Spinal Cord Stimulator is a totally implantable device that can block the pain signal from reaching the brain. In cases of peripheral neuropathy, including diabetic neuropathy, pain can be very challenging to control. In case-conservative treatment, including medications, that are not effective in controlling the pain, the spinal cord stimulator can provide an excellent alternative technique in controlling the pain.

The spinal cord stimulator is an implantable device that the physician needs to implant it in a two-step procedure. The reason for two procedures is to allow the patient to judge the result of the trial by him/herself.  The first step is usually called the trial period that is done as a same-day surgery where the physician implants the electrodes surgically in the epidural space of the spine. The patient is then connected to an external battery to try the device for 3-7 days at home.

If the patient achieves more than 70% improvement in the pain, the second phase is performed. However, if the pain relief is less than 70%, the electrodes are removed.

The second phase, also a same-day procedure, consists of internal placement of the generator, which can allow for pain relief that lasts at least 5-7 years.  After completion of the two phases, the whole device will be internally implanted, and the patient will have a remote control that controls when the device is on and off and also the strength of the stimulation.

If you need any further information, please contact Dr. Joseph Atallah, Chief of Pain Management Division at The University of Toledo Medical Center at (419) 383-3761 or check out Dr. Atallah’s YouTube video on spinal cord stimulation to learn more about Spinal Cord Stimulators and it's benefits for neuropathy patients.