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Spinal Cord Stimulator SCS

Third tier advanced pain therapy for chronic severe neuropathic pain that has exhausted all other treatments and modalities. The SCS creates an electrical field arround the posterior spinal column and modulates the pain signal perceived by the Central Nervous System (CNS). The nerve pain is converted to a soothing, tingling buzzing sensation.

Spinal Cord Stimulator is used for the following conditions:

  • Failed Laminectomy Syndrome
  • Spinal Stenosis without operative options
  • Chronic Radiculapathy
  • Reflex Sympathetic Dystrophy
  • Generalized Peripheral Neuropathy

How does Spinal Cord Stimulation work?

SCS is an electrical modulation of the spinal cord signaling perceived by the Central Nervous System by stimulating the dorsal column fibers. The SCS lead is placed via the epidural space and configured to provide adequate coverage. A trial is done first in order to test the outcome prior to permanent implantation (i.e. a test run).

What to expect from the Trial Run

A screener will be attached to the electrode leads in the epidural space. An electrical impulse will be delivered and configured to cover one's normal pain with a soothing tingling sensation. You will be awake during the trial leads configuration to ensure adequate pain coverage. You will leave the trial with an external battery pack and remote control to continue to monitor pain coverage for 3-5 days.

Implantation of the Spinal Cord Stimulator

  • A trial is deemed successful if the patient reports a 50% reduction in pain, improved function and less opiate use.
  • Cognitive ability and motivation to use this device.
  • Realistic expectations of benefits and limitations.
  • Psychological clearance to rectify any underlying psychiatric impediments (i.e. depression and anxiety).
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  • Interventional Procedure "Dr. Safman is caring and communicates well. The discomfort from the spinal injection is very minor. She makes it an easy procedure." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Dr. Charlu and his team was very nice and considerate. Dr Charlu did a good job and I feel better." Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "Such a great staff and doctors" Provider: Balaji (Bobby) S Charlu MD
  • Spinal Injections Epidural/Facet "They answered every question and took a genuine interest and concern for me." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Very useful and effective way to stay in contact with medical team and to get questions answered." Provider: Balaji (Bobby) S Charlu MD
  • Pain Management "Lindsay always shows a lot of insight when reviewing my needs. She's courteous, professional and still has the personal touch. She feels like a friend as well as a physician assistant." Provider: Lindsay Charlu Baumhefner PA-C
  • Pain Management "I can talk easily with both Dr. Safman and Naomi. They seem very caring." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Cared about me during procedure." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Very positive experience, she even remembered me from several years ago." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "The office seams to run so efficiently. I hardly waited at all. Everyone seems genuinely concerned for my comfort and about my recovery. Best doctor/doctor's office I have ever been to." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Prompt response to any of my concerns." Provider: Kimberly Safman MD
  • Spinal Injections Epidural/Facet "Dr Safman and her team were extremely attentive and professional. They made every attempt to see that I was comfortable and at ease with the procedure. I have the utmost confidence in Dr Safman and her associates. Plus, they have a great sense of humor w ..." Provider: Kimberly Safman MD
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