With some stimulation patterns people feel tingling or pins and needles type sensations. With most of stimulation patterns now used, people do not feel the stimulation at all. What do you feel with spinal cord stimulation? Unable to safely be educated on SCS, remember important points, and follow guidance.Active psychological illness that requires further attention, including major active psychological and social stress. High danger of wound breakdown or pressure sores.Very underweight (high risk of discomfort and pain with implanted system due to lack of “padding” ).Very obese (increase risk of complications and technical problems with implantation and weight should be addressed first as a health issue).Awaiting other surgeries or investigations.Poorly controlled medical condition(s) eg, diabetes.High risk of bleeding (bleeding disorder, or on anticoagulants that are high risk to stop).Immunocompromised and at high risk of infection.Technically not possible – eg access not possible due to past surgery or advanced spinal degenerative changes.Pain problem not likely to respond to SCS (see above).Yes, there are reasons that spinal cord stimulation may not be a wise option: Spinal cord stimulation does not help very widespread pain – so it does not help in fibromyalgia, or when people have back pain after surgery but also have other severe widespread pains from arthritis in multiple joints.Īre there reasons why someone may not be suitable for spinal cord stimulation ? So it does not help with arthritis pain (osteoarthritis, rheumatoid arthritis, gout etc), or pains due to “wear and tear” of joints, muscles, tendons and ligaments. Spinal cord stimulation does not relieve pain that involves inflammation pain and “mechanical” pain. Which pain conditions does spinal cord stimulation not help ? Limb pains due to lack of blood flow (vascular insufficiency).This includes diabetic neuropathy and post herpetic neuralgia (persisting pain after shingles) Nerve pain from damage caused by metabolic, infective, inflammatory and other causes.Nerve pain after injury in surgery or other trauma in a limb or the trunk.Persisting back and leg pain after spinal surgery (commonest reason).Which pain conditions can spinal cord stimulation help ?
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