Who Is a Good Candidate for a Spinal Cord Stimulator?

July 14, 2024

Spinal cord stimulators are an effective device for managing chronic pain. However, not everyone experiencing chronic pain is a suitable candidate for this surgical technique. Identifying the right candidates is crucial for ensuring successful outcomes and maximizing the benefits of spinal cord stimulation. Below, we explore the key factors that determine who is a good candidate for a spinal cord stimulator at Greater Austin Pain Center.

Chronic Pain Conditions That Make You a Candidate for Spinal Cord Stimulation

Spinal cord stimulators are particularly effective for specific types of chronic pain. Patients with conditions such as Failed Back Surgery Syndrome (FBSS), where previous back surgeries have not alleviated pain affecting the spinal nerves, often find significant relief with this device. Similarly, those suffering from Complex Regional Pain Syndrome (CRPS), a chronic pain condition affecting a limb, can benefit greatly. 

A SCS device can treat various chronic pain conditions, including chronic back pain, neck pain, and leg pain. Moreover, neuropathic pain, or nerve pain, which results from nerve damage, is also commonly treated with spinal cord stimulation. These conditions are characterized by their persistence and resistance to other forms of treatment, making them suitable candidates for SCS treatment.

Previous Treatment History

Before considering a spinal cord stimulator, patients must have explored other pain management treatments. This may include medications, nerve blocks, and other pain relief options. 

The criteria for candidacy include a thorough evaluation to ensure that these treatments have been unsuccessful in providing adequate relief. This history is important to establish that less invasive methods have been exhausted and that the potential benefits of a spinal cord stimulator outweigh the possible risks.

Psychological Evaluation

Psychological health plays a significant role in the effectiveness of spinal cord stimulators. Chronic pain can affect mental well-being, and psychological factors can influence pain perception and treatment outcomes. Therefore, a psychological assessment is a crucial part of the candidacy evaluation for the SCS device.

This assessment helps determine if patients have realistic expectations and are mentally prepared for the implantation process and the following lifestyle adjustments. A positive mental outlook and the ability to cope with chronic pain are important for achieving successful results with spinal cord stimulation. Good candidates will pass the evaluation and move on to the next step of the process.

Physical Health Considerations

Candidates for spinal cord stimulators must meet certain general health requirements to undergo the implantation procedure safely. Good overall physical health is essential to reduce the risk of complications during and after surgery. 

Certain conditions, such as infections, bleeding disorders, or severe spinal malformation, might contraindicate the use of a spinal cord stimulator. A comprehensive medical evaluation ensures that the patient is physically capable of withstanding the nerve stimulation procedure and the recovery process for the best likelihood of a successful outcome.

Patient Lifestyle and Commitment

Successful spinal cord stimulation requires a commitment from the patient. This includes understanding and adhering to the trial period, which involves temporarily testing the device to assess its effectiveness. Patients must participate in regular follow-up appointments and perform necessary device maintenance. This commitment ensures that the spinal cord stimulator correctly manages pain signals. A proactive and engaged patient is more likely to experience significant benefits from the treatment.

Pain Characteristics

The nature of a patient's pain also influences their suitability for spinal cord stimulation. The therapy is most effective for pain that is localized to a specific area, such as the back or limbs, rather than widespread pain. Assessing the intensity and patterns of the pain helps determine if it aligns with the conditions typically managed by spinal cord stimulators. Accurate characterization of the pain allows for better customization of the therapy, enhancing its effectiveness and the patient's overall experience.

Realistic Expectations

Setting realistic expectations is essential for patients considering spinal cord stimulation. Patients need to understand that the goal is to reduce pain to a manageable level, allowing for increased activity and better daily functioning. Educating patients on what spinal cord stimulators can and cannot achieve helps foster a positive and realistic outlook, contributing to greater satisfaction with the treatment.

Age and Activity Level

Age and activity level are important factors in determining candidacy for spinal cord stimulation. While there is no strict age limit, younger patients may benefit from the therapy's potential to provide long-term pain relief and improve their ability to engage in daily activities. Similarly, active individuals who desire to maintain a certain level of physical activity may find spinal cord stimulators particularly beneficial. These factors influence the treatment's overall suitability and expected outcomes, ensuring that it aligns with the patient's lifestyle and goals.

Preparing for a Consultation

Preparing for a consultation with a pain management specialist involves gathering relevant medical records and considering key questions to ask during the appointment. Discussing all available treatment options and understanding the potential benefits and risks of spinal cord stimulation is important. Thorough preparation ensures a productive and informative consultation, helping patients make well-informed decisions about their pain management and treatment plans.

Find Out if You Are a Candidate for a Spinal Cord Stimulator Today

Spinal cord stimulators offer a promising solution for managing chronic pain in Kyle, TX, but careful candidate selection is essential for achieving successful outcomes. Factors such as the type of chronic pain, previous treatment history, psychological and physical health, lifestyle commitment, pain characteristics, and realistic expectations all play a crucial role in determining suitability.

Patients are encouraged to consult with a professional pain doctor for a personalized assessment and to explore whether spinal cord stimulation is the right option for their pain management needs. For further consultation or to schedule an appointment, contact us to start your spinal cord stimulator trial and implantation at Greater Austin Pain Center today. 

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Curious about interventional pain treatments in Austin, TX? Join our doctors for an in-person lunch and learn session to find out more about these treatments and ask any questions you may have. This event will be 12–1pm, sign up below to receive more details and RSVP.

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