Spinal Cord Stimulator (SCS) in Castle Rock

What is Spinal Cord Stimulation?

Spinal Cord Stimulation (SCS) is a minimally invasive procedure used to manage chronic pain that has not responded to conventional treatments. The procedure involves implanting a small device that delivers mild electrical pulses to the spinal cord, interfering with pain signals before they reach the brain.

SCS can significantly reduce pain and improve the quality of life for patients suffering from neuropathic pain conditions, including failed back surgery syndrome, complex regional pain syndrome (CRPS), and nerve-related pain syndromes.

How does Spinal Cord Stimulation Work?

A small device, similar to a pacemaker, is implanted under the skin. This device sends electrical impulses to the spinal cord, modulating pain signals and reducing the sensation of pain. Most patients experience a 50-70% reduction in pain, allowing for improved function and reduced reliance on medications.

Who is a Candidate for Spinal Cord Stimulation?

SCS is designed for individuals with chronic pain lasting more than six months who have not found relief through other treatments, such as physical therapy, medications, or injections.

Candidates for SCS:

  • Persistent neuropathic (nerve) pain despite conservative treatments

  • Failed back surgery syndrome (FBSS)

  • Complex regional pain syndrome (CRPS)

  • Peripheral neuropathy

  • Chronic leg or arm pain due to nerve damage

  • Patients seeking a reversible, adjustable pain relief option

How Should I Prepare for Spinal Cord Stimulation?

Before undergoing the SCS surgery, a 4-7 trial period is conducted to assess effectiveness. During this time, a temporary stimulator is placed, and patients evaluate pain relief over several days.

Pre-Procedure Instructions:

  • Inform Dr. Carrera’s team of any medications, particularly blood thinners.

  • Avoid eating or drinking for several hours before the procedure.

  • Arrange for someone to drive you home after the procedure.

What Happens During Spinal Cord Stimulation?

  1. Trial Phase: A temporary stimulator is placed using a minimally invasive technique.

  2. Evaluation: Over several days, patients assess pain relief effectiveness.

  3. Permanent Implantation: If the trial is successful, the permanent device is implanted through a small incision.

  4. Programming: The device is adjusted to optimize pain relief.

Is Spinal Cord Stimulation Painful?

Most patients experience mild discomfort during implantation. Local anesthesia and IV sedation help minimize pain, and recovery is typically quick.

What Should I Expect After Spinal Cord Stimulation?

  • Mild soreness at the incision site is common.

  • Resume light activities within a few days.

  • Avoid strenuous activities for several weeks.

When Will I Experience Pain Relief?

Pain relief typically begins immediately after activation of the stimulator. Adjustments can be made to improve effectiveness.

How Long do the Benefits of Spinal Cord Stimulation Last?

SCS provides long-term pain relief as long as the device remains functional. Adjustments to stimulation settings can help maintain effectiveness over time.

What are the Risks of Spinal Cord Stimulation?

While generally safe, potential risks include:

  • Infection at the implant site

  • Device malfunction or displacement

  • Temporary nerve irritation

  • Mild bleeding or swelling

  • Scar tissue formation

Dr. Carrera uses advanced techniques to minimize risks and ensure the best possible outcomes.

Does Insurance cover Spinal Cord Stimulation?

  • Medicare and most commercial insurance providers cover SCS if conservative treatments have failed.

  • Coverage is based on medical necessity and trial success.

Who Performs Spinal Cord Stimulation?

SCS should be performed by a specialist trained in pain management. Dr. Carrera is double-board certified in interventional pain medicine and physical medicine & rehabilitation (PM&R), ensuring expert care.

Should I get a Spinal Cord Stimulator?

If you have persistent pain that has not responded to conservative treatment, you may be a candidate for Spinal Cord Stimulation. If you are wondering if this is the right treatment for you, a consultation with Dr. Carrera and his team can help determine your eligibility.

Patients in Castle Rock, Lone Tree, Highlands Ranch, Parker, Denver, and surrounding areas can schedule a consultation by calling 720-455-3775.