This is done either surgically or through the skin under radiographic guidance. Depending on the location of your pain, the electrodes are placed in the neck, upper or lower back region of the spinal cord. How is the Procedure of Dorsal Column Stimulator Performed?Ī dorsal column stimulator consists of electrodes, a battery-operated pulse generator, a remote control device and connecting wires. DCS acts either by blocking the pain impulse pathway or by stimulating the production of endorphins (chemical substances produced by the body that decrease the sensation of pain). It is used to treat chronic disabling pain such as failed back surgery syndrome and complex regional pain syndrome, which show little or no improvement with other treatments such as medication or surgery. The first stage is an outpatient procedure using local anesthetic.The dorsal column stimulator (DCS) or spinal column stimulator is a device that relieves chronic pain associated with spinal nerves through electrical stimulation. There are two stages to the spinal cord stimulator implantation. What to Expect During and After Spinal Cord Stimulator Implantation If you are given a prescription for pain medication, have it filled prior to surgery. You will need to make arrangements for transportation after the surgery is complete. You will be asked to fast for eight hours before the procedure, generally after midnight. You will be given instructions in advance that will outline what you should and should not do in preparation for the surgery be sure to read and follow those instructions. Also, let your doctor know if you have heart, lung or other medical conditions that may need special attention, and, finally, if you have a history of bleeding disorders or if you are taking any anticoagulant (blood-thinning) medications, aspirin, or other medications that affect blood clotting. It is particularly important to inform the physician of all medications or vitamins taken regularly or if you are pregnant (or think you might be pregnant). Patient Preparation for Spinal Cord Stimulator ImplantationĪ physical examination will be performed along with blood tests, chest X-rays and EKGs. Recovery times vary, depending on how quickly your body heals and your pain level, but you should be able to return to normal activities within six weeks. Most patients return home the same day as the procedure or the next morning. It is usually a two-stage procedure: There is a trial stimulator that will determine if the SCS will work for the type of pain you’re experiencing and where to place the stimulator. Spinal cord stimulator implantations are performed at a hospital by a neurosurgeon who specializes in pain management. Spinal cord stimulators are used to deliver electrical pulses to the spinal cord to mask pain signals before they reach the brain. This procedure is recommended for patients with chronic pain after more conservative measures - medication, physical therapy, surgeries, injections - have failed to provide adequate relief. Spinal cord stimulator (SCS) implantation is a procedure in which a small electrical device is placed under the skin near the spine. Spinal Cord Stimulator Implantation Cost and Procedure Introduction The Sally Balin Ambulatory Surgical Center Hospital of the University of Pennsylvania Lourdes Medical Center of Burlington CountyĬhristiana Care Health Services, Cchs Short Procedure Unit Leonard Dzubow Ambulatory Surgical Center Holy Redeemer Hospital and Medical Center Mercy Philadelphia Hospital Short Procedure Unit St Joseph's Hospital - Short Procedure Unit Kennedy Memorial Hospitals - University Medical Centerĭelaware Valley Orthopedic and Spine Surgicenter Virtua Memorial Hospital Burlington County Compare Spinal Cord Stimulator Providers in Philadelphia, PA FacilityĬancer Treatment Centers of America at Eastern Reg
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