Experience using Vertiflex to "Save a Stim."

[drusso]

What's everyone's experience using Vertiflex to save stimulators? Is anyone doing both at the same time?

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[lobelsteve]

I coat my leads in stem cells to prevent need for future vertiflex.

 

[gdub25]

They really treat different pathologies, I don’t think of it in terms of saving a stimulator but some patients may benefit from both. I did have some stimulator patients that I circled back on whenever Vertiflex became available and offered it to them but truth be told they weren’t very good stimulator patients to begin with. It was just that I didn’t have anything else to offer them and they were the ones that kept coming back in to be reprogrammed and saying their pain was a lot worse when they were standing and walking.

 

[Espn123]

Strong, as many have adjacent segment stenosis etc

 

[BobBarker]

The Vertiflex/save a stim stuff is really humorous. It is a “well, duh”
reason to find something easy to create a case study over. You have SCS which isn’t a strong treatment for spinal stenosis then you actually treated the stenosis and everything got better. Nothing to pat yourself on the back for.

 

[Orin]

Are you talking about the acquired canal stenosis from the stim lead?

 

[Espn123]

The Vertiflex/save a stim stuff is really humorous. It is a “well, duh”
reason to find something easy to create a case study over. You have SCS which isn’t a strong treatment for spinal stenosis then you actually treated the stenosis and everything got better. Nothing to pat yourself on the back for.

Really? This is not something that is obvious to many docs, as it is to you. Before we had tools to treat spinal stenosis thousands of patients have been implanted for non-surgical stenosis. I think it’s great.

There are a lot less meaningful ways to create a case study....

 

[BobBarker]

It’s about like a ACL reconstruction improves hinged brace performance study if done in 1980.

 

[Ducttape]

Really? This is not something that is obvious to many docs, as it is to you. Before we had tools to treat spinal stenosis thousands of patients have been implanted for non-surgical stenosis. I think it’s great.

There are a lot less meaningful ways to create a case study....

will this be the strategic plan for pain docs in the future?
TF->ESI->SCS->Vertiflex?
similar to
lam->single level fusion->multilevel fusion?

 

[painfree23]

will this be the strategic plan for pain docs in the future?
TF->ESI->SCS->Vertiflex?
similar to
lam->single level fusion->multilevel fusion?

Ur forgetting to end with
—> Pump (micrdosing doe)

 

[Espn123]

will this be the strategic plan for pain docs in the future?
TF->ESI->SCS->Vertiflex?
similar to
lam->single level fusion->multilevel fusion?

Scs and vertiflex treat two different things. I think this was more in the context of patients who were implanted for non-surgical spinal stenosis at a time when there were no other options for it in our hands...

 

[deleted993114]

I coat my leads in stem cells to prevent need for future vertiflex.

Is one required to wear gloves with that approach, or do you just dip bare hands in a vat of stem cells?

I think if you combine that technique with a laser, it will certainly yield superior results.

 

[Paingas]

Stim IMO isat that great for LSS w/NIC. LSS needs an anatomical change Vertiflex can provide that. For LSS I look to evaluate if they are a candidate for Vertiflex or MILD. No is not really a candidate for the MILD procedure. If that fails I will sometimes try again or go to stim.

 

[lobelsteve]

Is one required to wear gloves with that approach, or do you just dip bare hands in a vat of stem cells?

I think if you combine that technique with a laser, it will certainly yield superior results.

Since the CDC mandated masks, I can no longer use my lick it and stick it technique.