The board certified interventional pain specialists at Premier Pain Treatment Institute are expertly trained in the most advanced and cutting edge interventional procedures to relieve chronic pain. We are comfortable evaluating and finding solutions for complex and advanced painful conditions.
Spinal Cord Stimulation
Spinal cord stimulation, also known as neuromodulation, is an advanced and well-established treatment modality. It was approved by the FDA in 1989 and there have been many cutting edge advances in neuromodulation since that initial introduction. As the name implies, this treatment involves stimulation of the spinal cord with an electrical current to reduce or block your sensation of pain. The therapy has two stages. The first stage is an office-based trial procedure. One or two injections are performed to access the epidural space and one or two stimulator leads are advanced into the epidural space to the desired position in the spine. Your physician will coordinate with a representative from the stimulator company to adjust the electrical current until you feel a vibration that covers your pain. The temporary trial leads will remain in place for 3-7 days to provide time to assess your response to the therapy. This first stage is considered to be successful if you feel at least a 50% improvement in your pain level and you are able to obtain some level of functional improvement, such as increased activity, better sleep, reduced opioid usage, and improved mood.
If you have a successful trial stage, then your provider will recommend the second stage, which is the surgical implantation of the spinal cord stimulator. This is an outpatient surgery during which the stimulator leads and a generator are implanted under the skin. The surgery is performed at an outpatient surgery center or hospital and the anesthesia team will be involved in your care. A successful implantation should reproduce the results of your trial to provide those benefits long-term.
Targeted Drug Delivery
Advanced cases of cancer and non-cancer pain may not be adequately controlled with conventional medication management, interventional procedures, surgeries, physical therapy, chiropractic care, or other modalities. For these people, targeted drug delivery can be an effective means of controlling their pain. Implantation of an intrathecal pain pump provides a means for the targeted delivery of opioid and non-opioid medication directly to the intrathecal space, spinal cord, and spinal nerve roots. By utilizing this delivery mechanism, it can be possible to attain superior pain control and quality of life compared to conventional treatment.
A vertebral compression fracture occurs when a vertebral body in the spine collapses, producing significant pain and disability. The most common cause of a compression fracture is osteoporosis. When a fracture is identified through imaging, initial treatment is conservative with rest, medications, and bracing. When the pain persists, many fractures in the thoracic and lumbar spines can be successfully treated with vertebral cement augmentation. Depending on the specific method for delivering the cement to treat the fracture, this is also called vertebroplasty or kyphoplasty.