TREATMENT OVERVIEW

Dorsal Root Ganglion (DRG) Stimulation

Dorsal Root Ganglion (DRG) Stimulation is a highly advanced form of neurostimulation that targets the DRG, a key nerve structure that acts as a gateway for pain signals. By precisely targeting this structure, DRG therapy can provide profound relief for challenging, isolated chronic pain in specific areas like the foot, knee, or groin, which may not respond well to other treatments.

Medical illustration showing a DRG lead placed on the dorsal root ganglion
Patient using a wireless remote to control their DRG stimulation therapy

Quick Facts

  • • Procedure Duration: Trial: 45-90 min; Implant: 1-2 hours
  • • Recovery: Trial week with restrictions, then gradual recovery
  • • Pain Relief Onset: Immediate during the trial phase
  • • Best For: Chronic, focal pain (foot, knee, groin, CRPS)

PROCEDURE DETAILS

What is the Procedure?

DRG therapy is a two-step process. The first step is a temporary trial to ensure the therapy is effective for your specific pain. Under local anesthetic and light sedation, thin wires (leads) are precisely placed over the specific DRG that matches your area of pain. These leads are connected to an external "test drive" device that you wear for about a week.

If the trial is successful (providing at least 50% pain relief), you can proceed to the permanent implant. This is a minimally invasive surgery where new, sterile leads are placed and a small, pacemaker-like battery is implanted under the skin, typically in the buttock or abdominal area.

The implanted system sends mild electrical pulses directly to the DRG, which modifies the pain signals being sent to your brain. You are in full control of the therapy using a simple wireless remote, allowing you to adjust the stimulation for your needs.

TREATMENT ADVANTAGES

What are the Benefits?

DRG stimulation represents a breakthrough in precision pain management, offering hope and a powerful solution for patients with difficult-to-treat focal pain syndromes.

Unmatched Precision

DRG therapy targets the specific nerve ganglion responsible for your pain, providing focused relief without affecting surrounding areas of your body.

Effective for Focal Pain

This therapy is exceptionally effective for chronic pain in isolated areas like the foot, ankle, knee, hip, or groin that can be challenging to treat otherwise.

Paresthesia-Free Relief

DRG systems are designed to provide significant pain relief using low energy levels, often without the constant tingling sensation (paresthesia) of older systems.

Treats CRPS & Nerve Injury

DRG stimulation is an FDA-approved, highly effective treatment for Complex Regional Pain Syndrome (CRPS) and chronic pain following nerve injury or surgery.

Trial-Based Approach

The essential trial period allows you to "test drive" the therapy in your own daily life, ensuring it is the right solution for you before you commit to a permanent implant.

Improved Quality of Life

By targeting and relieving debilitating focal pain, DRG stimulation can help you return to walking, working, and enjoying your favorite activities again.

IMPORTANT INFORMATION

What are the Risks and Side Effects?

DRG Stimulation is a safe and effective therapy, but as with any implanted medical device, there are potential risks and side effects associated with the trial and permanent implant procedures.

Common Side Effects

  • Pain, bruising, or swelling at the incision/implant sites
  • Lead migration (movement), which can change stimulation
  • Uncomfortable or ineffective stimulation
  • Discomfort over the implant site

Rare Complications

  • Infection, which may require device removal
  • Bleeding (hematoma) in the epidural space or implant pocket
  • Spinal headache from a dural puncture
  • Nerve injury or device/lead failure requiring surgery

Important: The trial phase is designed to minimize risk by confirming the therapy works for you. Following all post-operative instructions is the best way to prevent complications like infection or lead movement.

PREPARATION GUIDE

How to Prepare for the Procedure?

Proper preparation for your trial and/or implant procedure is essential for a smooth and safe experience. Please review the following important steps.

Review of Allergies

Ensure you have a thorough review with Dr. Fura. Disclose all allergies, especially to medications like contrast dye.

Medication Adjustments

Stop blood thinners and other specific medications as instructed by Dr. Fura before your procedure.

Fasting & Transportation

Do not eat or drink after midnight. You must arrange for a responsible adult to drive you home afterward.

Day of Procedure Attire

Wear comfortable, loose clothing. Avoid jewelry and leave valuables at home for safekeeping.

RECOVERY GUIDE

What is the Post-Procedure Care?

Your recovery process has two main phases: the temporary trial week and the healing period after your permanent implant.

The Trial Week

For 5-7 days, you will "test drive" the system with external leads. You must avoid bending, lifting, and twisting, and cannot shower. Keep a pain diary to log your results before the leads are removed.

After Permanent Implant (Weeks 1-6)

After the implant surgery, strict activity restrictions are crucial to let the leads heal in place. You will manage two small incision sites and focus on light walking for activity.

Programming & Healing

You will have follow-up appointments to check your incisions and work with a device specialist to fine-tune your stimulation programs for optimal, comfortable relief.

Long-Term Care

Once your restrictions are lifted (usually after 6-8 weeks), you can return to most of your normal activities. You will learn to charge your device and live freely with your newfound pain control.

When to Contact Your Doctor

  • Signs of infection (fever, redness, swelling, drainage)
  • A large, painful fluid collection at the implant site
  • Severe headache that is worse when you are upright
  • New or worsening weakness or numbness in your limbs

Ready to Get Started?

Please don't hesitate to reach out and request an appointment. We look forward to meeting with you, addressing your concerns, and working together to enhance your quality of life.

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