Neuromodulation

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What is Neuromodulation?

We offer a variety of central and peripheral neurostimulator options. Some are temporary with long term effects, others are longer term treatment options. Both peripheral and spinal cord stimulation intercepts signals to the brain that indicate pain. A pacemaker-like device is implanted onto the body and sends signals to the spinal cord. This procedure is useful for those with chronic back, leg, or arm pain.

How do you prepare for Neuromodulation?

Prior to your scheduled treatment, your healthcare provider will conduct a thorough evaluation of your medical history, current medications, and any underlying health conditions that may affect your eligibility for neuromodulation therapy. Depending on the specific type of neuromodulation being performed, you may be advised to discontinue certain medications or supplements that could interfere with the procedure or increase the risk of complications. Additionally, your healthcare provider may recommend fasting for a specified period before the procedure and arranging for transportation to and from the appointment, as sedation or anesthesia may be involved. It’s essential to follow any pre-operative instructions provided by your healthcare provider to ensure a safe and successful outcome.

Why is Neuromodulation performed?

Neuromodulation is performed to alleviate chronic pain conditions that have not responded adequately to conservative treatments such as medications, physical therapy, or injections. This advanced therapeutic approach involves the use of implanted devices, such as spinal cord stimulators or peripheral nerve stimulators, to modulate or interrupt pain signals traveling to the brain. Neuromodulation is particularly beneficial for individuals suffering from chronic back, leg, or arm pain, including those with conditions such as failed back surgery syndrome, complex regional pain syndrome, neuropathy, or spinal cord injury. By targeting the source of pain directly, neuromodulation can provide significant relief and improve overall quality of life for many patients.

What can you expect during Neuromodulation?

During a neuromodulation procedure, you can expect to be comfortably positioned on an examination table or surgical bed in a specialized procedure room. Depending on the type of neuromodulation being performed and your individual preferences, you may receive sedation or anesthesia to ensure your comfort throughout the procedure. Your healthcare provider will then make small incisions in the skin to implant the neurostimulator device and electrode leads in the targeted area, such as the spinal cord or peripheral nerves. Once the device is securely in place, it will be programmed to deliver electrical impulses to the affected nerves, modulating or blocking pain signals from reaching the brain. The entire procedure typically takes a few hours to complete, and you may be able to return home the same day or after a brief observation period.

What is the followup and recovery like for Neuromodulation?

After the procedure, you may experience some mild discomfort or soreness at the implantation site, which can typically be managed with over-the-counter pain medications. Your healthcare provider will provide detailed post-operative instructions, including guidelines for incision care, activity restrictions, and when to resume normal activities. It’s essential to attend all scheduled follow-up appointments to monitor the effectiveness of the neuromodulation therapy and make any necessary adjustments to the device settings. With proper care and adherence to your healthcare provider’s recommendations, you can expect to experience significant pain relief and improved function in the weeks and months following the procedure.

What are the potential risks for Neuromodulation?

Common risks of Neuromodulation may include infection, bleeding, or allergic reactions to anesthesia or implant materials. In some cases, device-related issues such as lead migration, hardware malfunction, or stimulation-induced side effects such as tingling, numbness, or muscle twitching may occur. Rarely, more serious complications such as nerve damage or spinal cord injury may occur, but these instances are exceedingly rare when the procedure is performed by experienced healthcare providers using appropriate safety protocols. It’s essential to discuss any concerns or pre-existing medical conditions with your healthcare provider before undergoing neuromodulation therapy to minimize the risk of adverse effects.

Are there related procedures to Neuromodulation?

While neuromodulation therapy is a highly effective treatment for chronic pain, there are several related procedures and techniques that may complement or enhance its effects. For example, nerve blocks or epidural injections may be used in conjunction with neuromodulation therapy to provide targeted pain relief for specific regions of the body. Additionally, other advanced pain management modalities such as intrathecal drug delivery systems or radiofrequency ablation may be considered for patients who do not respond adequately to neuromodulation therapy alone. Your healthcare provider can discuss all available treatment options with you and develop a comprehensive plan tailored to your individual needs and goals.

Meet Manhattan Pain Medicne, PLLC

Jason W. Siefferman, MD is board-certified in Physical Medicine and Rehabilitation (PM&R) and Interventional Pain Medicine. He is trained to offer a comprehensive diagnostic evaluation and treatment for anyone experiencing pain or a disability. He has published articles, book chapters, and persuasive essays surrounding many... Learn More »