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Pain Treatments

Leg Pain Treatments Neurostimulation

Leg Pain Treatments

Neurostimulation for Leg Pain: Effective Relief and Treatment

What is Neurostimulation?

 

Neurostimulation is a cutting-edge treatment that uses electrical impulses to modulate nerve activity and reduce pain. This minimally invasive procedure provides significant relief for patients suffering from leg pain by targeting the affected nerves and disrupting pain signals before they reach the brain.

How Neurostimulation Works

 

Neurostimulation involves the implantation of a small device that delivers electrical pulses to the nerves in the leg. These pulses interfere with the transmission of pain signals, reducing the sensation of pain. The device can be adjusted to deliver the optimal level of stimulation for each patient, ensuring personalized and effective pain management.

Benefits of Neurostimulation for Leg Pain

 

Did you know?

All of our pain treatment specialists in New York, Clifton, West Orange & Paramus NJ are Board Certified in Pain Management and Harvard Trained.

To ensure a safe and effective treatment, book an appointment
with an experienced Board Certified Leg Pain Treatment Doctor.

What to expect from Neurostimulation Procedures for Leg Pain

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Leg Pain Relief through Neurostimulation

There are two phases of the neurostimulation procedure:  first the minimally invasive trial phase and then the implant phase.  The trial phase allows you to try out the neurostimulation technology to see if it works for you, usually for 7 days.  If it provides effective pain relief, you can proceed to the implant phase.

Why is there a trial?

A trial period using a temporary neurostimulation system is generally performed before the neurostimulator is permanently placed.  A trial will help you and your pain specialist determine whether or not neurostimulation is a good option for you and whether you should have the neurostimulation device placed for long term use.

Phase I: Trial Phase

The Trial Procedure
  • The neurostimulation trial is a minimally invasive procedure usually performed in a specialized procedure suite in your physician’s office or at an outpatient surgical center. The procedure is usually performed under local anesthesia or with light sedation to keep you comfortable.
  • There are no incisions during the trial phase and there is minimal recovery time.
  • First, the skin over the procedure site is thoroughly cleaned with a sterilizing solution, such as chlorhexidine, and sterile drapes are placed to keep the procedure area sterile and minimize the risk of infection.
  • The spine is visualized using a specialized type of x-ray, called fluoroscopy. Performing the procedure with fluoroscopic guidance improves the safety of the procedure and decreases disruption of surrounding tissues.
  • The skin and deeper tissues are thoroughly anesthetized using a local anesthetic like lidocaine to minimize any discomfort during the procedure.
  • A needle is used to access a specific area of the spine, the epidural space. The needle is slowly advanced and the appropriate needle placement is confirmed using fluoroscopy.
  • Once the target area is reached, thin insulated wires, called temporary leads, are positioned in the epidural space of your spine and will deliver electrical impulses to block your pain.
  • With some types of devices, your physician may test the device during the procedure to make sure the area of stimulation corresponds to the area where you are having pain.
  • After the procedure, the temporary leads are connected to a small battery, which is external and worn around the waist. During this phase of the procedure the battery is on the outside of the body, not permanently placed.
The Trial
  • After the procedure your doctor will be able to adjust stimulation levels using a handheld,  wireless programmer and check your response.  You will also learn how to control the handheld programmer so that you can adjust the stimulation independently and try out different programs during the trial, which typically lasts 7 days.
  • During the trial it is recommended that patients refrain from strenuous physical activity and avoid bending and lifting heavy objects.  Your doctor will also discuss special precautions to take when bathing.
  • At the end of the trial, regardless of whether or not you experienced good pain relief, the temporary leads will be removed.  This is a simple procedure usually performed in your doctor’s office. The trial may last approximately 7 days, during which time you can go about your usual daily activities and assess your level of pain control with the device.  

At the end of the trial, you and your doctor will have a discussion to decide if you want to proceed with placement of the permanent device.  If you do decide to go for it, here is what to expect during the second step.

Phase II: Permanent Placement Phase

Steps
  • The neurostimulation implant is a minor surgical procedure that does not alter your spinal anatomy and will be performed in a hospital or ambulatory surgical center.  This is an outpatient procedure and you can go home the same day.
  • Anesthesia for the procedure usually involves local anesthesia and deep sedation to keep you comfortable.
  • As in the trial phase, the skin is prepped in a sterile fashion, local anesthetic is administered, and the neurostimulation leads are placed in the epidural space under x-ray guidance.  Two small incisions (2 to 3 inches long) are made next to the spine and the neurostimulation leads are secured in the epidural space so they do not shift position.  
  • With some types of devices, your physician may test the device during the procedure to make sure the area of stimulation corresponds to the area where you are having pain.
  • A second incision is then made to create a pocket under the skin to implant the neurostimulator battery.  This incision is usually made in an inconspicuous area, such as the buttocks.
  • The neurostimulator leads are then tunnelled under the skin and connected to the battery.
  • The incisions are closed layer by layer and then sterile bandages are applied.
  • In the recovery room your doctor and a representative from the device company will review proper use of the neurostimulator handheld device, which you learned to use during the trial.  Patients generally go home the same day of the procedure.

Board Certified

Harvard Trained

Our Treatment Approach

At Pain Treatment Specialists, we take a comprehensive approach to treating leg pain with neurostimulation. Our experienced team will conduct a thorough evaluation to determine if you are a candidate for this treatment. If so, we will develop a personalized treatment plan that includes:

  • Consultation and Evaluation: Detailed assessment of your medical history and symptoms.
  • Trial Stimulation: A temporary neurostimulation trial to assess the effectiveness of the treatment.
  • Implantation: If the trial is successful, a permanent neurostimulation device will be implanted.
  • Follow-Up Care: Regular follow-up appointments to adjust the device and ensure optimal pain relief.
The suitability of this treatment for you depends on the type and severity of your pain, and how you respond to pain treatments. Your doctor may recommend it to you if:

Experiencing Pain?

Why Choose Pain Treatment Specialists?

  • Expertise: Our board-certified pain specialists have extensive experience in neurostimulation and leg pain treatment.
  • Advanced Technology: We use state-of-the-art neurostimulation devices and techniques.

Personalized Care: We prioritize your comfort and work closely with you to develop a treatment plan that meets your specific needs.

Take the First Step Toward Pain Relief

Don’t let leg pain control your life. Schedule a consultation with Pain Treatment Specialists today and discover how neurostimulation can provide the relief you need.

Our dedicated team is here to support you every step of the way!

Neurostimulation FAQ

What should I do to prepare for my treatment?

In preparation for your neurostimulation trial or permanent device, your physician will explain what to expect and may provide you with information about the procedure.  Your physician will determine if you have any medical conditions, such as diabetes or chronic infections, that need to be optimized prior to the procedure.   Your physician will also discuss any medications, such as blood thinners, that may need to be temporarily held before the procedure.  You will also have an opportunity to direct questions to a representative of the device manufacturer.  A psychological evaluation may also be done to determine if the treatment will be suitable for you.

What should I do after my treatment?

You can enjoy an active life after the implantation of the neurostimulator, but there are certain precautions to keep in mind. You should inform your other healthcare providers that you have a neurostimulation device. Depending on the specific device, there may be restrictions on the types of MRI you can have. Additionally, the device may need to be temporarily powered off before going through other medical procedures that use electrical equipment, as this may cause electromagnetic interference.
It is important to understand how to properly charge and adjust the neurostimulator device using the wireless programmer. Your doctor and the device representative will explain the different features to you.
Yourdoctor may advise you to avoid activities that put undue stress on the implanted device, such as extreme flexion or extension of your back. Patients are advised not to scuba dive below 10 meters of water or enter hyperbaric chambers above 2.0 atmosphere absolute.

Does this treatment option hurt?

The trial phase is performed under local anesthesia, usually with some sedation for your comfort.  The procedure area is thoroughly anesthetized with local anesthesia so there is minimal discomfort.  After the procedure patients can have some soreness at the procedure site; this is usually managed with non-prescription pain medications and resolves in a day or two. 

The permanent device placement is performed under deep sedation with local anesthesia.  IV pain medication is often given at the time of the procedure.  After the procedure you may initially feel some discomfort at the surgical site.  Generally, this post-procedure pain only lasts a few days and is managed with rest, ice, and pain medication for 2-3 days.

Can this treatment be treated if my pain returns?

The neurostimulator device is designed to provide long-lasting  pain relief and is only placed in the body after a successful trial.  Generally, once the device is implanted, you will continue to have good relief and only make minor programming adjustments using the wireless programmer.  If the device stops working for you or if your pain resolves and the device is no longer needed, it can be removed.  If you develop pain in a different part of your body not covered by the neurostimulator, an additional device can be implanted.  If the device is  removed from your  body and you want to have a new device implanted later on, this may be possible and you should discuss this with your physician.  Patients who have had a neurostimulator device for many years may be able to upgrade their device as newer, more sophisticated technology becomes available.

How long does this treatment take?

The first part of the neurostimulation procedure, the trial phase, generally lasts for 7 days.  The trial phase is followed by a short waiting period so that the previous insertion sites for the leads can heal.  This will also give you an opportunity to discuss your response to the trial phase with your physician and decide if you want to proceed with the permanent placement.   The implant procedure is a minimally invasive procedure that is performed in a hospital or ambulatory surgical center.  Generally patients are able to go home the same day of the procedure.  There is a short recovery period after which patients are able to return to their usual daily activities.

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Give us a call at (855) 383-7054

Experience pain relief asap

Dr. Laura Lombardi

Pain Doctor New Jersey
Harvard Medical School

Dr. George Hanna

Pain Doctor New York
Harvard Medical School

Dr. Michael Nguyen

Pain Doctor
Harvard Medical School

Dr. Shane Volney

Pain Doctor New York
Harvard Medical School

Dr. Jeffrey Deygoo

Pain Doctor New York & New Jersey
Hofstra-Northwell School of Medicine

Dr. Bhavika Patel

Pain Doctor New York
Wake Forest Baptist Medical Center
Leg pain neurostimulation ultima modifica: 2024-07-02T13:16:27-04:00 da David Abril