![]() ![]() If in doubt, cancel and reschedule your procedure until you can confirm that you are not pregnant.Īrrive 30 minutes early and come with someone that can give you a ride home. Exposure to X-ray (used during spinal procedure) is known to result in birth defects and possible miscarriage. Do a Urine Pregnancy Test the night before your spinal injection and report the results to the nurse before the procedure. Make sure you are not pregnant at the time of procedure. You must be healthy and off all antibiotics on the day of the procedure. Please let us know if you have had fevers, antibiotic treatment, any illness, or hospitalization within the last 4 weeks. NSAIDS to be held include Ibuprofen, Motrin, Naproxen, Advil, Nabumetone, Diclofenac, Etodolac, Indomethacin, Ketorolac, Meloxicam, Piroxicam, Ketoprofen, Oxaprozin, Aspirin). Herbal blood-thinners NSAIDS (see sample below) Continue to take all other medications, especially your Blood Pressure and diabetes medications.Ī sample of medications that must be held includes: ![]() ![]() Ask your PCP /Cardiologist if it is safe to stop such medication before the procedure. A list of such medications is on the last few pages of this educational material. Hardware issues like lead migration, lead fracture, IPG failure may develop soon after surgery requiring a revision or removal.Ĭertain medications have to be held before elective spinal procedures. A list of potential complications includes: infection, bleeding, blood clot, injury to blood vessels, nerves or spinal cord injury, poor wound healing. Complications can develop at the time of surgery or in the days, weeks or months following the surgery. Permanent implant complications can be related to anesthesia, surgery or the hardware. The list of indications is expanding as the technology improves.Ĭomplications: Potential complications of the Trial include infection, spinal fluid leakage, bleeding, lead fracture and lead migration. Other indications include severe neuropathy, phantom leg pain and intractable angina. ![]() Indications: Main indications are persistent pain after spinal surgery (Failed Back Syndrome, Post-laminectomy syndrome) and complex regional pain syndrome (CRPS, RSD). The permanent implant is similar to a pace maker and it is all internal and the functions and recharging is done through the skin. If the trial is successful, the doctor would recommend the permanent stimulator implantation which is a 75 minute minor surgical procedure. The device is then programmed and the patient will go home for a trial run which will last 3-7 days. Then the electrode is connected to an external stimulator that the patient can control. The pain physician will first insert a temporary electrode through a needle and place the electrode parallel to the nerves in the back. The trial is done to see if it will help the pain. The treatment is divided into two phases a trial period (7 days) followed by the permanent implantation. These pulses interfere with the nerve impulses that make you feel pain. In either, a small pulse generator sends electrical pulses to the nerves (in peripheral nerve stimulation) or to the spinal cord (in spinal cord stimulation). There are two types of stimulators, peripheral nerve stimulators and spinal cord stimulators. The first SCS was implanted in the 60’s for the purpose of managing pain. This treatment may help manage the pain, restore function, decrease the need for oral pain medications, and improve one’s quality of life. If the chronic pain isn't responding to rehabilitation, injection treatments, other surgical options or medications (or patient cannot tolerate the side effects), the pain physician may recommend neuromodulation through spinal cord stimulator as a way of treating the pain. Chronic pain can result from an injury scarring in surgical area surgery that may have caused nerve damage spinal conditions such as degenerative disc disease or other causes. Spinal cord stimulation (SCS) is a pain-relief technique that delivers a low-voltage electrical current continuously to the spinal cord to block the sensation of pain.Ĭhronic pain is ongoing or recurrent pain lasting longer than the time of normal healing for an illness or injury, (more than 3 to 6 months). ![]()
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