Tags: back | pain | spinal | cord | stimulation

Spinal Cord Stimulation: Hope for Chronic Back Pain

By John Bachman and Nick Tate   |   Friday, 10 Jan 2014 09:25 AM

Back pain is among the most challenging health conditions to treat. Often the cause is difficult to pinpoint and relief is elusive for millions of Americans. But nationally known pain specialist Melanie Rosenblatt, M.D., says a non-drug treatment has been proven to help many chronic pain sufferers when other therapies haven't worked.
The technique — "spinal cord stimulation" — is particularly well-suited to people with nerve damage or who have had unsuccessful back surgery, Dr. Rosenblatt tells Newsmax Health.

"We find tremendous success in treating patients who've had back surgery and still have pain [due to] failed back syndrome or post-laminectomy syndrome," says Dr. Rosenblatt, who is featured in a new documentary called "Pain Matters" on the Discovery Channel. "It works very well for patients who have neuropathic injuries, that is nerve-type injuries of their lower extremities."

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The technique involves surgically implanting a device under the skin of a patient's back that delivers an electrical current to the outer part of the spinal canal, sending a signal to the brain that overrides the pain. Some people experience a tingling sensation, a sense of vibration, or even the feeling of receiving a massage — known as paresthesia — where they used to experience discomfort.

"If your pain is, let's say, in your back and right leg, you should feel this paresthesia … come on exactly where your pain is, in your back or down your right leg," says Dr. Rosenblatt, whose South Florida practice specializes in pain management. "Your body and your brain can't perceive both that vibration and the pain at the same time."

She likens the experience to rubbing a painful injury, noting that the same biophysical principles are at work with spinal cord stimulation.
"You know when you bang your leg on the table and you rub it … and it doesn't hurt, and as soon as you stop rubbing it hurts again? That is because that rubbing feeling is overriding the pain feeling. You're tricking the pain into not feeling the pain," she explains.
Dr. Rosenblatt adds that the procedure is comparable to an epidural during labor. It carries no risks of side effects beyond those for any surgical procedure (such as bleeding and infection). And most insurance companies cover it, as does Medicare.
In addition, patients can undergo a preliminary trial to see if works before having surgery. In an office procedure, a temporary stimulation device is implanted under the skin so patients can try it out for a few days at home. If it proves effective, they can return for the 45-minute surgery to have the device surgically implanted.
"It's like taking a test drive," she says.  "We encourage patients to have trials because if you don't try it you don't know if it's going to work.
"So a lot of people say, 'Well, I don't want to have another operation.' But if you have the trial and then you experience what it's like — hopefully you have great pain relief —you'll be like 'How soon can I get this in?' "
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Back pain is one of the most challenging conditions to treat and relief is elusive for millions of Americans. But a non-drug treatment can help many chronic pain sufferers when other therapies haven’t worked.

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