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Cluneal Nerve Stimulator Trial and
Permanent Implant

Dr. Miller offers advanced treatment options for patients dealing with chronic pelvic and lower back pain. One such innovative solution is the Cluneal Nerve Stimulator, a procedure that can provide effective pain relief for patients suffering from conditions related to the cluneal nerves, such as chronic pelvic pain or post-surgical pain in the lower back.

What Is a Cluneal Nerve Stimulator Trial and Permanent Implant?

The Cluneal Nerve Stimulator Trial is a temporary test procedure to determine if nerve stimulation can effectively relieve chronic pain. During the trial, a small device is placed near the cluneal nerves to send electrical impulses that block pain signals, helping to reduce pain and discomfort. If the trial proves successful in providing pain relief, a permanent Cluneal Nerve Stimulator Implant can be implanted for long-term pain management.

 

The permanent implant involves surgically placing a small device that delivers electrical pulses to the cluneal nerves, helping to manage pain on a long-term basis.

Why Choose a Cluneal Nerve Stimulator?

  • Effective Pain Relief: The stimulator can significantly reduce chronic pain caused by irritation or damage to the cluneal nerves.

  • Minimally Invasive: The procedure involves small incisions for both the trial and permanent implantation, making it less invasive than traditional spinal surgeries.

  • Customizable Control: The permanent implant allows patients to adjust the intensity and pattern of stimulation using a handheld remote, offering a personalized approach to pain relief.

  • Quick Recovery: Most patients recover quickly, with many resuming daily activities within days after the procedure.

  • Reduced Medication Dependency: The device offers a non-pharmacological alternative, which can help reduce reliance on pain medications, including opioids.

Conditions Treated with Cluneal Nerve Stimulation

  • Chronic pelvic or lower back pain due to cluneal nerve irritation or damage

  • Post-surgical pain, particularly after abdominal or pelvic surgery

  • Pain not responsive to other treatments, such as medications or physical therapy

  • Failed conservative treatments for lower back pain or pelvic conditions

  • Pain from conditions like meralgia paresthetica (entrapment of the lateral femoral cutaneous nerve)

What to Expect During the Procedure

The Cluneal Nerve Stimulator Trial is performed on an outpatient basis. During the trial, small leads are inserted near the cluneal nerves in the lower back or pelvic area. These leads are connected to a small external device that delivers electrical pulses to the nerves. The trial typically lasts from 3 to 7 days, allowing the patient to test the effectiveness of the stimulation in real-world settings.

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If the trial is successful, Dr. Miller will discuss moving forward with the permanent Cluneal Nerve Stimulator Implant. This procedure is performed under local anesthesia and involves implanting a small pulse generator under the skin in the lower back or abdomen, connected to the leads. The implantation process typically takes 1 to 2 hours, and most patients can return home the same day.

Is Cluneal Nerve Stimulation Right for You?

Dr. Miller will conduct a thorough evaluation, including reviewing your medical history, symptoms, and diagnostic imaging, to determine if the Cluneal Nerve Stimulator is a suitable treatment for your chronic pain. The trial phase is a great way to assess whether this treatment will be effective before committing to the permanent implant.

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