Pain Management
Spinal Cord Stimulation (SCS)
Advanced Neuromodulation for Chronic Pain
Spinal cord stimulation (SCS) is an advanced pain treatment that uses electrical impulses to block pain signals before they reach the brain. It’s often used when injections and surgery have not provided adequate relief.
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Over 30 Years Experience in Orthopedic & Neuro Spine Surgeries.
What Is Spinal Cord Stimulation?
In simple terms: A small device implanted near the spine sends electrical pulses that reduce pain signals.
Scientifically: SCS involves percutaneous or paddle-lead implantation in the epidural space, connected to an implanted pulse generator (IPG). It modulates dorsal column activity, altering pain perception via gate control and central mechanisms.
Conditions Treated
Chronic pain syndromes
Post-surgical pain (failed back surgery syndrome)
Radiculopathy not relieved by surgery
Neuropathic limb pain
Complex regional pain syndrome (CRPS)
The SCS Process: Step by Step
1. Trial Phase
Leads temporarily placed in epidural space.
External stimulator used for several days.
If >50% pain relief achieved → proceed to permanent implant.
2. Permanent Implant
Pulse generator implanted under skin (abdomen or buttock).
Leads connected to generator; programming tailored to patient.
Benefits of SCS
Pain relief without further major surgery
Reduces reliance on medications
Reversible and adjustable therapy
Long-term relief for many chronic pain patients
Risks & Limitations
Lead migration or device malfunction (rare)
Infection or bleeding
Not effective for everyone (trial ensures selection)
Recovery Timeline
Trial: Outpatient, minimal recovery needed
Implant: 1–2 weeks for incision healing; full activity in 6 weeks
Long-term: Device programmed and adjusted for optimal results
Dr. David L. Greenwald, MD
Neuro-Spine Surgeon
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If you’re living with chronic back, leg, or nerve pain and haven’t found relief through other treatments, Spinal Cord Stimulation (SCS) may be the next step toward lasting comfort. Dr. Greenwald and his caring team will evaluate your condition, discuss your symptoms, and determine whether SCS is the right solution for your needs. Every step you take toward pain management brings you closer to freedom and a better quality of life. Schedule your consultation today and learn how Dr. Greenwald’s expertise in SCS can help you move forward with confidence and relief.
Voted Best Spine Doctor
Over 30 Years Experience in Orthopedic & Neuro Spine Surgeries.
Dr. David L. Greenwald, M.D., F.A.C.S.
Neurosurgeon | Spine Surgeon | Regenerative Medicine
Dr. David L. Greenwald, MD, FACS, is a board-certified spine surgeon with advanced expertise in Spinal Cord Stimulation (SCS), an innovative treatment for patients with chronic back or nerve pain that has not responded to traditional therapies or surgery. This minimally invasive procedure involves implanting a small device that delivers mild electrical impulses to the spinal cord, interrupting pain signals before they reach the brain. Dr. Greenwald uses state-of-the-art technology to perform precise SCS implantation, allowing for customized pain control and improved quality of life. His patient-focused approach ensures that each individual receives a personalized treatment plan designed to maximize comfort, mobility, and long-term relief. Patients throughout South Florida trust Dr. Greenwald for his experience and commitment to advanced, compassionate spine care.
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