This device is recommended for patients with neuropathic pain, this is in the back, neck, arms or legs. Neurostimulation transmits small electrical impulses to the spinal cord or affected peripheral nerves, blocking the transmission of pain to the brain. It will not eliminate the pain; this is, it does not heal the source of the illness , but it does improve the quality of life.
The size of the neurostimulator is similar to a pacemaker. It consists of an integrated circuit like a computer or miniature device, a radio wave transceiver, a battery or battery and connector block.
Placed in the lower abdomen, it generates mild electrical impulses that are wired to the epidural space near the spine. These impulses alter the pain messages before they arrive to the brain. The patient usually feels a slight tingling sensation. The intensity levels and the area of stimulation are adjusted according to each patient under supervision of pain specialists.
It is needed Two surgeries: In order to place the neuromodulator a previous test process is performed; it’s simple but it determines if the patient has a significant improvement; and, in a second intervention the device is implanted.
A neurostimulator system includes an integrated circuit (a miniature computer), a radio wave transceiver, a battery and a connector block
- There are several devices; some can be operated by a control while others are implanted and have preprogrammed intensity.
- As for programmable neurostimulators, with the help of the control patients can adjust the intensity of the impulses depending on their activities.
- These are small devices placed on the lower abdomen or back.
- Two surgeries are performed. The first is very simple and the external devise is tested before the final one is implanted.
- The devices generate gentle electrical impulses that reach the epidural space in the spine via wires.
- No permanent changes in the spinal cord or nerves.
- The doctor can remove or deactivate it when the patient asks to.
Planning the Procedure
- Clinical history form.
- Telemedicine or in-person evaluation consultation with the respective physicians.
- Evaluation from the pain clinic for the candidate patient.
- Pre-surgery analysis.
- Choose a date that fits in with your work schedule, family commitments, vacations.
- Choose the destination: Playa del Carmen and Cozumel.
We help plan your trip: preferential rates for transportation, hotels and tours; we have pre-arranged packages
Test – Temporary External Neurostimulator
- The doctor will place the external neurostimulator. It is normally placed in the waist. The doctor determines if the treatment improves patient’s pain.
- This is an easy surgery. It is a quick process; yet requires monitoring by the doctor in order to determine the intensity of the impulses with the manual programmer.
- If results are positive, the device will be surgically implanted in a second procedure.
- Cases that are successful in the second procedure are those that feel at least 50% less pain with the test, those who feel a slight tingling, they manage to reduce all oral medications, they reduce side effects of oral medications.
- Duration: 3 to 7 days.
- Done in 3 hours in the operating room.
- Local or general anesthesia depending on the doctor.
- This surgical procedure requires a 3-day hospital stay.
- Come to the hospital with comfortable shoes and clothes; no makeup and no accessories.
- Bring a comfortable change of clothes and personal hygiene items for the patient and accompanying person.
- In order to read the system, the neurostimulator will be placed near the skin surface.
- Procedure: The surgeon will make a small incision of approximately 3 inches (8 cm) in order to place the device in a place where you and your doctor previously deemed was more comfortable.
- Your doctor will form an internal sack to contain the device.
- The second incision, in the back (about 3 inches or 8 cm) is made where the electrode will be placed where the electrode is placed by using the fluoroscope to guide the procedure. In order to attach the neurostimulator to the electrode the wire is placed under the skin.
- Finally, the incisions are closed.
- Recovery takes 2 to 3 weeks. The recommendation is to return to your normal activities in 6 weeks’ time.
- Tend to your scars and take all medications as per your doctor’s indications.
- We recommend no sun exposure for three months.
- You can shower the following day, taking care of the incisions; wash and dry gently.
- Do not apply any lotion, oil or cream which has not been prescribed by your doctor.
- For one week, do not lift, push or pull anything that weighs more than 10 pounds or 4.5 kilos.
- Do not drive until the doctor instructs it.
- Put the seat belt without compressing the area where the neuromodulator has been placed.
- Avoid swimming, soaking in a hot tub or jacuzzi until your doctor says you can do so.
- Try to wear comfortable clothes
- Do not smoke (ask your doctor about the required post-surgical time)
Steps to follow
- Pay attention of your pain’s behavior and keep a routine check.
- The follow-up will be done every 6 months in case adjustments are required .
- Let your doctor know if you experience any unusual pain.
- Should you need to increase stimulation, ask your doctor.
- If the stimulation pattern changes, ask your doctor.
Removal of the neuromodulator or battery replacement
As this is a reversible system and if you deem you do not need the neuromodulator, it can be deactivated or removed.
Should it malfunction, remember that this is a device and it requires maintenance, the battery has a life span, this means that it must be changed; this may vary depending on the model.
Pain Clinic Management Specialists
PAIN CLINIC MANAGEMENT SPECIALISTS will discuss your symptoms and check your medical history and current health.
Pain specialist- Algologist They have been trained in pain management, in neurology and anesthesiology, and use various modalities to treat pain including oral medications and injections of certain medications into painful sites to relieve the pain.
Neurologist is a doctor who specializes in disorders of the nervous system, including the brain, spinal cord, and nerves.
Physical therapist is a professional who can help you reduce pain and improve mobility.
Psychologist. Chronic pain often affects your relationships and emotional well-being. A psychologist will discuss the emotional issues with you.
Dr. Eduardo Rubio Ruiz
Anesthesiology, Pain Clinic Director
- General Practice License: 3736850
- Specialization License: 7440295
Dra. Sandra Marlith González Moreno
- General Practice License: 7514456
- Specialization License: 10624974
Dr. Joel Rodríguez Díaz
Area of Expertise: Cranial base, peripheral nerve specialty
- General Practice License: 678698
- Specialization License: AECEM-14150