The pathway to receiving a Spinal Cord Stimulation implant is heavily influenced by the expertise of the physician in patient selection, implant technique and follow up care.

 

 

Identifying appropriate candidates requires a careful assessment by a multidisciplinary team, and an examination of the patient’s expectations and goals and personal commitment.

 

The patient’s dedication to follow the programme set by the clinical team will determine the success of the treatment.

 

The following is a series of video presentations detailing the stages required for the implanting of a Spinal Cord Stimulator.

Patient Pre-Op Planning & Preparation

 

 

Surgery: Stage One

 

 

Surgery: Stage Two

 

 

Criteria for Spinal Cord Stimulation consideration

 

  • Chronic, intractable pain for more than 6 months

  • Objective evidence of pathology concordant with pain complaint

  • Lack of adequate relief from more conventional treatments

  • Initial or further surgical intervention not indicated

  • No contraindications to therapy or surgery

  • Patient can properly operate system

  • Patient understands therapy risks

  • Therapy and function goals have been established

  • Satisfactory results from screening test

  • Patient is not pregnant

  • No untreated drug habituation

  • Clearance and completion of psychological evaluation

  • 18 years of age or older  

 

 

Prohibited Activities

Following Stage One Surgery these activities are prohibited for up to 3 months

 

  • Taking a shower or bath - first 3 weeks post op only

  • Lifting not more than 5lbs – 2.2kg

  • Bending stretching, climbing or extended reaching

  • Climbing too many stairs, or sitting for too long at one time.

  • Sexual activity

  • Operating power equipment or heavy machinery

  • Having your back manipulated by a chiropractor

The Success of your Spinal Cord Stimulator depends on your commitment to the programme

PATHWAY TO SPINAL CORD STIMULATION

Dr. Declan O'Keeffe

Pain Clinic

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