![]() Then the pain sen- sation should decrease. (Courtesy of Medtronic, Inc, Minneapolis) 70 AURN Journal to the site of pain. The procedure is usually safe, but may be associated with certain risks including change in electrode position, breakage, battery failure, bleeding, infection and development of tolerance.ĭorsal column stimulators do not treat the underlying cause of pain, but with its use, the intensity, frequency and duration of pain are usually reduced, lowering the need for pain medication and sometimes surgery. The four essential parts of the dorsal column stimulator are shown in relative positions for con- trol of pain in arm, chest, abdomen, leg, pelvis and perineum. What are the Associated Risks and Complications of Dorsal Column Stimulator? Electrical impulses are generated at the pulse generator by remote control and are transmitted to the electrodes. The remaining components are connected externally. On follow-up of 12 to 42.7 months, 21 of the patients had diminished narcotic usage. This is done either surgically or through the skin under radiographic guidance. This is a retrospective review of 26 patients with chronic intractable pain in which dorsal column stimulation was used as a salvage procedure. Depending on the location of your pain, the electrodes are placed in the neck, upper or lower back region of the spinal cord. How is the Procedure of Dorsal Column Stimulator Performed?Ī dorsal column stimulator consists of electrodes, a battery-operated pulse generator, a remote control device and connecting wires. Section 1: Provide the following general information Typed responses are preferred. DCS acts either by blocking the pain impulse pathway or by stimulating the production of endorphins (chemical substances produced by the body that decrease the sensation of pain). If you have questions about how to fill out the form or our precertification process, call us at: HMO plans: 1-80. It is used to treat chronic disabling pain such as failed back surgery syndrome and complex regional pain syndrome, which show little or no improvement with other treatments such as medication or surgery. The dorsal column stimulator (DCS) or spinal column stimulator is a device that relieves chronic pain associated with spinal nerves through electrical stimulation.
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