Neuromodulation

Neuromodulation refers to the use of electrical, chemical, or mechanical stimuli to alter the function of the nervous system. The effect of a neuromodulator is to modify the activity of the nervous system, altering pain perception and other physiological responses. This technique is commonly used to treat chronic pain, movement disorders, and other neurological conditions that have not responded to traditional treatments. At Lighthouse Spine Centers, our physicians have extensive expertise in performing neuromodulation procedures for various painful conditions. These procedures include spinal cord stimulation, peripheral nerve stimulation, and dorsal root ganglion stimulation. It involves the implantation of small devices that deliver electrical stimuli to targeted areas of the nervous system. Neuromodulation is a safe and effective way to manage chronic pain. With the expertise of our physicians at Lighthouse Spine Centers, patients can receive personalized care and treatment plans to improve their quality of life.

What is Neuromodulation 

Neuromodulation involves the implantation of a small device that delivers electrical impulses to specific areas of the nervous system to modulate pain perception.

Neuromodulation works by targeting the nerves that transmit pain signals and altering their activity. For example, electrical impulses can stimulate the production of endorphins, which are natural painkillers produced by the body. Additionally, electrical impulses can block the transmission of pain signals to the brain by modulating the activity of the nerves. Neuromodulation can be used to treat a wide range of conditions, including chronic back and neck pain, neuropathic pain, complex regional pain syndrome, and chronic abdominal and pelvic pain.

Some common neuromodulation techniques include: 

Spinal cord stimulation (SCS): This involves the implantation of a small device that delivers electrical impulses to the spinal cord to block pain signals. Conditions that could benefit from spinal cord stimulation include postlaminectomy syndrome, CRPS, Painful diabetic neuropathy, small fiber neuropathy, pain due to endometriosis, and pain due to pancreatic cancer.

Peripheral nerve stimulation (PNS): This involves the implantation of a small device that delivers electrical impulses to peripheral nerves to block pain signals. PNS can be helpful for neuropathic pain, and joint pain that was not successfully relieved with other prior treatments. 

Dorsal root ganglion stimulation (DRG): This involves the implantation of a small device that delivers electrical impulses to the dorsal root ganglion, which is a cluster of nerves located near the spinal cord that is involved in the transmission of pain signals. Conditions that might benefit from DRG stimulation are CRPS, Ilioinguinal neuralgia, and postherpetic neuralgia.

The duration of pain relief provided by neuromodulation varies depending on the individual patient and the type of procedure. In some cases, patients may experience long-term pain relief that lasts for months or even years. In other cases, the effects may be shorter-term and require periodic adjustments to the device or treatment plan.

Procedure Process 

The procedure for neuromodulation is performed in several steps, which may vary depending on the type of neuromodulation being used. First, the patient undergoes a trial procedure, during which a temporary lead is inserted into the target area of the nervous system. This allows the patient to test the effectiveness of the treatment before undergoing the permanent implantation of the device. During the trial, the patient will wear a small external device that controls the electrical or chemical impulses. If the trial is successful, the permanent device is implanted in a minor surgical procedure. The procedure is typically performed under local anesthesia or sedation, and the patient is awake during the important parts of the procedure. The surgeon will make a small incision and insert the lead through a needle. The impulse generator device is typically implanted under the skin, in the upper buttock area, or in the abdomen.

Neuromodulation is typically performed on an outpatient basis, meaning that the patient can return home the same day. The procedure typically takes several hours, including preparation and recovery time.

Recovery Process

After a neuromodulation procedure, patients can expect to experience some discomfort or soreness at the site of the implant for a few days. They may also experience some bruising, swelling, or redness at the incision site. Patients can take over-the-counter pain medication, such as acetaminophen or ibuprofen, and use ice to reduce swelling and relieve pain.

Patients should avoid strenuous activity or heavy lifting for several weeks after the procedure. They should also avoid bending or twisting the area where the implant was placed. Patients should follow their doctor's instructions on how to care for the incision site and any specific activity restrictions.

Some potential complications of neuromodulation include infection, bleeding, and device failure. Patients should contact their doctor if they experience any unusual symptoms or if they have concerns about the implant or the recovery process.

Patients can typically return to normal activities within a few weeks after the procedure, but this may vary depending on the individual patient and the type of procedure performed. It is important to follow the doctor's instructions on when it is safe to resume normal activities. With proper care and follow-up, neuromodulation can provide long-lasting pain relief and improve the patient's quality of life.

Benefits of Neuromodulation 

Neuromodulation has several benefits, including providing long-lasting pain relief, improving mobility and function, and reducing the need for more invasive treatments. By modifying the activity of the nervous system, neuromodulation can reduce pain perception and improve the overall quality of life. It is a reversible treatment option that can be adjusted as needed, making it a flexible and effective treatment for a variety of conditions. Neuromodulation is also minimally invasive and can be performed on an outpatient basis, which can reduce the risk of complications and shorten recovery time. Overall, neuromodulation is a safe and effective treatment option for many patients suffering from chronic pain or other neurological conditions.

Consultation and Preparation 

At Lighthouse Spine Center, the process for getting neuromodulation will involve an initial consultation with a specialist to determine if the patient is a good candidate for the procedure. We will review the patient's medical history and perform a physical examination. We will also ask about the patient's symptoms and any previous treatments they have tried for their condition. The patient may also be asked to undergo additional testing, such as imaging or nerve tests, to help the specialist determine the best location for the implant and to ensure that the patient's condition is suitable for neuromodulation. Based on this information, the specialist will determine if neuromodulation is an appropriate treatment option for the patient. If the patient is a good candidate for the procedure, the specialist will provide detailed information about the procedure, including the risks and benefits, and what to expect during the recovery process. They will also provide instructions on how to prepare for the procedure, such as avoiding certain medications or fasting before the procedure. The patient will typically need to arrange transportation to and from the procedure and have a responsible adult with them for the rest of the day.

Overall, the consultation and preparation process for getting neuromodulation at Lighthouse Spine Center is thorough and designed to ensure that patients receive the best possible care and achieve the best possible outcomes from their treatment. Patients can expect to receive personalized attention and support throughout the entire process.

Conclusion 

If you are suffering from chronic pain or a neurological condition and have not found relief from traditional treatments, neuromodulation at Lighthouse Spine Center may be the solution you've been searching for. Our team is dedicated to providing personalized, comprehensive care to help you manage your pain and improve your quality of life. To learn more about neuromodulation and to find out if it is a suitable treatment option for you, we encourage you to schedule a consultation with us today. Our team will take the time to listen to your concerns, evaluate your medical history and symptoms, and develop a treatment plan tailored to your individual needs. 

Don't suffer from chronic pain any longer - take the first step towards relief by booking an appointment or contacting our team at Lighthouse Spine Center today.