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Posts Tagged ‘Spinal cord injury

Minimally Invasive Stabilization, MIS

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A procedure that relieves certain painful spine conditions

Minimally invasive stabilization (MIS) at is performed in an outpatient environment for patients who are in search of a minimally invasive approach to spine fusion.

When compared to open fusion procedures, the advantages of minimally invasive stabilization performed at hospitals include:


Currently, Laser Spine Institute offers a few types of minimally invasive stabilization surgical procedures to treat problematic discs that other types of endoscopic spine surgery do not treat.

Minimally invasive stabilization commonly treated conditions:

Less than 3 percent of patients that seek endoscopic spine procedures at are recommended for a minimally invasive stabilization procedure. General anesthesia is used for minimally invasive stabilization surgery at Laser Spine Institute, but the recovery time following surgery is fairly quick, resulting in the patient being able to leave the facility within a few hours postoperatively. The minimally invasive stabilization technique used on a patient will depend on the specific character of the patient’s problem.

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Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, Texas, No More Back Pain, Minimally Invasive Spine Surgery, Pain Free Fast, Fellowship-Trained Spine Surgeons,

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Minimally Invasive Laser Spine Surgery | Spine Surgeons | Dallas, Texas

Because the minimally invasive industry has become extremely competitive in nature, multiple misconceptions have resulted from varias procedures. And while many doctors board certified and not as well as fellowship trained and not claim to perform minimally invasive procedures, few actually are trained to do so properly, making it more important than ever for patients to not only interview doctors, but to know the right questions to ask and to be educated on the correct answers they get.

Become Pain Free | Pain Specialist in Texas


Physician Specialist Dallas, Physician Specialist Fort Worth, Physician Specialist , Pain Management, Pain Management Doctor Dallas, Pain Management Dr., Pain Management Texas

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Pain in acute myocardial infarction (rear)

Pain in acute myocardial infarction (rear) (Photo credit: Wikipedia) is an established Medical Group in Dallas, San Antonio, and Houston TX. specializing in pain management doctors.  Our physicians in our group utilize a variety of medically proven techniques and therapies to address the medical concerns of our patients, and assist in pain control and management.

Call Us: (214) 396-3647 | (888) 373-3720
Fax #:  (888)238-9155 | E-mail Us

We at the believe that the patient’s comfort is and always should be the number one concern!  If you are in pain we will see you today Our physicians in our group offer comprehensive treatment options, ranging in scope from diagnostic, homeopathic, therapeutic,  chiropractic, Pain injections, surgery, neurology,  pharmaceuticals and pain pills.  We work closely with our patients and take their needs and desires into consideration during the course of evaluation, counseling and treatment services.

Everyone experiences some sort of pain at one point or another during the time of there life. It’s often an indication that something is wrong with your health.

Each individual person is the best judge of his or her own pain. Feelings of pain can range from mild and occasional to severe and constant pains.

What Is Acute Pain or Chronic Pain?

Acute pain normally begins suddenly and is usually sharp in quality. It serves as a warning of disease or a threat to the body system. Acute pain may be caused by many events or circumstances, such as:

Acute pain may be mild and last just a moment or so, or it may be severe and last for weeks or months even years. In most cases, acute pain does not last longer than six months and it disappears when the underlying cause of pain has been treated or has healed. Unrelieved acute pain, however, may lead to chronic pain.

Call Us: (214) 396-3647 | (888) 373-3720
Fax #:  (888)238-9155 | E-mail Us

Pain, Failed Back Syndrome, Failed Back Surgery, Back Pain, Spinal Cord Stimulator Trial, SCS Trail

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What is a spinal cord stimulator?

A spinal cord stimulator is a specialized medical device that stimulates the spinal cord and spinal nerves by tiny electrical impulses via a small electrical wire placed behind and just outside the spinal cord in the epidural space. The electrical wire or lead contains a series of four to eight evenly spaced electrodes that can be programmed to generate an electrical field.

English: Anterior view X-ray of a Medtronic Sp...

English: Anterior view X-ray of a Medtronic Spinal Cord Stimulator (SCS) implanted in the thoracic spine. (Photo credit: Wikipedia)

Are you a candidate for a spinal cord stimulator?

Are you a candidate for a spinal cord stimulator?

Spinal cord stimulators are most often used for patients with chronic and severe neuropathic pain, who have not responded to other more conservative medical treatments. Neuropathic pain is pain due to damaged nerve tissue. Common examples include patients with post-laminectomy nerve damage, radiculopathy, diabetic neuropathy and reflex sympathetic dystrophy.

What is the purpose of a spinal cord stimulator (SCS)?
Spinal cord stimulator for chronic pain, Texas.

A spinal cord stimulator generates a low level electric field to interrupt nerve conduction of pain signals to the brain.

What is the difference between a spinal cord stimulator trial and a spinal cord stimulator permanent implantation/ implant?

Typically, after patients have failed more normal conservative treatment options, consideration is given to a trial of spinal cord stimulation. Rather than put an expensive medical device permanently into a patient we take our time, a temporary spinal cord stimulator wire is placed in a patient for several days to a week. This temporary wire gives the patient an opportunity to experience spinal cord stimulation without having to undergo a full implantation. If this trial is successful in relieving pain, a permanent device can be placed under the skin at another date.

What determines if a spinal cord stimulator trial is successful or not?

Usually the patient who has had a trial has a very good sense of success. Most patients who are not sure that the spinal cord stimulator trial helped will not get a permanent spinal cord stimulator. Typically, the physician is looking for a significant increase in activity tolerance or a significant decrease in the need for pain medication or some combination of both.

How long does a spinal cord stimulator trial placement take?

Placement of a trial stimulator wire or lead takes from thirty minutes to an hour depending or the patients conditions.

How long does a spinal cord stimulator permanent usually implantation take?

Placement of a permanent spinal cord stimulator wire and a subcutaneous pulse generator or battery takes from one to two hours normally.

How is it a spinal cord stimulator trial lead placement actually performed?

Spinal cord stimulator procedure at Interventional Spine & Pain, Dallas Texas.

The patient is monitored with an EKG, blood pressure cuff and an oxygen-monitoring device. The procedure is performed under sterile conditions usually on a Hospital. In a spinal cord stimulator trial, the temporary electrodes are placed and then the patient uses an external device to generate electrical current. The electrodes are placed under x-ray guidance with the patient lying on his belly. A local anesthetic is used to numb the skin and deeper tissues. An introducer needle is passed into the epidural space. The electrodes are inserted through the introducer needle. The position of the spinal cord stimulator electrodes is adjusted until stimulation covers as much of the painful area as possible. When this is accomplished, the introducer needle is removed and the temporary wire is secured to the skin with a small stitch and a large sticky bandage.

Will the spinal cord stimulator placement hurt me?

The procedure involves inserting an introducer needle through skin and deeper tissues. There is some pain thats involved. Most patients also receive intravenous sedation that makes the procedure easier to tolerate.

Will I be “put out to sleep” for a spinal cord stimulator?

The placement of the trial electrodes is done under local anesthesia with patients mildly sedated. This is necessary to ensure proper placement of the wires. The amount of sedation given generally depends upon the patient tolerance. The patient is conscious although some will have enough amnesia that they may not remember parts of the procedure. In a permanent placement, once the wires or electrodes are in good position, the patient is often sedated more heavily to place the pulse generator or battery.

Where are the electrodes inserted or entered ? Where is the generator placed?

For the pain involving lower back and legs, the electrodes are inserted in the midline of the lower back, usually above any previous surgery. For a permanent stimulator, the generator is then placed on the side of the lower abdomen or above the buttock. For the pain involving the arms, the electrodes are inserted in the midline at the upper back. The generator is then placed on the side of the chest.

What should I expect after a spinal cord stimulator?

If the procedure is successful, the patient’s pain may be gone or quite less. The patient will usually feel a constant sensation of stimulation, often described as warm or tingly. The patient may have soreness due to the needle placement for a day or two. Most patients with successful stimulation take less, not more, medication after the placement.

What should I do after the procedure(s)?

Instructions for after a spinal cord stimulator procedure.

This procedure is an outpatient procedure. The patient will need a ride home they are not to drive. They The patient should plan to take it easy for a day or so after the procedure. The patient can do most activities but is generally advised to avoid a lot of bending or twisting of the spine.

How long will the generators last?

Depending upon the device used, the batteries may be internal or external. With internal batteries, the generator may last several years depending on the intensity and duration of stimulation required. The batteries cannot be replaced or recharged; they must be replaced surgically. With external batteries in the transmitter, the batteries can be replaced as needed.

Can a spinal cord stimulator be removed?

Yes. Even though we often consider the placement permanent fro life, the spinal cord stimulator wire or lead can usually be removed with relative ease.

Can I have an MRI if I have a spinal cord stimulator?

No. Typically, patient with a spinal cord stimulator in place should not have MRIs. They also should not have any deep electrical or deep heating physical therapy treatments, often called diathermy. There is a risk that an MRI or diathermy may raise the temperature of the electrical wire or electrodes and potentially harm the spinal cord or spinal nerves.

Can I pass through TSA airport security with a spinal cord stimulator?

Maybe. Depending on the sensitivity of the specific screening devices, many patients can pass through with ease, just like some patients with pacemakers. If not, all patients are provided with identification indicating a medical device has been implanted.

Will the spinal cord stimulator help?

It is sometimes difficult to predict if the procedure will actually help the patient or not. For that reason, temporary electrodes are placed as a trial to determine if a permanent device will be effective to relieve pain. Typically, with successful trial stimulation, patients will have a 50 to 70% reduction in their pain.

What are the risks and side effects of spinal cord stimulation?

Generally speaking, this procedure is safe. However, with any procedure there are risks, side effects and possibility of complications. Common side effects are bruising and soreness. Less common risks are short-term weakness or numbness, headache, bleeding or infection.

Who should not have a spinal cord stimulator?

Patients on a blood thinning medication, patients with an active infection going on, and patients with poorly controlled diabetes or heart disease should not have the procedure or at least consider postponing it if postponing would improve the overall medical condition.

Our Group has a team that can help with these procedures please contact us today. Call Us: (214) 396-3647 | (888) 373-3720
Fax #:  (888)238-9155 | E-mail Us

Back Pain, Pain, Spine Surgery, Kyphoplasty Surgery Procedure

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  1. During a kyphoplasty surgery, a small incision is made in the back in the spinal area through which the doctor places a very narrow tube. Using fluoroscopy to guide it to the correct position, the tube creates a path through the back into the fractured area through the pedicle of the involved vertebrae.
  2. Using the X-ray images, the doctor inserts a very special medical balloon through the tube and into the vertebrae area, and then gently and carefully inflates it slowly. As the balloon inflates slowly, it elevates the fracture, returning the pieces to a more normal position. It also compacts the soft inner bone to create a cavity inside the vertebrae.
  3. The balloon then is removed and the doctor uses specially designed instruments under low pressure to fill the cavity with a cement-like material called polymethylmethacrylate (PMMA). After being injected, the pasty material hardens quickly, stabilizing the bone.
same as Image:Gray 111 - Vertebral column.png ...

same as Image:Gray 111 – Vertebral column.png but coloured (Photo credit: Wikipedia)

Kyphoplasty surgery to treat a fracture from osteoporosis is performed at a hospital under local or general anesthesia. Other possible logistics for a typical kyphoplasty procedure are:

  • The kyphoplasty procedure takes about one hour for each vertebra involved in the surgery
  • Patients will be observed closely in the recovery room immediately following the kyphoplasty procedure
  • Patients may sometimes spend one day in the hospital after the kyphoplasty procedure


Patients should not drive until their doctor gives them approval. If they are released the day of the kyphoplasty surgery, they will need to arrange for transportation home from the hospital they should never drive home.

Recovery from Kyphoplasty

Pain relief may be immediate for some patients. In others, elimination or reduction of pain is reported within a few days. At home, patients can and should return to their normal daily activities, although strenuous exertion, such as heavy lifting, should be avoided for at least six weeks.


Candidates for Kyphoplasty

Kyphoplasty cannot correct an established deformity of the spine, and certain patients with osteoporosis are not candidates for this treatment. Patients experiencing painful symptoms or spinal deformities from recent osteoporotic compression fractures are likely candidates for kyphoplasty. The procedure should be completed within 8 weeks of when the fracture occurs for the highest probability of restoring height.

Risks and Complications of Kyphoplasty

Some general surgical risks apply to kyphoplasty, including a reaction to anesthesia and infection. Other risks that are specific to the kyphoplasty procedure and vertebroplasty include:

  • Nerve damage or a spinal cord injury from malposition instruments placed in the back
  • Nerve injury or spinal cord compression from leaking of the PMMA into veins or epidural space
  • Allergic reaction to the solution used to see the balloon on the x-ray image as it inflates

Balloon Kyphoplasty

It is not known whether kyphoplasty or vertebroplasty will increase the number of fractures at adjacent levels of the spine. Bench studies on treated bone have shown that inserting PMMA does not change the stiffness of the bone, but human studies have not been done. Osteoporosis is a chronic, progressive disease. As stated earlier, patients who have sustained fractures from osteoporosis are at an increased risk for additional fractures due to the loss of bone strength caused by osteoporosis.

To inquire if your health condition will qualify for this procedure please visit

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