Spinal Cord Stimulation – Good Control of Post Hernia Pains

15 Cases of intractable chronic post-operative groin pain post hernia surgery had spinal cord stimulation leads implanted. All experience >75% reduction in pain and in some cases back pain was covered some as well.  11 stopped painkillers; the other 4 reduced it. Followup 1 year so far.

Spinal Cord Stimulation as Alternative Treatment for Chronic Post-Herniorrhaphy Pain
Alexander E. Yakovlev, MD* · Mazin Al Tamimi, MD† · Giancarlo Barolat, MD‡ ·
Sergey A. Karasev, MD§ · Yuri A. Merkulov, MD¶ · Beth E. Resch, APNP* · Victoria E. Yakovleva, BA*
Neuromodulation in press 2010   abstract here

  • 11 men; 4 women
  • ages 29 – 71
  • most over 12 months duration]’
  • all had at least one surgical exploration of site

Prior treatments included:

  • gabapentin and pregabalin
  • opioids
  • tricyclic anti-depressants (TCAs)
  • lidocaine patches
  • physical therapy
  • TENs unit

Stimulation: –

  • two eightelectrode epidural leads with epidural access was gained at the T12/L1 or L1/L2 with final leads positioned at T7-T8-T9
  • Between 1.8 and 3.2 V, pulse width 350–450 msec, and frequency 40–50 Hz.
  • procedure done under local anesthesia

Complications – none

Comment  –  this is a non-destructive, reversible technique with great potential. I hope this gives people with chronic pain hope. Who does it? – Medtronic Inc., Minneapolis, MN supplies much of the equipment  and might be able to guide your doctor to who is doing it regionally. michael kors bolsos rebajas michael kors bolsos rebajas

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