What Is Spinal Cord Stimulation?
Spinal cord stimulation (SCS) is a newer treatment for managing chronic pain that stops the pain signals coming from the spinal cord. It is specifically used in cases where the cause of the pain can’t be remedied.
Patients using SCS to manage their pain will have a spinal cord stimulation device surgically implanted in their spine. The device contains multiple components, including:
Neurostimulator Device
The neurostimulator device, also called a pulse generator, is surgically implanted below the skin of the upper buttock or abdomen and delivers mild electrical stimulations that the patient typically can’t feel.
Leads
Tiny stimulating medical wires, also known as electrodes, are attached to the neurostimulator device that sends the stimulation to the epidural space near the spine. When the leads send their signals over the spinal cord, pain signals can’t communicate, and pain is blocked.
Physician Programmer
Handheld Programmer
This device resembles a remote control that patients can use to adjust their stimulation. The patient can change the stimulator’s function based on activities or varying pain levels.
How Does Spinal Cord Stimulation Work?
SCS provides pain relief by modifying pain messages before they reach the brain. The neurotransmitter device sends electrical pulses through the leads that can get to the brain faster than the body’s pain signals. As a result, patients undergoing SCS should feel a tingling sensation instead of pain.
Once implemented, patients can use their remote control or handheld programmer when they feel pain. The remote control can adjust the location and strength of the electrical stimulation. For example, patients can change their stimulation levels for different activities or days when they feel more or less pain.
Is Spinal Cord Stimulation Effective?
Research status and treatment decisions
Research into emerging medical approaches is ongoing. Early laboratory findings, small studies, or preliminary clinical results do not establish that a product or procedure is safe or effective for every person with this condition. Treatment decisions should account for the quality of the evidence, regulatory status, known risks, established alternatives, and the patient’s individual medical history.
Questions to discuss with a licensed clinician
- What diagnosis has been confirmed, and what else could be causing the symptoms?
- Which established treatment options are appropriate, and what are their expected benefits and risks?
- What evidence supports the specific product or procedure being considered?
- Is the proposed use FDA-approved for this exact purpose or being studied in a registered clinical trial?
- What side effects, costs, follow-up needs, and alternatives should be considered?
This article provides general educational information and is not medical advice. It does not diagnose, treat, cure, or prevent any condition, and it does not promise a particular outcome.
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