I have a post-fusion patient. Surgery was 1 year ago. L1/L2. He has persistent right-sided pain. His instrumentation from L3 to S1 was removed at the same time.
I used the Stimpod on the facet joints of L1, L2, and L4. Those were the most painful points. Since then, his pain is now centre lumbar and coccygeal. It is more intense and he is more aware of this pain with movement.
I used 2Hz 0.2 ms and 8mA for 5 min.
Could this be an overstimulation at the dorsal horn? What can be expected? It is now 5 days and his pain is still higher than before.
Your input will be greatly appreciated. Thank you so much.
How many treatments has the patient had? If only 1 then we may need to wait for a week.
If you continue treating start working on distal points – femoral nerve adjacent to the femoral blood supply and also the sciatic nerve in the glutes on the side of pain. Also don’t stimulate the actual area of pain but rather nerve supply in muscles adjacent to L1 to L3.
Thank you so much. Yes, we have only done one, and I’ll do a follow-up in a week, which will be on Fri. I really appreciate it