Post hernia dorsal column stimulator
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Generally, a pain medicine physician would be a good source of information to determine if a certain technology would be beneficial for an individual patient. Many systems now are compatible with MRI machines which had been a hurdle for some patients in the past. Other new technology allows for more specific stimulation of a particular area of the body, which has been shown to be valuable for certain pain problems. Now, certain technologies allow for stimulation without creating this sensation, which some patients prefer. Traditionally, patients who have a spinal cord stimulator would feel a pleasant, buzzing sensation (called a paresthesia) in the area of their pain.
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Reduction in efficacy at long-term follow-up was found by Istek et al. 38,39,40,42,43, but the benefits may tail off over time, since the stimulator is not permanently implanted, unlike SNM. In addition to treating chronic nerve pain, there have been improvements in the ability to treat chronic back pain, post-knee surgery pain, post-hernia repair pain, and foot pain. Pelvic pain can localize to the groin area, which may develop as a complication of inguinal hernia repair 29. These new technologies are related to both better equipment technology, stimulation targets, and also how the electrical energy is delivered to the spine and nerves. Physicians are now able to treat certain pains more effectively than ever before. There has been a rapid expansion of technologies and therapies in this area over the past few years. This has been shown to decrease chronic pain from a variety of conditions. In general, this minimally invasive therapy involves putting a small lead in the spinal canal and using electrical energy from a battery to stimulate the sensory nerves of the spinal cord. Spinal cord stimulation uses pulsed electrical energy near the spinal cord to manage pain.1 Initially, this technique applied pulsed energy in the intrathecal space. Spinal cord stimulation (SCS) has been a medical treatment available for certain types of chronic pain for over 50 years.