, particularly following stimulator implantation. PT treatment protocol in patients with a recently implanted SCS device should be person-centered addressing individual needs, values, and goals. The authors therefore proposed recommendations for rehabilitation based upon a detailed understanding of SCS hardware alongside well-studied physiotherapy concepts.Ĭonsiderations when initiating PT in the SCS patient population should include: 1) biomechanics and quality of SCS output 2) therapeutic exercise and spinal manipulation in association with risk for lead migration and fracture 3) the application of therapeutic modalities and risk for injury to the patient and/or damage to the SCS componentry and 4) integration of a biopsychosocial, person-centered approach. The lack of data is the largest hurdle in the creation of formal SCS therapy guidelines. Presently, there is no literature to date which addresses the use of PT in this patient population. As the number of patients with SCS implants grow, it is vital to understand how to appropriately approach patients with implantable devices when additional treatments such as PT are prescribed.Ī literature search was performed on the use of PT following SCS implantation. Even though there is a lack of consensus among societies and experts on exact parameters of physical therapy (PT) considerations and postoperative limitations in patients with SCS, we propose rehabilitative care for this population should be standardized. ![]() This article was proposed to fill the gap in the literature addressing this specific patient population and to facilitate further research. Recent advances in technology have allowed for greater compliance with treatment and improved efficacy in pain control. Spinal cord stimulation (SCS) is an established therapy option in interventional pain medicine.
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