![]() ![]() It is typical and expected that people living with chronic pain will have high levels of irritability, anxiety, and depression.Īlso, pain relief often helps decrease depression and anxiety. In fact, chronic pain patients are much more likely to suffer from depression and anxiety than the general public. See Options in Spinal Cord Stimulation Q: What if I am depressed or anxious? Will that stop me from having the stimulator placement?Ī: No. In order for the psychologist to share the information with your surgeon, you will need to sign a release form. The conversation remains confidential between you and your psychologist unless you disclose that you plan to hurt yourself or someone else. You’ll also fill out a few questionnaires about how you manage your pain, your current mood, and your treatment goals. See Who May Benefit from Spinal Cord Stimulation It also involves a social history, family history, information about previous alcohol or substance use, and what kind of psychological treatment you may have had in the past. Typically, the examination consists of a conversation between you and the psychologist about your medical history, including your chronic pain struggles. Knowing what to expect can help decrease worry. Q: What happens during the pre-surgical psychological examination?Ī: Sometimes patients who have never met with a psychologist before get anxious about the initial visit. In part, the pre-surgical clearance examination helps your physician prepare you for the procedure and make recommendations to help you adjust to this new part of your body. ![]() Unfortunately, this stress can reduce the effectiveness of the simulator placement. For some, the stimulator can cause an increase in worry and anxiety. If a patient does not respond well to neurostimulation, he or she may be a candidate for Targeted Drug Delivery.Q: Does a referral to a neuropsychologist mean my surgeon thinks I’m crazy or will go crazy after the stimulator placement?Ī: No, but not everyone responds well psychologically when a foreign device is implanted into their body. The safety and effectiveness of this therapy has not been established for pregnancy, unborn fetus or delivery. Complex Regional Pain Syndrome (CRPS), Reflex Sympathetic Dystrophy (RSD), or causalgia.Arachnoiditis or lumbar adhesive arachnoiditis.Degenerative Disk Disease (DDD)/herniated disk pain refractory to conservative and surgical interventions.Radicular pain syndrome or radiculopathies resulting in pain secondary to FBS or herniated disk.Failed Back Syndrome (FBS) or low back syndrome or failed back. ![]() Spinal Cord Stimulation is an aid in the management of chronic, intractable pain of the trunk and/or limbs including unilateral or bilateral pain associated with the following conditions: A careful assessment by a multidisciplinary team, and discussion of the patient's expectations and goals, will help identify appropriate candidates for spinal cord stimulation. The overall goal for patient selection for spinal cord stimulation is to choose those patients most likely to experience therapeutic success while reducing the likelihood of risks, complications, and adverse events. ![]()
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