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Neurology and Pain Management Clinic (NPMC): Are You a Candidate for a Spinal Cord Stimulator?

Home - Health & Fitness - Neurology and Pain Management Clinic (NPMC): Are You a Candidate for a Spinal Cord Stimulator?

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Chronic pain can drastically reduce the quality of life, affecting everything from physical activity to mental well-being. Traditional pain management approaches, such as medication and physical therapy, don’t always provide sufficient relief for everyone. In such cases, advanced treatments like spinal cord stimulation (SCS) come into play. At the forefront of these innovative treatments is the Neurology and Pain Management Clinic (NPMC), led by Dr. Gautam Arora. This article explores the potential of spinal cord stimulators in chronic pain management and helps determine if you might be a candidate for this transformative treatment.

Understanding Spinal Cord Stimulation

A spinal cord stimulator (SCS) is an implanted device that delivers electrical impulses to the spinal cord. These impulses interfere with the transmission of pain signals to the brain, thereby reducing the sensation of pain. The device typically consists of a pulse generator implanted under the skin and electrodes placed near the spinal cord.

How Spinal Cord Stimulation Works

The SCS system works by sending low-voltage electrical currents to the spinal cord. These currents are delivered through a series of electrodes implanted in the epidural space (the area around the spinal cord). The electrical impulses modify and mask the pain signals before they reach the brain, effectively “scrambling” the messages of pain and replacing them with a tingling sensation known as paresthesia.

Benefits of Spinal Cord Stimulation

1. Significant Pain Relief: Many patients experience substantial relief from chronic pain, allowing them to reduce or eliminate their reliance on pain medications.

2. Minimally Invasive Procedure: The implantation of the SCS device is minimally invasive, usually performed as an outpatient procedure.

3. Reversible Treatment: Unlike some surgical interventions, SCS can be adjusted or even removed if it does not provide the desired relief.

4. Improved Quality of Life: Patients often report enhanced mobility and a better overall quality of life as they regain the ability to engage in daily activities without debilitating pain.

5. Reduction in Medication Use: Successful SCS treatment can lead to a decrease in the use of pain medications, which often come with significant side effects and risks of dependency.

Are You a Candidate for Spinal Cord Stimulation?

Spinal cord stimulation is not suitable for everyone. Determining whether you are a candidate involves a comprehensive evaluation by a pain specialist. Here are some factors to consider:

1. Chronic Pain Diagnosis: SCS is typically recommended for patients with chronic pain conditions who have not responded to conservative treatments. Common conditions include failed back surgery syndrome, complex regional pain syndrome (CRPS), and chronic pain following spine surgery.

2. Failed Conservative Treatments: Candidates for SCS often have a history of trying other pain management strategies without sufficient relief. These treatments may include medications, physical therapy, nerve blocks, or other interventional procedures.

3. Psychological Evaluation: Chronic pain can have a significant psychological impact. A psychological evaluation ensures that candidates are mentally and emotionally prepared for the SCS procedure and its outcomes.

4. Trial Period: Before a permanent SCS device is implanted, a trial period is conducted. This involves temporarily placing the electrodes and using an external generator to see if the patient experiences significant pain relief. A successful trial is a good indicator of potential long-term success.

5. Overall Health: Candidates should be in relatively good health to undergo the implantation procedure. Certain medical conditions may preclude the use of SCS.

The Role of NPMC and Dr. Gautam Arora

At the Neurology and Pain Management Clinic (NPMC), Dr. Gautam Arora and his team specialize in advanced pain management techniques, including spinal cord stimulation. Dr. Arora’s extensive experience and dedication to patient-centred care ensure that each patient receives a personalized treatment plan tailored to their specific needs and conditions.

The Evaluation Process at NPMC

1. Comprehensive Assessment: The evaluation process at NPMC begins with a thorough medical history review and physical examination. Dr. Arora takes the time to understand each patient’s pain history, previous treatments, and overall health status.

2. Diagnostic Testing: Diagnostic tests, such as MRI or CT scans, may be conducted to identify the underlying causes of pain and to ensure that there are no anatomical issues that would interfere with the SCS implantation.

3. Psychological Evaluation: A psychological assessment is an integral part of the evaluation process to ensure that patients are suitable candidates for SCS both physically and mentally.

4. Trial Period: Candidates undergo a trial period with a temporary SCS system to evaluate the effectiveness of the treatment. During this time, patients can assess how well the device manages their pain and if it improves their quality of life.

5. Permanent Implantation: If the trial period is successful, the patient can proceed with the permanent implantation of the SCS device. The procedure is typically done on an outpatient basis under local anesthesia with sedation.

Post-Procedure Care and Follow-Up

After the SCS device is implanted, patients require regular follow-up appointments to monitor their progress and adjust the settings of the stimulator as needed. Dr. Arora and his team at NPMC provide ongoing support to ensure that patients achieve optimal pain relief and adjust to their new lifestyle with the device.


Spinal cord stimulation offers a promising solution for individuals suffering from chronic pain that has not responded to traditional treatments. By delivering electrical impulses to disrupt pain signals, SCS can provide significant and lasting relief, improve mobility, and enhance the overall quality of life. At the Neurology and Pain Management Clinic (NPMC), Dr. Gautam Arora and his team are committed to helping patients find the most effective pain management strategies, including the potential benefits of spinal cord stimulation.

If you are struggling with chronic pain and are considering advanced treatment options, consulting with a qualified specialist like Dr. Arora can help determine if you are a candidate for spinal cord stimulation. Through a comprehensive evaluation and personalized care plan, NPMC aims to empower patients with the knowledge and treatment options needed to take control of their pain and improve their lives.