![]() Refer to for product manuals for complete indications, contraindications, warnings, precautions and potential adverse events. ![]() Adverse events may result in fluctuations in blood glucose in patients with diabetes. May include: undesirable change in stimulation (uncomfortable, jolting or shocking) hematoma, epidural hemorrhage, paralysis, seroma, infection, erosion, device malfunction or migration, pain at implant site, loss of pain relief, and other surgical risks. Spinal cord stimulation has been utilized for decades in the treatment of numerous conditions such as failed back surgery and phantom limb syndromes. Recharging a rechargeable neurostimulator may result in skin irritation or redness near the implant site. Cigna Medical Coverage Policies Musculoskeletal Spinal Cord and Dorsal Root Ganglion Stimulation. Avoid activities that put stress on the implanted neurostimulation system components. the dorsal column nuclei and/or the caudal medial lemniscus within the lower medulla. Dorsal columns contain A fibers related to all dermatomes, from the caudal to the spinal segments, where the contact is located, and these fibers are arranged in a precise order: The more caudal the dermatome, the more medial the axon. SPINAL CORD/DORSAL COLUMN AND DORSAL ROOT GANGLION STIMULATION of 7 VI. Safety and effectiveness has not been established for pediatric use, pregnancy, unborn fetus, or delivery. A preoperative assessment is advised for some patients with diabetes to confirm they are appropriate candidates for surgery. Patients with diabetes may have more frequent and severe complications with surgery. Here we examine 15 cases of radicular pain complications along respective thoracic dermatomes, which developed in the immediate postoperative period, following thoracic dorsal column stimulation. An implanted cardiac device (e.g., pacemaker, defibrillator) may damage a neurostimulator, and electrical pulses from the neurostimulator may cause inappropriate response of the cardiac device. Sources of electromagnetic interference (e.g., defibrillation, electrocautery, MRI, RF ablation, and therapeutic ultrasound) can interact with the system, resulting in unexpected changes in stimulation, serious patient injury or death. ![]() Spinal cord stimulation (SCS) is indicated as an aid in the management of chronic, intractable pain of the trunk and/or limbs-including unilateral or bilateral pain.ĭiathermy - Energy from diathermy can be transferred through the implanted system and cause tissue damage resulting in severe injury or death. During a spinal cord stimulation treatment, an electronic pulse generator sends pulses to the nerve sites in a way that interferes with and blocks pain signal. ![]()
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