Pain Management Specialists
Board Certified Interventional Pain Management Physicians located in Rockville, MD & Frederick, MD
Do you suffer from back, neck, or limb pain that won't go away despite following a comprehensive treatment program? If so, board-certified interventional pain management physicians Stuart Hough, MD, and Ramani Peruvemba, MD, can help. At Pain Management Specialists in Rockville and Frederick, Maryland, they specialize in using state-of-the-art neuromodulation treatments such as the Nevro® HFX® high-frequency spinal cord stimulator, Abbott® and the Proclaim™ DRG Neurostimulator System. Call Pain Management Specialists today to find out more or book an appointment online.
What is neuromodulation?
Neuromodulation is a treatment approach that uses electrical stimulation to affect the function of nerves. Pain Management Specialists is among the most experienced practices in the Washington, DC, area to use neuromodulation, and its team is still on the cutting edge of neuromodulation for pain management.
When used as a treatment for chronic pain disorders, neuromodulation takes the form of:
- Spinal cord stimulation
- Peripheral nerve stimulation
- HFX therapy
- Dorsal root ganglion (DRG) stimulation
Neuromodulation treatment involves implantation of a sophisticated medical device to deliver electrical stimulation to your nervous system.
What conditions can neuromodulation treat?
There are many applications for neuromodulation. Some of the more common are:
- Complex regional pain syndrome (CRPS)
- Nerve injury
- Failed back surgery syndrome
- Residual limb or Stump pain
- Phantom limb pain
- Painful diabetic neuropathy (PDN)
Neuromodulation may be effective to treat pain caused by nerve damage if other approaches haven't been successful.
The Pain Management Specialists team is expanding the use of neuromodulation to successfully treat conditions like diabetic neuropathy and pelvic pain, as well.
What does neuromodulation implantation involve?
Implanting a neuromodulation device involves having a procedure to place leads near the spinal cord or the nerves outside your spinal cord. The leads, in turn, connect to a pulse generator, which contains both the brains and the battery powering the system.
The pulse generator delivers electrical signals to the nerves or spinal cord that interrupt the abnormal pain signals coming from damaged nerves. In most cases, you don’t feel anything but pain relief. But some forms of neuromodulation cause a paresthesia, or tingling sensation in the area where you have pain. You can control the stimulation using a hand-held device.
Before having an implant, you need to complete a trial of neuromodulation to see how effectively it reduces your pain. After a successful trial, you can undergo the full implantation procedure.
The Pain Management Specialists physicians are among just a few pain management providers who have experience in both neuromodulation trials and implant procedures. This means they can care for you from your initial assessment through surgery to the maintenance phase.
What are the latest developments in neuromodulation?
Several medical device manufacturers make neuromodulation devices, but the Pain Management Specialists team primarily uses three of the most advanced and effective neuromodulation devices available:
Nevro HFX Therapy
Nevro holds the patent on high-frequency spinal cord stimulation, called HFX. Introduced to the US in 2015, it's the first type of spinal cord stimulation to deliver effective pain relief without causing paresthesia, and the first to be proven superior to other forms of spinal cord stimulation. Additionally, HFX therapy is the first FDA-approved non-drug treatment for painful diabetic neuropathy, a condition that afflicts millions of Americans. Dr. Hough was the first doctor in Maryland to trial and implant a Nevro spinal cord stimulator system and has more experience with Nevro devices than anyone in the area.
Proclaim DRG Neurostimulator System
The Pain Management Specialists team is one of few with training and experience in using Abbott's Proclaim dorsal root ganglion stimulator, and they regularly receive referrals from other pain management doctors for this treatment. Dorsal root ganglion stimulation was proven superior to conventional spinal cord stimulation for the treatment of pain caused by chronic regional pain syndrome and peripheral causalgia, which results from nerve injury.
Medtronic DTM Spinal Cord stimulation
Metronic Introduced DTM spinal cord stimulation to the US in early 2020. Using the advanced Medtronic Intellis pulse generator, DTM has been shown to be superior to conventional spinal cord stimulation in a head-to-head comparison.
To find out how neuromodulation could ease your chronic pain, call Pain Management Specialists today or book an appointment online.
Services & Conditions
Pain Medicinemore info
Spinal Cord Stimulationmore info
Interventional Pain Managementmore info
Epidural Steroid Injectionsmore info
Radiofrequency Ablationmore info
Pain Managementmore info
Cortisone Injectionsmore info
Nerve Blocksmore info
Back Painmore info
Personal Injurymore info
Neck Painmore info
Pinched Nervesmore info
Chronic Regional Pain Syndromemore info
Nerve Injuriesmore info
Cancer Painmore info
Herniated Discsmore info
Spinal Stenosismore info
Intracept Proceduremore info