Treating Unrelenting Back Pain
Around the world, chronic back pain is becoming one of the more common ailments suffered by adults. The condition limits movement, causes pain and distress, and affects a person’s quality of life. In some cases, the back pain can even lead to leg pain, a symptom called sciatica. While some cases are muscle related, many are due to an issue with the spinal cord. Common problems include a herniated disc, arthritis, or spinal stenosis. Different methods are available to treat chronic back pain, but spinal cord stimulation and surgery are the most effective options.
Can spinal cord stimulation help?
For people suffering from chronic back pain, spinal cord stimulation is a good option for immediate relief. This treatment uses electrical pulses to limit the transfer of pain signals from the back to the brain. Whenever the spine is damaged or compromised, the surrounding nerves that run through tiny spaces are affected. These nerves send constant pain signals to the brain, which leads to long-term discomfort and distress. The spinal cord stimulator uses electrodes connected to a small device installed under the skin. Like a pacemaker, the stimulator sends constant signals to interrupt the nerves, reducing pain. As a result, patients with spinal cord stimulators often experience significant and immediate relief.
Preparing for the procedure
The doctor or pain management specialist will first recommend a trial run of the device. The surgeon will surgically install the wires only and leave the pulse generator outside the body. After a few days, if the patient receives significant relief, the surgeon will recommend a long-term installation. The generator is then placed under the skin, near the trunk of the body. The most significant benefits are that the patient experiences immediate relief and avoids surgery, at least in the short term. Possible risks are rare but include bleeding, infection, and movement of the pulse generator.
What about surgery?
In some cases, surgery is a more effective, long-term option. For example, surgery is often recommended if the patient is younger and has experienced chronic pain. In some cases, the best option is to remove the damaged disc or bone, then fuse the impacted vertebrae. A joint fusion can now happen using minimally invasive surgery (MIS), greatly benefiting the patient. MIS uses small incisions to access the spine, limiting complications and pain while improving surgical outcomes. While surgery takes longer to heal from, the long-term results are in the patient’s favor.
Making the right choice
Both procedures provide relief, so the best option depends on the patient’s situation. Some older patients with multiple chronic conditions aren’t the best candidates for surgery and may benefit from spinal cord stimulation. Other patients, regardless of age, want to avoid surgery altogether. The device is a handy option in these cases, providing immediate relief. Surgery is better for those wanting better, long-term results. The goal for chronic back pain sufferers is to provide extended relief safely and effectively. The surgeon and patient should assess all options before making a decision.
