About Spinal Cord Stimulation


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Assessment for neuromodulation (including spinal cord stimulation) is performed in the Neuromodulation Clinic. This clinic is a part of the Comprehensive Integrated Pain Program – Interventional Pain Service at Toronto Western Hospital. It is located in the Pre-admission Clinic in the Main Pavilion - 1st Floor, Room 406.

Patients deemed appropriate for neuromodulators undergo a trial of this therapy that can last from one to three weeks. A successful trial is followed by implantation of the stimulating system. The trials and the implants are performed in the Operating Room. Patients are admitted to the Pre-Operative Care Unit (POCU) on the 2nd floor Fell Pavilion on the morning of the procedure.

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What We Do

Spinal Cord Stimulation (SCS) is a procedure designed to reduce pain in patients with specific types of conditions. A small device, called an electrical stimulator, is connected by wires to your spinal cord. This device sends electrical impulses (signals that move along nerve pathways inside the spinal cord) to certain areas in your brain, which alter your perception of pain. The goal of SCS is to provide at least 50 percent reduction in pain and improve quality of life in select individuals. Another name for this procedure is neuromodulation.

Assessment for spinal cord stimulation procedures involves consultations with a multidisciplinary team of healthcare providers including physiatrists, interventional pain physicians, neurosurgeons, psychologists, nurse practitioners and coordinators, and physical therapists. The nature o​f the pain syndrome and the spinal cord stimulation system appropriate for it determine the providers involved in the assessment process. Decisions to offer trials of this therapy and to implant it are made by the team based on the pain syndrome and the patient’s response to trial of the therapy.

Hours & Contact

Neuromodulation Clinic, Comprehensive Integrated Pain Program – Interventional Pain Service, Toronto Western Hospital

8:00 am – 4:00 pm
Phone: 416 603 5800 extension 2308
Fax: 416 603 6494


Nurse Practitioner

  • Alena Mednikov
  • Darcia Paul