cervical ESI with thoracic SCS?

Discussion in 'Pain Medicine' started by thecentral09, Dec 6, 2018.

  1. thecentral09

    Joined:
    Feb 8, 2017
    Messages:
    90
    Likes Received:
    11
    Hey guys,
    lady with cervical radic pain and prior thoracic SCS. somehow I have not encountered this in sometime, and obv have concern for injecting into the spine and infecting the leads/implant. any suggestions?
     
  2. lonelobo

    lonelobo PAIN DOC
    10+ Year Member

    Joined:
    Jun 1, 2005
    Messages:
    2,416
    Likes Received:
    624
    Status:
    Attending Physician
    Why would you have concerns for infection for CESI?
    SCS has no bearing in my mind on this decision
     
    lobelsteve likes this.
  3. No_Pain_No_Gain

    Joined:
    May 20, 2017
    Messages:
    15
    Likes Received:
    6
    Status:
    Attending Physician
    There shouldn't be any issues doing a cervical ESI in a patient with thoracic spinal cord stimulator in place. I applaud you for double checking first though. I always ask for advice if there is any doubt in my mind prior to an invasive elective medical procedure.
     
  4. callmeanesthesia

    Physician Classifieds Approved 2+ Year Member

    Joined:
    Apr 13, 2016
    Messages:
    86
    Likes Received:
    43
    Status:
    Attending Physician
    Worth mentioning to patient (and documenting that you did) that there is always a tiny risk of infection with any injection, and that if there is an infection it could spread to the device requiring removal. It wouldn’t stop me from doing the injection though unless the patient at that point decided not to.
     
  5. lonelobo

    lonelobo PAIN DOC
    10+ Year Member

    Joined:
    Jun 1, 2005
    Messages:
    2,416
    Likes Received:
    624
    Status:
    Attending Physician
    Do you mention that in every case when someone has a pacemaker, THA, TKA?
     
  6. callmeanesthesia

    Physician Classifieds Approved 2+ Year Member

    Joined:
    Apr 13, 2016
    Messages:
    86
    Likes Received:
    43
    Status:
    Attending Physician
    Only if something’s sharing the space where I’m injecting. Otherwise I just more generically say there is a risk of infection.
     
    studentologist likes this.

Share This Page