© Therapeutic Pain Management Medical Clinic 2016 - Site created by Dr. Dhruva 1335 Buenaventura Blvd, Ste 100, Redding, CA 96001. T: (530) 247-7246; (530) 24-7-P-A-I-N.   F: (530) 245-0849   email: mail@TPMclinic.com
Therapeutic Pain Management Medical Clinic (TPM) Improving Quality of Life
Dorsal Column Stimulator (DCS) or Spinal Cord Stimulator (SCS) FAQ’s The   following   Frequently   Asked   Questions   and   the   answers   are   for   the   Dorsal   Column   Stimulator.      The   following   material   is   given   as   general   information   only, and is not to be considered as medical advice or consultation.  What is a Dorsal Column or Spinal Cord Stimulator? Dorsal   Column   Spinal   Cord   Stimulator   is   a   specialized   electronic   device,   which   stimulates   nerves   or   spinal   cord   by   tiny   electrical   impulses   via   small   electrical   wires placed on the top of spinal cord. Am I a candidate for Dorsal Column Stimulator? Currently   at   TPM,   Dorsal   Column   Spinal   Cord   Stimulator   is   offered   to   patients   with   chronic   and   severe   neuropathic   pain,   who   have   not   responded   to   other treatment   modalities.   Neuropathic   pain   being   pain   due   to   damaged   nerve   tissue.   All   potential   patients   will   have   to   pass   a   one-time   psychological   evaluationa   and also will need authorization from the insurance company. What is the purpose of it? This device interrupts nerve conduction (such as conduction of pain signals) to brain. How long does the procedure take? It   is   done   in   two   stages.   In   the   first   stage,   temporary   wires   are   placed   and   an   external   device   is   used   by   the   patients   to   generate   electrical   current.   This   takes about an hour. If this trial is successful in relieving pain, then the permanent device is recommended. How is it actually performed? The   wires   are   placed   under   x-ray   guidance   and   a   local   anesthetic   like   novocaine   is   used   to   numb   the   skin   and   deeper   tissues.   The   procedure   is   performed   in   the operating room to maintain sterility. Will the procedure hurt? The   procedure   involves   inserting   a   needle   through   skin   and   deeper   tissues   (like   a   “tetanus   shot”).      So,   there   is   some   discomfort   involved.   However,   we   numb   the skin   and   deeper   tissues   with   a   local   anesthetic   using   a   very   thin   needle   prior   to   inserting   the   needle.   Most   of   the   patients   also   receive   intravenous   sedation   and analgesia, which makes the procedure easy to tolerate. Will I be “put out” for this procedure? The   placement   of   the   wires   is   done   under   local   anesthesia   with   patients   mildly   sedated.   This   is   necessary   to   ensure   proper   placement   of   the   wires.   The   amount of sedation given generally depends upon the patient tolerance. How is the procedure performed? It   is   done   with   the   patient   lying   on   the   stomach   when   placing   the   wires.      The   patients   are   monitored   with   EKG,   blood   pressure   cuff   and   blood   oxygen-monitoring device.  The skin is cleaned with antiseptic solution and then the procedure is carried out. X-ray (fluoroscopy) is used to guide the needle for wire placement. Where are the wires inserted? Where is the generator placed? For   the   pain   involving   lower   back   and   lower   extremities,   the   wires   are   inserted   in   the   midline   at   the   lower   back.   The   generator   is   then   placed   on   the   side   of   the abdomen.  For the pain involving upper extremities, the wires are inserted in the midline at the upper back. The generator is then placed on the side of the chest. What should I expect after the procedure? If   the   procedure   is   successful,   you   may   feel   that   your   pain   may   be   gone   or   quite   less.   You   will   experience   a   fairly   constant   sensation   of   stimulation.   You   may   have soreness due to the needles used for a day or two. What should I do after the procedure? This   procedure   is   normally   a   day-procedure.   Some   patients   may   be   kept   overnight   for   observation.   You   should   have   a   ride   home.      We   advise   the   patients   to   take it easy for a day or so after the procedure. Perform the activities as tolerated by you. How long will the generators last? Depending upon how much the device is used (intensity and duration), the batteries in the generator may last 8 to 10 years. Will the Dorsal Column Spinal Cord Stimulator help me? It   is   very   difficult   to   predict   if   the   procedure   will   indeed   help   you   or   not.   For   that   reason   temporary   wires   are   placed   to   determine   if   this   device   will   be   effective   to relieve your pain or not. Typically, patients will have a 50 to 75 % reduction in their pain. What are the risks and side effects? Generally   speaking,   this   procedure   is   safe.   However,   with   any   procedure   there   are   risks,   side   effects,   and   possibility   of   complications.      Please   discuss   your concerns with your physician. Who should not have this procedure? If you are on a blood thinning medication (e.g. Plavix®, Coumadin®), or if you have an active infection going on, you should not have the procedure.
© Therapeutic Pain Management Medical Clinic 2016 Web designed and  created by Dr. Dhruva
Therapeutic Pain Management Medical Clinic Improving Quality of Life
Dorsal Column Stimulator (DCS) or Spinal Cord Stimulator (SCS) FAQ’s The   following   Frequently   Asked   Questions   and   the   answers   are   for   the   Dorsal Column   Stimulator.      The   following   material   is   given   as   general   information   only, and is not to be considered as medical advice or consultation.  What is a Dorsal Column or Spinal Cord Stimulator? Dorsal   Column   Spinal   Cord   Stimulator   is   a   specialized   electronic   device,   which stimulates   nerves   or   spinal   cord   by   tiny   electrical   impulses   via   small   electrical wires placed on the top of spinal cord. Am I a candidate for Dorsal Column Stimulator? Currently   at   TPM,   Dorsal   Column   Spinal   Cord   Stimulator   is   offered   to   patients with   chronic   and   severe   neuropathic   pain,   who   have   not   responded   to   other treatment   modalities.   Neuropathic   pain   being   pain   due   to   damaged   nerve   tissue. All   potential   patients   will   have   to   pass   a   one-time   psychological   evaluationa   and also will need authorization from the insurance company. What is the purpose of it? This   device   interrupts   nerve   conduction   (such   as   conduction   of   pain   signals)   to brain. How long does the procedure take? It   is   done   in   two   stages.   In   the   first   stage,   temporary   wires   are   placed   and   an external   device   is   used   by   the   patients   to   generate   electrical   current.   This   takes about   an   hour.   If   this   trial   is   successful   in   relieving   pain,   then   the   permanent device is recommended. How is it actually performed? The   wires   are   placed   under   x-ray   guidance   and   a   local   anesthetic   like   novocaine   is used   to   numb   the   skin   and   deeper   tissues.   The   procedure   is   performed   in   the operating room to maintain sterility. Will the procedure hurt? The   procedure   involves   inserting   a   needle   through   skin   and   deeper   tissues   (like   a “tetanus   shot”).      So,   there   is   some   discomfort   involved.   However,   we   numb   the skin   and   deeper   tissues   with   a   local   anesthetic   using   a   very   thin   needle   prior   to inserting   the   needle.   Most   of   the   patients   also   receive   intravenous   sedation   and analgesia, which makes the procedure easy to tolerate. Will I be “put out” for this procedure? The   placement   of   the   wires   is   done   under   local   anesthesia   with   patients   mildly sedated.   This   is   necessary   to   ensure   proper   placement   of   the   wires.   The   amount of sedation given generally depends upon the patient tolerance. How is the procedure performed? It   is   done   with   the   patient   lying   on   the   stomach   when   placing   the   wires.      The patients    are    monitored    with    EKG,    blood    pressure    cuff    and    blood    oxygen- monitoring   device.      The   skin   is   cleaned   with   antiseptic   solution   and   then   the procedure   is   carried   out.   X-ray   (fluoroscopy)   is   used   to   guide   the   needle   for   wire placement. Where are the wires inserted? Where is the generator placed? For   the   pain   involving   lower   back   and   lower   extremities,   the   wires   are   inserted   in the   midline   at   the   lower   back.   The   generator   is   then   placed   on   the   side   of   the abdomen.      For   the   pain   involving   upper   extremities,   the   wires   are   inserted   in   the midline at the upper back. The generator is then placed on the side of the chest. What should I expect after the procedure? If   the   procedure   is   successful,   you   may   feel   that   your   pain   may   be   gone   or   quite less.   You   will   experience   a   fairly   constant   sensation   of   stimulation.   You   may   have soreness due to the needles used for a day or two. What should I do after the procedure? This    procedure    is    normally    a    day-procedure.    Some    patients    may    be    kept overnight   for   observation.   You   should   have   a   ride   home.      We   advise   the   patients to   take   it   easy   for   a   day   or   so   after   the   procedure.   Perform   the   activities   as tolerated by you. How long will the generators last? Depending    upon    how    much    the    device    is    used    (intensity    and    duration),    the batteries in the generator may last 8 to 10 years. Will the Dorsal Column Spinal Cord Stimulator help me? It   is   very   difficult   to   predict   if   the   procedure   will   indeed   help   you   or   not.   For   that reason   temporary   wires   are   placed   to   determine   if   this   device   will   be   effective   to relieve your pain or not. Typically, patients will have a 50 to 75 % reduction in their pain. What are the risks and side effects? Generally   speaking,   this   procedure   is   safe.   However,   with   any   procedure   there   are risks,   side   effects,   and   possibility   of   complications.      Please   discuss   your   concerns with your physician. Who should not have this procedure? If   you   are   on   a   blood   thinning   medication   (e.g.   Plavix®,   Coumadin®),   or   if   you have an active infection going on, you should not have the procedure.