Advanced interventional procedure

Implantable Therapies

Q: Is the trial period mandatory?

Yes. It is a fundamental step to confirm response before the definitive implant. Most insurers require it.

Q: Does it interfere with MRI scans?

Modern systems are compatible with full-body MRI or have specific restrictions. This is evaluated based on the device manufacturer.

Spinal cord stimulation and intrathecal infusion pump · For refractory chronic pain

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The procedure

What are implantable therapies?

Implantable therapies are the next step when other treatments have failed. They include spinal cord stimulation (SCS), which modulates pain signals through electrodes in the epidural space, and the intrathecal infusion pump, which delivers medication directly into the cerebrospinal fluid at minimal doses with maximum efficacy. Both are reversible and adjustable.

Indications

For which conditions?

Failed back surgery syndrome (FBSS)
Chronic neuropathic pain in lower limbs
Sciatica refractory to other treatments
Complex regional pain syndrome (CRPS type I and II)
Ischemic pain from vascular disease
Chronic neuropathic postoperative pain

The process

How do these therapies work?

In spinal cord stimulation, electrodes are placed in the epidural space connected to an implantable pulse generator. A trial period of 5–7 days is always conducted before the definitive implant. In the intrathecal pump, a programmable reservoir is implanted that releases morphine or other agents directly into the intrathecal space, achieving pain control with doses 300 times lower than the oral route. Both require strict evaluation and selection of the candidate.

Advantages

Why choose this treatment

Reversible and adjustable

The system can be reprogrammed or removed without permanent damage

Prior trial

Trial period before definitive implant to confirm benefit

Reduces opioids

Reduces the need for medications

Functional improvement

Not only reduces pain, improves quality of life and function

Could this procedure help you?

In the first consultation we evaluate if you are a candidate and design the appropriate plan for your case.

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Frequently asked questions

Most frequently asked questions

Who is a candidate for neurostimulation?

Patients with chronic neuropathic pain of more than 6 months that has not responded to conservative treatment, surgery, or other interventional procedures. Prior psychological evaluation is required.

Is the trial period mandatory?

Yes. It is a fundamental step to confirm the response before the definitive implant. Most insurers require it.

Does it interfere with MRI scans?

Modern systems are compatible with whole-body MRI or have specific restrictions. It is evaluated according to the device manufacturer.

Does it have GMM insurance coverage?

Many insurers (GNP, AXA, MetLife, BUPA) cover neurostimulation when medically justified. We evaluate it case by case.