The misery of chronic pain is something which can affect every aspect of your life, from social interactions, to work, to time with your family.
In order to get the right pain management you need something which allows you the freedom to live your life to the full, while reducing your discomfort.
Nevro’s HF10® therapy is an innovative method of treating pain, which provides a possible solution which could restore both your independence and enjoyment in life.
The therapy is called spinal cord stimulation (SCS) pain management option, which is available through specialist centres such as the Pain Centre at Salford Royal Hospital.
SCS works by delivering mild electrical pulses to the spinal cord to inhibit the transmission of abnormal pain signals travelling along the spinal cord to the brain, thus reducing pain.
It uses small electrodes placed near the spinal cord and is powered by a compact battery-powered generator designed for a 10+ year battery life.
Next generation pain relief
HF10 therapy offers pain relief without resulting in a tingling or buzzing sensation, known as paraesthesia, which is a common by-product of SCS. HF10 therapy is the most studied SCS therapy with over 55,000 patients treated across the world. The therapy is delivered by the next generation system Senza® Omnia™ that can also deliver low frequency stimulation alone or paired with HF10.
Professor Abdul Lalkhen is a Consultant in Pain Medicine and Anaesthesia at Salford Royal NHS Foundation Trust, and has seen how the treatment can help those with chronic pain. The Pain Centre offers a range of pain management therapies, with Professor Lalkhen leading the SCS Service.
His work with people who suffer from chronic pain resulting from illness, injuries, operations and conditions such as diabetes, who have suffered nerve damage as a complication, has shown the effectiveness of swift treatment.
“It is critical that patients don’t leave this too late,” Professor Lalkhen said.
“It’s a bit like soup – you can influence the taste of soup while it is hot, and it is the same with nerves.
“The longer you leave it, the more disabled people become – they can lose their work, and the longer you are unemployed the less likely you are to get back to work, and their partners end up becoming their carer.”
Elizabeth Masters (50) from Bolton had her life put on pause by debilitating back pain. A bulging disc in her spine had grown so bad that the nerves were permanently damaged.
After having a discectomy to remove the disc the pain was still no better, and regular lumbar injections and a course of slow-release and liquid morphine did nothing to relieve her of the agony stemming from her back.
"It got to the point where I just couldn’t walk or do my job, or do anything properly," said Elizabeth, "I was in a mess basically and the quality of my life was terrible, absolutely terrible, I was breaking down every two minutes.
"I had to give my job up as a manager in a school shop as I couldn’t do the work anymore. I had to sell the house that I was in.
"It was quite a big house but then I had to downsize because I couldn’t do normal housework and I was in pain all the time.
"I didn’t go out anymore. I was in agony."
After exhausting every avenue for pain management, Elizabeth was finally referred to a specialist to see if Nevro’s HF10 therapy would be a good match. After the trial run was a success Elizabeth was fitted for the full device.
"I didn’t go for it straight away," Elizabeth told us, "I had to go through quite a bit of talking about it first of all.
"I was very nervous, but the situation I was in I had no quality of life.”
"I gave it a go as it was only a trial and it worked for me."
Since having the full device fitted Elizabeth has gone from strength to strength. She has since remarried and has achieved her lifelong ambition to be a foster parent. She has been fostering for a few months now and says that life is "brilliant".
"And you know what, this is something so simple, I went to a 30th about a year and a half ago and I got to dance.
"That was something I hadn’t done in many many years and just to get on that dancefloor.
"I've been reborn again."
A treatment package
Professor Lalkhen said this therapy is also delivered alongside physiological and psychological treatments as part of a treatment package.
“If you have regular pain – such as, for example, a lightning bolt sensation which runs down your leg, and you’re trying to keep down a job, and trying to look after a family, it can affect everything – it can affect your whole identity, and lead to depression and anxiety,” he said.
“With this treatment, we offer a whole package of care, including working with a physiotherapist and psychologist, so you can also adopt the right lifestyle changes to help the treatment.”
Who does it suit?
“Drug treatments can affect normal nerves, and can lead to side effects such as fatigue and weight gain – this offers an excellent treatment without those consequences from the drugs,” said Professor Lalkhen.
Who could it help?
The treatment could help those for whom conservative therapies have failed or would not benefit from additional surgery, and are experiencing nerve pain (neuropathic pain). Nerve pain is a result of damaged or malfunctioning nerve fibres sending false pain messages to the brain.
“The treatment works best for people who have idealised goals – whether that’s getting back to work, coming off medication or simply getting a good night’s sleep.”
Consultations are accepted from GPs, from surgeons in hospitals and from pain clinics for the HF10™ therapy.
To find out more and get your questions answered join the free webinar and Q&A with Professor Lalkhen on the 28th October 2020. Click here for more information
For further information, visit nevro.com
HF10® spinal cord stimulation system is available by prescription only. Patient experiences vary, including the amount of pain relief and adverse effects associated with the device. Please consult your doctor to fully understand benefits and risks of HF10. HF10 is an aid in the management of chronic intractable pain of the trunk and/or limbs. HF10 should not be used in patients not fit for surgery. Precautions or warnings exist for those who are or may become pregnant, who have undergoing diathermy or with other active implanted devices, or those undergoing CT scans, ultrasound or other procedures.
HF10 is implanted surgically, so surgical complications such as infection, pain, bleeding and in extremely rare cases paralysis or death are possible.
Please see https://www.hf10.com/en-gb/resources/safety-information/ for complete information. Professor Abdul Lalkhenis a paid consultant of Nevro. HF10 claims are supported by Kapural L, et al. Comparison of 10-kHz High-Frequency and Traditional Low-Frequency Spinal Cord Stimulation for the Treatment of Chronic Back and Leg Pain: 24-month Results from a Multicenter, Randomized, Controlled Pivotal Trial. Neurosurgery. Published 09 2016