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Does Spinal Cord Stimulator Help In Treating Lower Back Pain?

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Posted on Thu, 19 May 2016
Question: In August 2012, I came down with shingles. I had pain in my lower right back for 8 days with was bearable. I thought I slept wrong. By tha 8th day the pain traveled to my lower right abdomen, the rash appeared 10th day at er the pain started. It spread down my right leg. I was prescribed an antiviral, predinasone, and morphine.

The rash cleared up in about two weeks, but the pain stayed. I was out of work for 6 weeks but within the year I was let go because of errors due to severe pain and my meds. I've been on gabapentine, Lyrica, and now Gralise. I started with th the Fentanyl patch and now Butrans patch. I also take Welbutrin and Cymbalta. Needless to say but in still in pain, some days are ok and others are excruciating. I've also had spinal cord steroid injections with no relief. A year after the rash cleared, my primary Doctor said I should get the Shingles Vaccine. I have had two outbreaks, one very light and the other was moderate.

My pain doctor wants me off the pain meds because I've been on them so longer, which i understand. The suggestion is to try a spinal cord simulator, but I've had 4 doctors advise me not to go that direction. One was fron an infectious disease doctor, who said not to because he has seen the ones that become infected. So, I'm looking for other
options. I've heard of freezing the nerves but I am having trouble finding doctors in my area. Actually, I find very little information on post herpetic neurologia on the Internet or even from my doctors.

I am turning 50 which is too young to be unable to do the activities I enjoy. Before this I was healthy, worked out 3-4 times a week and enjoying my young nieces and nephews. I also worked 8 hrs 5 days a week for nearly 19 years with the same company. Any information I may be able to pursue would be very much helpful!

Thank you, XXXXXXX
doctor
Answered by Dr. Dr. Muhammad Sareer Khalil (3 hours later)
Brief Answer:
Explained in detail

Detailed Answer:
Hello and welcome

Your concern is appreciated

Spinal cord simulator also called dorsal column stimulator is a device that is surgically placed under the patient's skin it send electric impulses to spinal cord. Pain is controlled because these impulses interrupt pain signals.
You are candidate for that when
Conservative treatment have failed, source of pain has been verified, not dependent on pain medication and other drugs, you dont hv depression or any psychiatric condition, successful trial of stimulation.
contraindications for it are
People with systemic infection
People with demand type cardiac pace maker
People who fail to have greater than 50% reduction in pain during trial if stimulation
Risks to the sugery are
Allergic reaction to the implanted materials weakness numbness battery failure skin breakdown bleeding and undesirable stimultion
To limit the complications its important to have syrgery done from experienced surgeon
So its all about the evaluation iod risks verses your limitations due to pain all the pros and cons evaluated and decide what is best for you

Hope it helps.
Thans

please consult your doctor before taking any further course of action

Wishing you best of health

Dr M.S Khalil
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Dr. Muhammad Sareer Khalil

General & Family Physician

Practicing since :2012

Answered : 2906 Questions

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Does Spinal Cord Stimulator Help In Treating Lower Back Pain?

Brief Answer: Explained in detail Detailed Answer: Hello and welcome Your concern is appreciated Spinal cord simulator also called dorsal column stimulator is a device that is surgically placed under the patient's skin it send electric impulses to spinal cord. Pain is controlled because these impulses interrupt pain signals. You are candidate for that when Conservative treatment have failed, source of pain has been verified, not dependent on pain medication and other drugs, you dont hv depression or any psychiatric condition, successful trial of stimulation. contraindications for it are People with systemic infection People with demand type cardiac pace maker People who fail to have greater than 50% reduction in pain during trial if stimulation Risks to the sugery are Allergic reaction to the implanted materials weakness numbness battery failure skin breakdown bleeding and undesirable stimultion To limit the complications its important to have syrgery done from experienced surgeon So its all about the evaluation iod risks verses your limitations due to pain all the pros and cons evaluated and decide what is best for you Hope it helps. Thans please consult your doctor before taking any further course of action Wishing you best of health Dr M.S Khalil