Advanced Procedures & Surgery
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Spinal Cord Stimulation Trial & Implant
Spinal cord stimulation may help relieve pain and improve the quality of life in people with chronic (long-lasting) pain, such as low back and leg pain. Spinal cord stimulation (SCS) may help reduce and manage chronic pain that did not respond to physical therapy, pain medications, injections, or other non-surgical treatments.
Spinal cord stimulation is a form of neuromodulation that works by blocking pain signals in nerves from reaching the brain, where feelings of pain are processed. A spinal cord stimulator is a small device that is implanted under your skin. The device delivers a slight electrical impulse that masks or changes pain signals before they reach your brain.
Peripheral Nerve Stimulation Trial & Implant
Spinal cord stimulation
The StimQ Peripheral Nerve Stimulator (PNS) System utilizes the technology that creates an energy field that acts on peripheral nerves to treat chronic pain. The device is inserted through a needle-sized incision, and can be placed to stimulate peripheral nerves throughout your body. It is truly a wireless system that does not require an implantable body. The StimQ Peripheral Nerve Stimulator (PNS) System treats multiple conditions including but not limited to chronic knee pain, shoulder pain, ankle pain, foot pain, occipital neuralgia headaches, elbow pain, Pudendal Neuralgia, and hip pain.
Dr. Fabito and Dr. Hardie are one of the only Fellowship Trained Pain Specialists that can perform both the trial and implant of the SCS/PNS Systems. Dr. Fabito and Dr. Hardie completed Surgery internships, Anesthesiology residencies, and Pain Management Fellowships. Dr. Fabito and Dr. Hardie are both Board Certified.
Vertiflex Procedure: Superion Percutaneous Indirect Spinal Decompression
The Vertiflex Procedure uses a small spacer that is placed inside the spine without damaging any nearby bone or tissue. Once inserted, the implant’s arms open around the spinous processes and hold the space open. This preserves the necessary space in the spine, lifting pressure off the nerves in the lower back which can result in the reduction or elimination of leg and back pain. This simple and streamlined procedure can be completed at an outpatient center. Dr. Fabito and Dr. Hardie are certified to perform the Vertiflex procedure.
The mild® Procedure
mild® is a safe procedure that can help patients diagnosed with lumbar spinal stenosis (LSS) stand longer and walk farther with less pain. It is an outpatient procedure, performed through a very small incision that requires no general anesthesia, no implants, and no stitches.
Dr. Fabito and Dr. Hardie are certified to perform mild® using a fluoroscopic imaging machine to remove small pieces of bone and excess ligament tissue through a tiny incision in your back. As these elements are removed, the spinal canal is decompressed by restoring the space in the spinal canal which reduces pain.
Pain-Teq Sacroiliac Joint Fusion
Pain-Teq SI Joint Fusion is a minimally invasive surgical technique to help stabilize the sacroiliac joint. The Sacroiliac joint becomes dysfunctional due to degeneration, arthritis, inflammation, trauma, or ligamentous laxity. It can account for almost 30-40 % of back and buttock pain. If you have failed conservative treatments such as injections, physical therapy, and medications, you may be a candidate to stabilize the dysfunctional joint. The SI LinQ fusion, a very small piece of cadaveric bone, is inserted through a one-inch incision into the joint to help stabilize and heal it. The procedure is completed under sterile conditions in an outpatient surgical setting under 30 minutes. Dr. Fabito and Dr. Hardie are certified to perform the SI Linq Fusion.