Neuromodulation implant treatment optimisation

If you are planning on getting a spinal cord stimulator or other implantable stimulation treatment for chronic pain management, your Pain Specialist may have referred you to an Occupational Therapist. This is for an assessment prior to implant, and follow up post implant and is a very important aspect of your treatment process. It will give you the best opportunity of having a successful outcome with your treatment, as well as helping you to make the most of this treatment. All the research around spinal cord stimulation states that a multidisciplinary approach to assessment and treatment leads to the best outcomes. When you have your occupational therapy assessment prior to spinal cord stimulation, your occupational therapist will discuss a number of things with you. Your OT will check that you have a good understanding of the procedure, and the expected outcomes. They will discuss your goals of treatment with you. They will check that you are in the best possible biological, psychological and social position to undergo this type of treatment. If there are barriers, or areas for improvement, your OT can assist you to make and carry out a suitable plan of action. Your OT will also assist you with a suitable rehabilitation plan post implant. We recommend you see your occupational therapist at least once prior to implant for assessment, and then at least twice post implant for rehabilitation.

COVID-19 Update

We hope you are safe and well, and coping with all the changes to our lives that have occurred due to COVID-19.  We would like to let you know that we are here to support you, and are continuing to provide occupational therapy services. We have temporarily ceased any clinic-based consultations in order to reduce any risk to our clients and our staff. All of our staff are now currently working from home.  Our preference is to provide OT services as much as possible via telehealth.  This means either telephone or online consultations.  This is the best way to still provide services and remove any risk of infection.  We understand however, that for some of our clients, this is neither suitable or possible. Where telehealth is not appropriate, and an occupational therapy service is essential, we are continuing to see clients in their homes or in the community. We do this with all the physical distancing and hygiene precautions in place.
We will contact you prior to your appointment to see if it is possible for us to provide your service via telehealth. If it is not possible and we are planning to come to your home, please let us know if you or anyone in your household are unwell with any symptoms of COVID-19, such as a fever, cough or sore throat.
We care very much about our clients and staff and we would like to reassure you that we are doing our best to keep surfaces and our hands clean and will maintain a safe physical distance during home visits.  This means we will not shake hands when we greet you, and will only use direct hands on contact when essential.

If you are well and we come to see you at home or in the community, please:

  • Maintain a 1.5 metre physical distance where possible.
  • Wash or sanitise your hands before and after appointments where possible.
  • If you need to cough or sneeze, please use a tissue and dispose of it or cover your mouth and nose with your elbow.
  • Refrain from having additional family members/carers with you if possible as the less people in contact with everyone the better.
We know that at this time some of our clients may be finding it particularly difficult with increased isolation, anxiety or a reduction in their usual supports and services.  We would like you to know that if this applies to you, please reach out to us to ask for help, and we will try our best to help you access the support you need.

We sincerely appreciate your understanding of the above. If you have any queries, please do not hesitate to contact us.  

Best Wishes
The Lifeworks Occupational Therapy Team