Indications for Neurostimulation
Neurostimulator Implant at the Institute of Advanced Therapies (IIAT)
A neurostimulation system is indicated for spinal cord stimulation (SCS) as an aid in the management of chronic, intractable pain of the trunk and/or limbs, including unilateral or bilateral pain associated with the following conditions:
- Failed Back Syndrome (FBS) or low back syndrome
- Radicular pain syndrome or radiculopathies resulting in pain secondary to FBS or herniated disk
- Postlaminectomy pain
- Multiple back operations
- Unsuccessful disk surgery
- Degenerative Disk Disease (DDD)/herniated disk pain refractory to surgical interventions
- Peripheral causalgia
- Epidural fibrosis
- Arachnoiditis or lumbar adhesive arachnoiditis
- Complex Regional Pain Syndrome (CRPS), Reflex Sympathetic Dystrophy (RSD), or causalgia
Patients with Failed Back Surgery Syndrome (FBSS) have failed to obtain long-term pain relief, even after treatment with a variety of therapies, including oral medication, nerve blocks, corticosteroids injection, physical therapy, chiropractic care, fixation surgeries and repeated surgeries. Neurostimulation can lower the medical costs of FBS over time, by reducing office and emergency department visits. Other benefits are:
- SCS pays for itself within 2.1 years.
- Medications tend to stabilize or decrease
- Activities of daily living increase
- Some patients are able to return to meaningful employment.
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