Neuromodulation

4 STEPS PROCESS

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1

Precise Diagnosis and Pain Assessment

We accurately identify pain mechanisms—neuropathic, nociceptive, or nociplastic—through advanced clinical evaluation to ensure your treatment targets the true source.
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2

Individualized Evidence-Based Medical Management

We prioritize mechanism-oriented pharmacological therapy focused on restoring daily function and quality of life, avoiding blind escalation of medications.
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3

Multidisciplinary and Interventional Care Pathways

Integrating physical therapy with minimally invasive procedures, we modulate pain pathways and empower you to regain movement and psychological well-being.
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4

Strategic Alignment for Advanced Neuromodulation

When persistent pain requires precision medicine, we ensure clinical readiness and shared decision-masing to implement targeted neuromodulation as a strategic choice.

Chronic Pain Management and Neuromodulation

Neuromodulation is a sophisticated, science-based medical approach used to manage chronic pain and spasticity. By selectively influencing nerve activity through precise electrical or chemical stimulation, it helps restore the body’s natural balance. Unlike traditional treatments that affect the whole body, neuromodulation offers a targeted solution for those seeking long-term relief.

What are the Clinical Applications of Neuromodulation?

Neuromodulation therapy is highly versatile, offering specialized solutions for various types of persistent pain.
It is designed to restore function and alleviate chronic pain by interacting directly with the nervous system.

1. Spinal Cord Stimulation (SCS)

Precision relief for chronic and neuropathic pain. SCS delivers controlled electrical impulses to the dorsal columns of the spine, effectively “masking” pain signals before they reach the brain.

  • Primary Indications: Persistent Spinal Pain Syndrome (PSPS/Failed Back Surgery Syndrome), Complex Regional Pain Syndrome (CRPS), and Painful Diabetic Neuropathy.
  • Neuralgic Conditions: Post-herpetic neuralgia, meralgia paraesthetica, and peripheral neuropathic pain.
  • Vascular & Specialized Pain: Refractory angina, Raynaud’s phenomenon, peripheral arterial occlusive disease, and chronic pelvic or abdominal pain.

2. Peripheral Nerve Stimulation (PNS)

Targeted therapy for localized nerve pain and functional restoration. PNS targets specific nerves outside the spinal cord to manage localized pain or restore muscle control.

  • Musculoskeletal & Post-Surgical: Chronic low back pain (Multifidus stimulation), post-amputation pain (phantom limb), and postoperative entrapment neuropathies.
  • Craniofacial & Headache: Occipital nerve stimulation for Migraine and Cluster Headache; Trigeminal nerve stimulation for atypical facial pain.
  • Pelvic & Abdominal: Neuralgia of the ilioinguinal and genitofemoral nerves; Sacral nerve stimulation for bladder/bowel dysfunction and interstitial cystitis.
  • Vagus Nerve Stimulation (VNS): Specialized treatment for refractory epilepsy and treatment-resistant depression.

3. Intrathecal Drug Delivery (Pain Pumps)

An elegant solution for severe cancer pain or non-cancer pain and spasticity. Maximum potency with minimal side effects. By delivering medication (Baclofen, Ziconotide, or Opioids) directly into the spinal fluid, we achieve superior symptom control with a fraction of the dose required orally.

  • Chronic Pain Management: Effective for both cancer-related pain and severe non-cancer chronic pain.
  • Spasticity Management: Significant relief for patients with Multiple Sclerosis (MS), Cerebral Palsy, Stroke, or Spinal Cord Injuries.
  • The Advantage: Maximizes therapeutic impact while virtually eliminating the “brain fog” and gastrointestinal side effects of oral medications.

4. Radiofrequency Therapies

Minimally invasive nerve interruption for long-term relief. We utilize both Pulsed RF (for nerve modulation) and RF Ablation (for long-term interruption of pain signals).

  • Joint & Spinal Pain: Treatment of the facet joints, sacroiliac (SI) joints, shoulders, knees, and hips.
  • Nerve Plexus Blocks: Splanchnic nerves (pancreatitis/abdominal cancer), Superior Hypogastric plexus (pelvic pain), and Stellate ganglion (CRPS/Hyperhidrosis).
  • Advanced Epidural RF (ePRF): Specialized application for radicular pain, intercostal neuralgia, and post-herpetic neuralgia.

Is Age a Limiting Factor for Neuromodulation?

A common misconception is that advanced age prevents access to advanced pain technology. However, advanced age is not a contraindication. Treatment candidacy is based on a patient’s functional goals and overall health status, not the number of years lived. In fact, older adults often see the most significant improvements in mobility, independence, and dignity, allowing them to return to the activities they love.

Conclusion: The Art and Science of Pain Relief

Neuromodulation reflects the timeless principle that medicine is both a science and an art. By harmonizing the nervous system, it strives to give patients their lives back, quietly, precisely, and compassionately.

Find out if you are a candidate for Neuromodulation. Contact Dr Matis for a consultation. 

Benefits of Neuromodulation Therapy

Neuromodulation is often preferred by both patients and physicians because it is:

  • Minimally Invasive: Procedures involve small incisions and quick recovery times.

  • Reversible: Unlike permanent surgical alterations, these systems can be removed if necessary.

  • The “Trial Period”: Most therapies allow for a temporary trial, giving patients the chance to experience pain relief before committing to a long-term implant.

  • Reduced Medication Burden: Many patients successfully decrease their reliance on opioids and other systemic drugs, leading to improved daily function.
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Pain isolates; knowledge reconnects. In neuromodulation, science becomes a bridge back to human possibility.