Spinal cord stimulation

Sometimes the underlying cause of the problem cannot be treated directly. In this case altering the nerve activity through targeted delivery of a stimulus, such as an electrical stimulation to specific neurological sites in the body can provide a solution.
One of the most common examples is spinal cord stimulation (SCS). SCS consists of placing an electrical lead (or wires) in the epidural space. The lead is attached to a small generator device that is implanted under the skin.
The devices will deliver electrical impulses to the spine, with subsequent modulation of the pain signals in transit to the brain. These impulses often feel like a gentle tingling which replaces the pain sensation.

There has been significant advancement in technology, so that sometimes complete pain relief can be accomplished even without a tingling.
The patient her/ himself controls the strength and duration of the electrical impulses.

Testing phase before Implantation
Before implanting an SCS system a test stimulation is usually being performed. After thorough examination and explanation of the procedure we carefully implant a test electrode in the target region. Afterwards the effect will be tested for 1-2 weeks, which is done and in an outpatient setting. The patient can test the possible benefit in the comfort of their own home and perform daily chores. Depending on the test result the decision for or against the final implantation of an ACS is made.

Modulation of the autonomic nervous system
With the same spinal cord stimulation (SCS) the sympathetic nervous system can be altered as well.

Indications are:
• chronic regional pain syndrome (CRPS)
• pain in the lower abdomen (interstitial Cystitis)
• chronic abdominal pain (for example pancreatitis)
• arterial occlusion (for example pain in lower extremities, angina pectoris)

Invasive Stimulation of peripheral nerves
The same principal described above can be applied to peripheral nerves. In this case the electrode is implanted near the peripheral target nerve, followed by a test phase. If successful, the final lead and device are implanted.