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Overview
Spinal cord stimulators (SCS) are implantable medical devices used to treat chronic pain of neurologic origin, such as sciatica, intractable back pain, and diabetic. The device generates an electric pulse near the spinal cord's dorsal surface, providing a parasthesia sensation that alters the perception of pain by the patient, and is typically used in conjunction with conventional medical management.
Spinal cord stimulators (SCS) are implantable medical devices used to treat chronic pain of neurologic origin, such as sciatica, intractable back pain, and diabetic. The device generates an electric pulse near the spinal cord's dorsal surface, providing a parasthesia sensation that alters the perception of pain by the patient, and is typically used in conjunction with conventional medical management.
Synopsis
Spinal cord stimulators (SCS) are implantable medical devices used to treat chronic pain of neurologic origin, such as sciatica, intractable back pain, and diabetic. The device generates an electric pulse near the spinal cord's dorsal surface, providing a parasthesia sensation that alters the perception of pain by the patient, and is typically used in conjunction with conventional medical management.
Spinal cord stimulators (SCS) are implantable medical devices used to treat chronic pain of neurologic origin, such as sciatica, intractable back pain, and diabetic. The device generates an electric pulse near the spinal cord's dorsal surface, providing a parasthesia sensation that alters the perception of pain by the patient, and is typically used in conjunction with conventional medical management.
Doody Review Services
Reviewer:Tariq M. Malik, MD(University of Chicago Pritzker School of Medicine)
Description:This excellent overview of percutaneous spinal cord stimulation covers the topic from start to finish in a precise and logical way.
Purpose:The authors intend to provide a manual of spinal cord stimulation techniques, providing basic yet comprehensive information.
Audience:They target the book at pain fellows or any physicians embarking on a career of chronic pain management who want to develop spinal cord stimulation techniques. It is also a helpful resource for any physicians, particularly primary care physicians, who want to be better informed about these procedures in order to manage their patients.
Features:The book starts with an overview of the history of spinal cord stimulation, followed by chapters on patient selection and radiation safety, an often underdiscussed topic. The practical tips for minimizing radiation exposure are priceless. Chapter five covers the electrical aspects of the technique, another important but underappreciated topic. The next five chapters detail the whole spectrum of techniques, from trial phase to implantation phase, covering topics such as optimal lead insertion technique, anchoring technique, tunneling process, and pocket creation, and providing tips on how to avoid complications and technical failure. The chapter on basic surgical skills is a beautiful review of suture material, surgical instruments, and wound closure. The last two chapters cover postoperative wound care and management of complications. Chapters are succinct and to the point with many illustrations and good references. The appendixes include samples of a format for dictating a surgical note, postoperative instructions, and discharge instructions for patients, among others. Every chapter is a treat to read. Other uses of percutaneous stimulation, such as peripheral nerve stimulation and subcutaneous nerve stimulation, are not covered. This is such a well-written book that I hope there is a second edition that includes these topics.
Assessment:The field of spinal cord stimulation has expanded tremendously in the last few decades and there is a vast sea of knowledge out there. Surprisingly, up until now, there has been no book that presents this information in a concise and practical way. There may be a thousand articles, but no single source. This book is the answer. It is a must read for all pain fellows.
Editorials
From The Critics
Reviewer: Tariq M. Malik, MD(University of Chicago Pritzker School of Medicine)Description: This excellent overview of percutaneous spinal cord stimulation covers the topic from start to finish in a precise and logical way.
Purpose: The authors intend to provide a manual of spinal cord stimulation techniques, providing basic yet comprehensive information.
Audience: They target the book at pain fellows or any physicians embarking on a career of chronic pain management who want to develop spinal cord stimulation techniques. It is also a helpful resource for any physicians, particularly primary care physicians, who want to be better informed about these procedures in order to manage their patients.
Features: The book starts with an overview of the history of spinal cord stimulation, followed by chapters on patient selection and radiation safety, an often underdiscussed topic. The practical tips for minimizing radiation exposure are priceless. Chapter five covers the electrical aspects of the technique, another important but underappreciated topic. The next five chapters detail the whole spectrum of techniques, from trial phase to implantation phase, covering topics such as optimal lead insertion technique, anchoring technique, tunneling process, and pocket creation, and providing tips on how to avoid complications and technical failure. The chapter on basic surgical skills is a beautiful review of suture material, surgical instruments, and wound closure. The last two chapters cover postoperative wound care and management of complications. Chapters are succinct and to the point with many illustrations and good references. The appendixes include samples of a format for dictating a surgical note, postoperative instructions, and discharge instructions for patients, among others. Every chapter is a treat to read. Other uses of percutaneous stimulation, such as peripheral nerve stimulation and subcutaneous nerve stimulation, are not covered. This is such a well-written book that I hope there is a second edition that includes these topics.
Assessment: The field of spinal cord stimulation has expanded tremendously in the last few decades and there is a vast sea of knowledge out there. Surprisingly, up until now, there has been no book that presents this information in a concise and practical way. There may be a thousand articles, but no single source. This book is the answer. It is a must read for all pain fellows.