Living with pain after a spinal cord injury (SCI) is something that many are familiar with, if not resigned to. There are a variety of ways in which to reduce or eliminate the pain, but what works for one person’s situation often fails to produce results for someone else.

An option we recently read about is the use of spinal cord stimulation (SCS) treatment - a therapy that is said to relieve neuropathic pain after a failed back surgery. (The original article can be found here.)

Patients in a prospective randomized controlled multi-center study (PROCESS) trial were rated on their level of pain before and after the use of SCS while a control group was given more traditional therapies such as nerve blocks and physical rehabilitation. Out of a 100 participants, 48 percent achieved at least a 50 percent reduction in pain. The control group experienced little or no relief.

SCS is not a cheap therapy, so you will definitely want to research your options and thoroughly consider the costs vs. the potential benefits. If you are interested, this Website has some good information on how SCS works.

Reference:
Manca A, Kumar K, Taylor RS, Jacques L, Eldabe S, Meglio M, et al. Quality of life, resource consumption and costs of spinal cord stimulation versus conventional medical management in neuropathic pain patients with failed back surgery syndrome (PROCESS trial). European Journal of Pain 2008.

Q: Since my spinal cord injury, I have been living with chronic pain and my doctors have been unable to figure out what’s causing it. Why is it so hard to pinpoint?

A: Chronic pain is often difficult to find one specific cause for due to a combination of factors. First, patients who suffer from chronic pain, no matter what the initial injury was, often also experience anxiety and depression. These two strong emotions not only interfere with a proper diagnosis, but contribute to the pain.

One theory is that an injury causes increased nervous activity that transmits pain from the spinal cord to the brain, damaging the nerve circuits it passes through. These circuits amplify the pain beyond what the physical injury would seem to suggest.

The idea being considered by researchers is that these “pain amplifying circuits” have become self-sustaining. If this is the case, the next step is to figure out if they can be turned off or at least dialed down. We don’t have the answers yet, but at least there is some comfort in the knowledge that scientists are working on a solution.

OK, so it may not be a topic you are sitting down reading about for pleasure, but if you or someone you know has experienced the herniation of a disk in your spinal cord, it this article is a great resource so we had to share it!

Todd Beartoes writes in depth about exactly what a disk is, where it is and what happens when it herniates. He goes into the various types of herniation such as pinched nerves, bulging disk, rupture disk and so forth. He then discusses why this happens and what the recognizable symptoms are along with a quick summation of treatment types. While he doesn’t go more in depth into treatment, there are a great deal of resources available on the Internet. Here’s one to get you started: Disk Herniation Treatment.

For the whole article, click here.