Everything You Need to Know About Spinal Cord Stimulators

A doctor is looking at an x-ray of a person 's chest.

Spinal cord stimulators, also known as neuromodulation devices, are medical devices that are designed to help manage chronic pain by interrupting pain signals before they reach the brain. These devices are typically implanted in the body and use electrical stimulation to alter the way that pain signals are sent through the spinal cord.


What Are They Used For?

Spinal cord stimulators are typically used to treat chronic pain conditions that have not responded to other treatments such as medication or physical therapy. They are often used to treat conditions such as chronic back pain, nerve damage, and other types of neuropathic pain.

 

While spinal cord stimulators can be an effective treatment option for some patients, they are not right for everyone. Patients must undergo a thorough trial evaluation to determine if they are a good candidate for spinal cord stimulation.


How Do They Work?

Spinal cord stimulators work by interrupting the pain signals that are sent through the spinal cord. The device is designed to deliver electrical pulses to the nerves in the spinal cord, which can help to reduce the sensation of pain. These electrical pulses can also help to stimulate the release of endorphins, which are the body's natural painkillers.

 

The spinal cord stimulator device consists of several components, including a small generator that is implanted under the skin, a wire that is placed in the epidural space of the spinal cord, and a remote control that the patient can use to adjust the level of stimulation. The generator produces a mild electrical current, which is carried by the wire to the nerves in the spinal cord. The patient can adjust the level of stimulation using the remote control, which allows them to customize the level of pain relief they receive.


What Are the Different Types of Spinal Cord Stimulators Available?

There are several different types of spinal cord stimulators available, each with its own unique features and benefits. Some of the most common types of spinal cord stimulators include the following types:


Conventional Spinal Cord Stimulators

These are the most common type of spinal cord stimulators and are designed to deliver electrical pulses to the nerves in the spinal cord.


High-Frequency Spinal Cord Stimulators

These devices use a higher frequency of electrical stimulation than conventional spinal cord stimulators and are often used to treat more severe pain.


Burst Spinal Cord Stimulators

These devices deliver electrical pulses in bursts, which can help to reduce the sensation of pain without causing discomfort.


Dorsal Root Ganglion (DRG) Stimulators

These devices are designed to target specific nerves in the spinal cord and can be used to treat pain in specific areas of the body, such as the feet or hands.


Peripheral Nerve Stimulators

These devices are used to stimulate nerves outside of the spinal cord, such as those in the arms or legs. They can be used to treat chronic pain conditions in these areas.

 

Pre-Surgery Trial Process

  1. Patient Evaluation: The patient undergoes a comprehensive evaluation by a pain management specialist to determine if they are a suitable candidate for spinal cord stimulator surgery.
  2. Pre-Trial Assessment: The patient undergoes imaging tests such as an MRI or CT scan to assess the spinal cord, nerves, and surrounding tissues. The specialist discusses the spinal cord stimulator surgery, including potential risks and benefits.
  3. Trial Implantation: A temporary electrode is placed near the spinal cord under local anesthesia, connected to an external device that sends electrical impulses. The patient keeps a pain diary for several days to a week.
  4. Post-Trial Evaluation: The patient meets with the specialist to evaluate the effectiveness of the spinal cord stimulator therapy in managing their pain. If significant pain relief is experienced, permanent implantation of the spinal cord stimulator device is recommended.


What to Expect during a Spinal Cord Stimulator Implant Surgery

The implantation surgery for a spinal cord stimulator typically takes a few hours to complete and is performed under general anesthesia. The surgeon will make a small incision in the patient's back and place the generator device under the skin, usually in the lower abdomen or buttocks area. The wire lead will then be carefully guided into the epidural space of the spinal cord, with the guidance of X-ray imaging. Once the wire is in place, the surgeon will secure it in position and close the incision with stitches.

 

After discharge, patients will need to take care to avoid bending or twisting their back for several weeks to allow the incision to heal. Patients may also be given a temporary external controller to use until the incision has fully healed and they are ready to use the permanent remote control.

 

During the recovery period, patients may experience some discomfort or soreness at the incision site, which can be managed with pain medication. Patients will need to avoid activities that put excessive strain on their back, such as heavy lifting or strenuous exercise, for several weeks after the surgery.


Are There Any Risks Involved?

As with any surgical procedure, there are risks associated with the implantation surgery for a spinal cord stimulator. Some of the potential risks and complications include:


●     Infection at the incision site or around the implanted device

●     Bleeding or hematoma formation

●     Pain or discomfort at the implantation site

●     Device malfunction or failure

●     Allergic reaction to the implant materials or anesthesia

●     Nerve damage or spinal cord injury

●     Displacement or migration of the implanted wire or device

●     Spinal fluid leak or headache

●     Movement restriction and loss of flexibility in the implanted area

●     Need for device removal or revision surgery.

 

It's important to discuss the potential risks and benefits of spinal cord stimulator implantation surgery with your healthcare provider to determine if it is the right treatment option for you. They can also help you develop a plan to manage any potential risks and complications associated with the procedure.

 

Whether you're dealing with back pain, nerve damage, or other types of chronic pain, Pain Treatment Centers Of America can provide the expert care and support you need to get back to living your life to the fullest. For more information, contact us at (844) 215-0731.

By Bob Berendsen February 1, 2026
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Winter, widely considered the season of comfort, is the time for indoor relaxation and quiet contemplation. However, winter also brings with it some very real dangers, including cold, dark, and slippery surfaces. For older adults or those dealing with chronic pain, a small slip on these surfaces can lead to serious injuries that take months to heal. The good news? You can train your body to handle these challenges. Let’s explore some simple, safe exercises you or your loved ones can do from the comfort of your home to build your winter-proof stability. Why Winter Increases the Risk of Falls Cold weather brings more than just chilly air. It changes the way we move, how our muscles respond, and even how we think about walking. When it’s icy, people tend to tense up, take shorter steps, and look down more often. Muscles also get tighter in the cold, which reduces flexibility. Plus, all those bulky layers of clothes mess with your center of gravity and limit how quickly you can react if you start to lose your balance. Your boots might be waterproof and warm, but they're probably not giving you the ankle support or ground feel you'd get from your regular shoes. Then there's the simple fact that many of us move less in winter. Maybe you skip your daily walks when it's freezing, or you stop going to that exercise class because driving feels too risky. But here's the catch: the less you move, the weaker you get, and the weaker you get, the more likely you are to fall. Building a Foundation To prevent this, you simply need to work on two main things: balance and strength. Physical therapy and balance-focused exercises train your muscles, joints, and nervous system to respond faster and more effectively when something throws you off. Balance Training Balance isn’t just about standing still without wobbling. It’s about how your body reacts when something throws it off center. When you step on ice, for example, your brain and muscles have to communicate in an instant to keep you upright. If that connection is slow or weak, you’re more likely to fall. Some simple ways to train your balance include: ● Single Leg Stands : Stand near a sturdy surface like a countertop or wall for support. Lift one foot slightly off the ground and hold that position for 10–15 seconds. Then switch sides. At first, you might wobble, but that’s perfectly normal. Over time, your legs, ankles, and core muscles will get stronger, and your balance will improve. Try doing 3 rounds on each leg daily. ● Heel-to-Toe Walk: Imagine you’re walking on a tightrope. Place one foot directly in front of the other, heel touching toe, as you move slowly across the room. This simple drill strengthens your stabilizing muscles and sharpens coordination. Keep your eyes forward, not down, and use a wall for light support if needed. ● Side Leg Raises: Hold onto a sturdy chair or counter. Lift one leg out to the side while keeping your back straight and your toes facing forward. Lower it slowly and repeat. This exercise builds hip strength, which plays a big role in staying upright on slippery ground. ● Weight Shifts: Stand with your feet hip-width apart and shift your weight from one leg to the other slowly. Feel your balance change from left to right. This gentle exercise teaches your body to adjust quickly. Strength Training Balance and strength go hand in hand. When your muscles are strong, they act like shock absorbers, keeping you stable even when your footing isn’t perfect. Focus on the muscles that support your posture and help you move safely. Here are a few simple exercises to include in your daily routine: ● Chair Squats: Sit down and stand up from a sturdy chair without using your hands for support. Keep your feet flat on the floor and your knees aligned with your toes. This move strengthens your thighs, hips, and glutes—key muscles for stability and control. ● Heel Raises: Stand behind a chair or counter and slowly lift your heels so you’re standing on your toes. Lower back down after holding for a few seconds. This helps strengthen your calves and ankles, improving the small muscle reactions that keep you upright when you slip. ● March in Place: Lift your knees high as if you’re marching. Do this for one to two minutes, rest, and repeat. Marching builds leg endurance and helps train your coordination. ● Core Squeezes: While sitting or standing, tighten your stomach muscles as if you’re zipping up a snug jacket. Hold for 10 seconds, then release. A strong core helps your upper and lower body work together to keep you balanced. These movements may look simple, but they’re powerful. Doing them for just 10–15 minutes a day can make winter walks safer and less stressful. Warming Up Before You Head Outdoors Cold weather tightens muscles and slows blood flow, making your body less responsive. That’s why warming up before heading outside is so important. Think of it as insurance against sudden slips. Try a short warm-up routine before stepping out: ● Arm circles to loosen shoulders. ● Gentle knee bends to wake up leg muscles. ● Shoulder rolls and neck stretches to improve mobility. ● A quick indoor walk or stair climb to raise your heart rate slightly. It’s also wise to check your footwear. Look for rubber soles with deep treads for better traction. Avoid smooth or worn-out shoes, and consider ice grips that attach to your boots if you live in a particularly snowy area. Winter doesn't have to be a season of fear. By investing just 10-15 minutes a day in these simple, safe exercises, you can build the strength and confidence you need to navigate the season safely. You are giving your body the tools it needs to stay upright, stable, and strong. When to Ask for Professional Help If you’ve had a fall before or feel nervous about losing your balance, it’s a good idea to get help from a physical therapist or pain specialist. They can assess your movement patterns and create a personalized exercise plan to strengthen weak areas. At Pain Treatment Centers of America , we often see patients who avoid movement due to fear of falling or pain. With guided therapy, they rebuild strength and confidence. Therapists also teach safe walking techniques, posture corrections, and stretching routines that make winter mobility much easier. Even if you’re recovering from an injury or dealing with chronic conditions like arthritis, a professional can tailor exercises that improve stability without aggravating pain. Our team at Pain Treatment Centers of America can provide you with the comprehensive care you need to manage your pain. Contact us to book an appointment!
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