Last Updated on January 8, 2025 by
Living with chronic pain can make everyday life more difficult and impact overall well-being. For those seeking new ways to manage persistent discomfort, innovative approaches are continually being explored to provide relief. These methods focus on addressing various types of chronic pain and aim to improve overall quality of life. Below, we’ll dive into one of these techniques called spinal cord stimulation, how it works and who might benefit from it as part of their pain management journey.
What is Spinal Cord Stimulation?
Spinal cord stimulation involves the use of a small device implanted in the body. This device delivers mild electrical currents to specific nerves located in the spinal cord. These currents interfere with pain signals, aiming to reduce the intensity of pain before it reaches the brain.
The device is composed of a pulse generator and insulated wires called leads. Leads are positioned near the spinal cord, while the pulse generator is implanted in a pocket under the skin, often in the lower back or buttocks. Patients use an external controller to adjust the stimulation settings or turn the device on and off.
Before permanent implantation, a trial phase allows patients to test the device for a few days to confirm it provides sufficient pain relief. Only those with successful trial outcomes proceed with permanent implantation.
How Does SCS Manage Pain?
To understand SCS, it’s helpful to know how pain and the nervous system function. Typically, pain acts as a warning signal, alerting the body to potential harm. Chronic pain can persist long after an injury heals or occur without an identifiable cause. This prolonged pain may result from changes in the nervous system that amplify pain signals or cause sensations in response to non-painful stimuli.
Spinal cord stimulation delivers low electrical currents to disrupt pain signals traveling on nerve pathways. Think of it as creating “traffic” on a busy communication line—pain signals have a harder time getting through.
This technology has been used with various chronic pain conditions, including persistent back pain, complex regional pain syndrome (CRPS), and post-laminectomy syndrome, also referred to as persistent spinal pain syndrome.
Who Can Receive SCS Treatment?
SCS is often recommended for individuals whose chronic pain does not improve with less-invasive treatment options. These may include physical therapy, medication, or injection therapies. A wide range of conditions may make someone a candidate for SCS, such as ongoing back pain, nerve pain (neuropathic pain), and pain following surgical procedures like laminectomy.
Candidates are typically referred for SCS by pain specialists after other methods prove ineffective. Before implantation, patients undergo evaluations by a multidisciplinary team, which may include neurologists, psychologists, and neurosurgeons. This helps the patient to be physically and mentally prepared for the procedure.
Is SCS Right for You?
Spinal cord stimulation is a tool in chronic pain management, offering possibilities for individuals searching for greater control over their discomfort. With a structured trial phase and the ability to personalize settings, SCS may pave the way for better pain experiences. To explore next steps or determine if SCS is a suitable option for your situation, speak to a trusted pain management provider or healthcare professional. They can assess your condition and guide you through the decision-making process tailored to your specific needs.
