Restorative Treatment For Mechanical Low Back Pain- EP 25

Premier Pain Talk

Sep 27 2022 • 31 mins

Restorative Treatment For Mechanical Low Back Pain

Dr. Danko and his partner at the practice, Dr. Tim Feldheim hosted a webinar about an exciting new therapy called, ‘restorative neurostimulation’. Many people experience low back pain at some point throughout their life and for varying reasons and this therapy is  targeted at low back pain.Tune in to learn more.

Episode Highlights:

  • There is an exciting new therapy called restorative neurostimulation; The implantable device that provides the therapy is called reactivate.
  • Dr. Feldheim talks about how this therapy is targeted at low back pain and overviews back pain in general.
  • Why might you have a need for low back surgery?
  • What is stenosis and what does it cause?
  • Mechanical low back pain constitutes ⅔ of patients with low back pain; Dr. Feldheim explains what processes occur to create pain.
  • Overload leads to pain and then our body responds with inhibition which happens when our muscles want to fire but they cannot. There is a continued and repetitive worsening cycle of overload, pain, inhibition.
  • The saying, “If you don’t use it, you lose it, is true of the multifidus muscle as well”, says Dr. Feldheim.
  • Can fat integrate into muscle?
  • Dr. Feldheim talks about the current treatments for multifidus dysfunction.
  • Have you heard of dry needling?
  • What is restorative neurostimulation?
  • With this new treatment, the focus is actually on the source of the pain and reversing that for people with mechanical low back pain. It is FDA approved.
  • There are many things that set this therapy a part especially in its ability to reactivate muscle control, restore thfunction spine stability that a lot of the other therapies are not targeted at, and overall reduce pain.
  • Dr. Danko talks about how this is a novel therapy and how it differs from other kinds of stimulation devices.
  • This is a great long term therapy; There is already three year data out to show its effectiveness.
  • Dr. Danko says they have been  doing this implant for about 9 months at Premier Pain Institute. He gives the details about the device itself and how it works.
  • A significant reduction in pain medication was reflected with the research studies done on the longevity of this treatment.
  • What does the continued improvement look like over the long term?
  • This is a reversible therapy that can be removed.
  • If you can reverse the cascade from the initial injury and restore your core stability and strength, and you don’t have an active energy, you could restore and heal yourself with the device and not have to use it long term.
  • What about routine use?
  • Dr. Danko talks about the indexes they use to gauge function and pain levels.
  • The data supports this to be a safe device with a low risk of complications.
  • What is the typical schedule with the reactive device with utilization of it?
  • What is the difference between this and a TENS unit and why is this a better therapy?
  • It is a minimally invasive surgery. Dr Danko talks about what to expect and the steady improvement.
  • Representatives help you get set up and continue to maintain and adjust the device.
  • There is broad established insurance coverage for this treatment as well.

Resources Mentioned:

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