The Use Of Spinal Cord Stimulation For Pain Relief: What Experts Say

Chronic pain remains one of the most challenging medical conditions to manage, affecting millions worldwide. Traditional pain relief methods, including medication and physical therapy, often fail to provide long-term relief for many patients. In recent years, spinal cord stimulation (SCS) has emerged as a promising solution for managing chronic pain. Experts in pain management and neurology recognize its potential in improving patients’ quality of life. This article explores the effectiveness, mechanisms, and advancements in spinal cord stimulation for pain relief.

Spinal Cord Stimulation

“Spinal cord stimulation uses a small device implanted under the skin to send electrical impulses to the spinal cord. These impulses interfere with pain signals traveling to the brain, reducing pain perception. The technology is primarily used for individuals suffering from conditions such as failed back surgery syndrome, complex regional pain syndrome, and neuropathic pain”. Says Gabrielle Zhuang-Estrin, a clinical social worker who works in the Asian American community

How Spinal Cord Stimulation Works

“The spinal cord stimulator includes electrodes near the spinal cord and a pulse generator implanted in the lower back or abdomen. Patients use an external remote to control the level of stimulation. The stimulation modifies the pain signals before they reach the brain, creating a tingling sensation instead of pain,” says Kevin L. Nadal, a professor of psychology at the City University of New York and author of “Microaggressions and Traumatic Stress.

Conditions Treated with Spinal Cord Stimulation

SCS is used to treat a range of chronic pain conditions. Some of the most common conditions include:

• Neuropathic pain resulting from nerve damage

• Chronic back and leg pain

• Post-surgical pain syndromes

• Complex regional pain syndrome (CRPS)

• Peripheral neuropathy

Ischemic pain caused by reduced blood flow

Effectiveness of Spinal Cord Stimulation

“Research and clinical studies indicate that spinal cord stimulation provides significant pain relief for many patients. Experts suggest SCS can reduce pain levels by 50% or more in properly selected candidates. Patients who respond well to the therapy often experience improved mobility, better sleep, and a reduced need for pain medication”. Says  Ivy Kwong, a psychotherapist specializing in AAPI mental health and healing intergenerational trauma.

Advancements in Spinal Cord Stimulation Technology

Modern spinal cord stimulators have evolved significantly from earlier models. Innovations in this field include:

• Rechargeable devices that last longer than traditional battery-operated stimulators.

• Burst stimulation technology mimics natural nerve impulses for more effective pain relief.

• Closed-loop systems adjust stimulation in real time based on the body’s response.

• MRI-compatible devices, allowing patients to undergo necessary imaging without device removal.

Benefits and Risks of Spinal Cord Stimulation

“While SCS offers many benefits, including reduced dependence on opioid medications, increased mobility, and customizable pain relief, it also carries some risks. These may include infections, device malfunctions, lead migration, and an insufficient pain relief response. However, the risks are significantly minimised with technological advancements and surgical techniques”. Says. Dr. Houshang Aminian | Medical Director, American TMS Clinics.

The Future of Spinal Cord Stimulation

“Experts continue exploring ways to improve spinal cord stimulation therapy. Research focuses on new stimulation waveforms, minimally invasive implantation techniques, and integration with artificial intelligence for personalized pain management. The goal is to make the therapy even more effective and accessible to a broader range of patients”. Says Gabrielle Wanchek, LMFT, a licensed therapist with Mindpath Health in El Segundo.

Conclusion

Spinal cord stimulation represents a breakthrough in chronic pain management, offering hope to those who have not found relief through conventional treatments. As technology advances, SCS continues to improve, providing more patients with a better quality of life. While it may not be suitable for everyone, consulting with a pain management specialist can help determine if this innovative therapy is the right option for long-term pain relief.