For some patients, back or leg pain continues even after injections, nerve blocks, or surgery. In these cases, a Spinal Cord Stimulator (SCS) may provide a safe, minimally invasive way to control chronic nerve pain.
An SCS system delivers small electrical impulses to the spinal cord to “quiet” pain signals before they reach the brain helping patients regain comfort and activity without long-term medication dependence.
For some patients, back or leg pain continues even after injections, nerve blocks, or surgery. In these cases, a Spinal Cord Stimulator (SCS) may provide a safe, minimally invasive way to control chronic nerve pain.
An SCS system delivers small electrical impulses to the spinal cord to “quiet” pain signals before they reach the brain helping patients regain comfort and activity without long-term medication dependence.
Spinal cord stimulation can be recommended for patients who:
Have persistent nerve pain despite other treatments
Experienced only temporary relief from injections or nerve ablation
Have ongoing lumbar radiculopathy or post-surgical pain
Want to reduce reliance on opioids or pain medication
The spinal cord stimulator consists of:

Leads – thin, flexible wires placed near the spinal cord
Generator– a small battery-powered device that sends gentle electrical pulses

These pulses change how pain signals are perceived reducing discomfort without
causing numbness or loss of function.
The spinal cord stimulator consists of:
A temporary stimulator is placed under fluoroscopic guidance using local anesthesia.
Wires are positioned near the spinal cord, and the generator is connected externally.
You’ll test the system for 5–7 days to see if it reduces your pain by at least 50%.
If the trial is successful, a small generator is implanted under the skin (usually in the lower back or buttock area). The procedure takes about an hour and is done on an outpatient basis.
You’ll receive a remote control to adjust your settings and manage comfort throughout the day.
Soreness at the implant site for a few days
Gradual adjustment to stimulation levels as your body adapts
Most patients resume normal daily activity within one week
Device checkups are performed periodically to ensure optimal function
The device can be turned off at any time, and the system is removable if needed.
Spinal cord stimulation is FDA-approved and has been used safely for decades.
Possible though uncommon side effects include:
Temporary discomfort at lead or battery sites
Shifting of leads, requiring minor adjustment
Infection (very rare with sterile technique)
You’ll undergo a comprehensive screening to ensure you’re a good candidate before proceeding.risk of paralysis or muscle weakness.
Answer: Blocks test the pain source; ablation stops the nerve signal.
A medial branch block temporarily numbs a spinal joint to confirm the pain generator. If it works, radiofrequency ablation (RFA) uses heat to deactivate that small nerve for 6–12 months. The joint stays stable, and pain often lessens dramatically.
Lumbar | Interventional Spine | RFA
Answer: Relief often lasts 6–12 months and the procedure can be repeated safely.
After an RFA, the tiny sensory nerves that send pain signals grow back slowly. Many patients enjoy meaningful relief for 6 months to a year. If the pain returns, a repeat ablation can usually be performed using the same approach. Regular stretching and strengthening help extend the benefit. Lumbar | Cervical | Interventional Spine | RFA
Answer: It’s usually from facet-joint stress or weak postural muscles.
Sitting flexes the lumbar spine and compresses facet joints and discs, especially if the core is de-conditioned. Over time, this posture leads to inflammation and stiffness. Supportive cushions, regular breaks, and targeted therapy for core and glute muscles often relieve symptoms.
Lumbar | Ergonomics | Rehab
Answer: It injects dye into spinal discs to find the pain source but carries risks.
Discography involves pressurizing discs with contrast dye while monitoring pain response. It was once common before spine surgery but is now less used because it can worsen disc damage and cause infection. Modern MRI and targeted nerve blocks provide safer diagnostic insight.
Answer: Adjacent levels often wear out faster.
Spinal fusion stabilizes one level but transfers stress to the discs and joints above and below, leading to adjacent segment disease. Scar tissue, muscle atrophy, and nerve irritation can also persist. Nonsurgical options like PRP or radiofrequency treatment can help preserve the surrounding spine.
Lumbar | Post-Surgery | Interventional Spine
Answer: They mean nearby levels or implants break down over time.
After fusion, joints next to the fused area compensate by moving more, sometimes developing arthritis or stress fractures. Hardware fatigue or loosening can also occur years later. Regular imaging helps detect changes early; pain-management injections or strengthening programs can often delay revision surgery.
Lumbar | Cervical | Post-Surgery | Spine Degeneration
Answer: Back-related pain travels below the knee; joint pain usually stays local.
Nerve compression in the spine typically causes sharp, shooting pain that radiates past the knee or into the foot. Hip or knee arthritis usually creates aching localized pain or stiffness without tingling. Imaging and physical-exam maneuvers help determine whether the source is spinal, joint, or both.
Diagnostics | Lumbar | Hip | Knee
Answer: It delivers anti-inflammatory medicine around pinched nerves.
Guided by X-ray, a thin needle places medication into the epidural space of the spine. The steroid reduces swelling around irritated nerves from a herniated disc or arthritis. Relief may last weeks to months and can allow better participation in physical therapy.
Interventional Spine | Epidural | Lumbar | Cervical
Answer: Fever, unexplained weight loss, numbness, or bladder issues.
Warning signs include constant pain at rest, night sweats, progressive weakness, loss of control of urine or stool, or recent infection. These could signal infection, tumor, or severe nerve compression and need emergency evaluation.
Safety | Lumbar | Cervical | Emergency
Answer: Only after conservative care has clearly failed and red flags are excluded.
Most mechanical back or neck pain improves with guided injections, therapy, or biologic repair within 3–6 months. Surgery is reserved for progressive weakness, structural instability, or nerve compression causing loss of function. A second opinion is always appropriate before proceeding.
Lumbar | Cervical | Surgery Decision
Answer: It’s a small stabilizing joint behind each vertebra that can become arthritic.
Facet joints allow bending and twisting. With aging or injury, they may develop arthritis and inflammation that causes sharp localized pain, often worse when leaning backward or standing long periods. Facet injections or RFA can calm these joints for months at a time.
Lumbar | Cervical | Anatomy | Interventional Spine
Answer: Sudden weakness, numbness, fever, or bladder/bowel changes.
Go to the ER immediately for severe pain with loss of strength, incontinence, high fever, or trauma with head injury. These could indicate nerve or spinal-cord compression, infection, or fracture. Early treatment prevents permanent damage.
Cervical | Lumbar | Emergency | Safety
Answer: A nerve-root block targets one specific nerve, while an epidural bathes several.
A selective nerve-root block (SNRB) uses live X-ray to deliver medication directly around one irritated spinal nerve. It helps confirm which nerve causes the pain and can calm inflammation at that precise level. Epidural injections are broader, covering multiple nerves at once.
Answer: Hip arthritis hurts in the groin; back problems radiate to the leg.
Hip joint disease often causes deep aching in the groin or front thigh, worse with walking or stairs. Lumbar nerve compression tends to cause burning or tingling down the leg. Diagnostic injections into the hip or spine can confirm the true source.
Hip | Lumbar | Diagnostics | Joint Pain
Answer: Yes, but injections are placed around not into the fused levels.
PRP and bone-marrow concentrate can reduce inflammation in joints and ligaments next to a fusion where new pain develops. These procedures don’t interact with the hardware itself. Most patients benefit from improved flexibility and less reliance on pain medication.
Spine | Post-Surgery | Orthobiologics | Interventional Spine
If chronic nerve pain persists despite previous treatments, a Spinal Cord Stimulator trial can help determine whether neuromodulation is right for you.
Our specialists perform both the trial and permanent procedures using precise, image-guided techniques for safety and effectiveness.
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