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Nevro, What is it? How does it work? Whats new about it? How has spinal cord stimulation changed? 

Anodyne Research
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This is a video about how NEVRO has changed, how it treats pain, and what are the limitations and hopes of the technology. W. Porter McRoberts MD practices in Fort Lauderdale, FL.

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7 сен 2024

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Комментарии : 69   
@shannaciano1804
@shannaciano1804 Год назад
Excellent video. This is day 3 of my Nevro trial. For the first time in 4 years, I've been able to put shoes on!
@lorrainebrooks6233
@lorrainebrooks6233 4 года назад
This video is so informative, thank you - I’m in the UK and I just like to say that I have had the Nevro HF10 for over 8 years now and it has improved my quality of life so much and I am forever grateful. I am due to have a new IPG as mine is now discharging and have been offered the brand new Omnia system. I am now in the process of making the decision whether to stay with the HF10 or go forward with the Omnia so the information in your video was invaluable. This is also great to show to my family and friends who struggle to understand how the therapy works. Thank you for taking the time to make videos like these, they are so helpful and I just love your passion - Father Christmas is a great analogy!! Chronic pain really is indescribable - so thank you to people like you and Nevro who help give people their lives back.
@CrazyMaryJo
@CrazyMaryJo 9 месяцев назад
This is SO helpful. As I am in process of deciding if I want to subject myself to implanting a stimulator. 🙄
@bigbadjohnpesek9894
@bigbadjohnpesek9894 3 месяца назад
I just had the nevro hfx implanted about a month ago. I messed with the settings and screwed it up. Last night my wife saw me messing with the settings and she took it from me and she set it. Woke up this morning pain free. Today im loving it.
@JoBlakeLisbon
@JoBlakeLisbon 4 года назад
I love that this doctor has the balls to say 'I want to take away 100% of the pain'. Even if this isn't achieved, it's the ambition that the medical field should have. It seems like the field has just given up and is happy to 'manage' pain - which is just another way of saying accepting failure. On another note - these videos give me hope. I've had nerve pain for the last seven months - it puts you in a hole. To think there might be a solution gives me optimism.
@dlite6358
@dlite6358 3 года назад
Agree, this is the attitude ALL docs need and sadly do not have!
@terribell93
@terribell93 3 года назад
Excellent video and very updated and informative. I've been an RN for almost 40 years and have several areas in spine, disc, neuropathy and SI dysfunction. Been in severe pain for almost 17 years- since I was 42 yrs old and had 2 young babies. Lost my career and much of my life in general. Trying to find a compassionate MD who has the experience to try the SCS trial. Not easy. I'm willing to fly to Florida to see this doctor if needed to get the trial- he seems very experienced, knowledgable and very compassionate.
@Aurora-Nyx
@Aurora-Nyx 4 года назад
Thank you so much for all these videos. I have PHN related pain that I’ve had since about June last year and am set to go in for my Nevro trial insertion on the 1st (I am a registered nurse and also have a hx of back pain... ironically brought about by working in the spinal unit!) and you’ve been so helpful in alleviating my anxiety about this! Thank you :)
@wportermcroberts
@wportermcroberts 4 года назад
Louise Florence best of luck! PHN generally does very well.
@conniefoster8949
@conniefoster8949 3 года назад
Thank you for this. It explains why I only get relief for leg and foot and no relief for the back after two years.
@lindaevans8159
@lindaevans8159 2 года назад
Had HF-10 implant 4 years ago. 80 to 90% pain relief. Off all heavy pain meds.
@natural-born_pilot
@natural-born_pilot Год назад
Thank you for this informative video. The audio was very low and difficult to hear but I got the info I needed. I’m in the process of having the trial period scheduled and hope it won’t be long.
@cathymikolajchak
@cathymikolajchak 4 года назад
I just found your youtube and love it. I have my permanent SCS implanted feb 28 2020 and it's only been turned on for 1 week. Tomorrow Nevro will call me to walk me thru turning it up. I am so excited to move forward into my new life..😇
@PaulSter
@PaulSter 4 года назад
Thank you for this video and the quality of the information. My doctor feels that I am a candidate to start a trial.
@dcat2004
@dcat2004 3 года назад
How are you doing now?
@TheLolly72
@TheLolly72 4 года назад
I would like to know if it works for spondyloarthrosis neck & sacrum zone, bursitis , spinal hernias in neck & lower spine and last fibromyalgia advanced stage ? With all this i suffer constant chronic pains 24/7. In my case i cant take any meds for inflammation nor pains for the last 11'years due to intolerance. ..so have no quality of life only have my positive attitude & I've got use to living with pain. I live in Spain and to be honest doctors haven't helped my case and said they cant do nothing for i cant tolerate meds. This tec you use for neurological pains would it work in my case? Thank you for informing of such technology. Its caught my attention for i lost hope long time ago & faith in docs here after over being swung from one to another for 26 years with no positive results nor feedback. THANK YOU .
@craftschatwithavet2277
@craftschatwithavet2277 Год назад
I am on the wait list for this stimulator help. I have severe nerve damage from 3 day frost bite in the army in my feet
@wportermcroberts
@wportermcroberts Год назад
Best of luck. I've had great success with post amputation pain, nerve injury and vascular insufficiency.
@wemersonpereira9953
@wemersonpereira9953 10 месяцев назад
Lots of pain in my lower back, seeing lots of specialists and yet, nothing seams to work. Possible implant and still doing my homework. Scared still, what are the negative side of it? Pain is lower back, buttock and going down to my left leg. I had days that I couldn't move at all, I did reach out to a 10 level, not fun. It feels like the nerve is compressed, but doctor said its not. I am very loosing my hope, I am very tired of pain.
@aaronfox5808
@aaronfox5808 Год назад
gr8 show Thank you both
@wportermcroberts
@wportermcroberts Год назад
Glad you enjoyed it
@doozy6914
@doozy6914 4 года назад
Monday February 24 th. I'm having my permanent implantation of my NEVRO Stimulator.
@JoBlakeLisbon
@JoBlakeLisbon 4 года назад
Good luck.
@doozy6914
@doozy6914 4 года назад
@@JoBlakeLisbon Thanks
@cathymikolajchak
@cathymikolajchak 4 года назад
I have my permanent placed Feb 28,2020 amd I'm so excited to move forward into my new life. GOOD LUCK!!!!I hope yours is doing great and helps with you pain!!!!!
@doozy6914
@doozy6914 4 года назад
@@cathymikolajchak It's working fine so far. I'm still dealing with some surgery pains but they are subsiding quickly. It feels weird having a foreign object in my body.
@Aurora-Nyx
@Aurora-Nyx 4 года назад
Having mine on the 1st! Hope everything went well for you :)
@lindamardula733
@lindamardula733 2 года назад
I have my permanent Nevro implant. It seems to help my buttock, thigh, calf, but doesn’t touch my feet. My 3rd surgery was supposed to be a foraminotomy to treat L5-S1 marked stenosis however my post op MRI showed it’s still present. It was read by the best radiologist in my area. The surgeon said he did the foraminotomy, radiologist says no. I do get relief from other areas, I’m just wondering if I will really improve if I find someone to do a minimally invasive foraminotomy. Overall I am happy with the results and never expected to be pain free but wearing shoes is so hard to do! I did see a podiatrist and paid out of pocket for orthopedic shoes and inserts without relief so standing and walking is problematic for me. Driving any distance too. I can stand longer with the implant so a bit better quality of life.
@viper200075
@viper200075 Год назад
I just had my implant so far so good...
@ricHCarboCarbea
@ricHCarboCarbea 3 года назад
I have a inflamed cord derived from a.cervical surgery streched nerves c3 c4 Burning pain right arm and right leg.specially feet. Burning pain slightly below the arm pit and stabbing pain around this area from the scapula. I quit medicine because it messes with my head. Do you think this work im only 41 years old
@wportermcroberts
@wportermcroberts 3 года назад
I think it has a reasonable chance. You need so see someone comfortable with cervical neuromodulation. It’s about 10% of folks doing neuromodulation.
@ricHCarboCarbea
@ricHCarboCarbea 3 года назад
Doc i want and appointment with you im from mexico and have good insurance thank god. Does it help upper back and arm pain also (in the nevro page it dpes not specify that)? I have stabbing pain around the scapula and burning pain in rigth arm and leg, due to 4.7mm spinal cord injury. Thanks
@wportermcroberts
@wportermcroberts 3 года назад
A virtual consult may be easiest. Please email me if interested. Portermcroberts@gmail.com
@rickosman5100
@rickosman5100 3 года назад
Is this anything like my Chattanooga Intelect legend stim? I really like this device and it helps control my pain but it definitely is not portable. With the unit and the power supply power cord and leads it takes up some space. It uses four pads that stick to my back and has extremely long leads. I also have a battery operated unit but this one seems to work better and has more power than my portable unit the only thing is I need an outlet to plug it into. I would like to know if this new device would help in place of my two stim units. Thanks
@Insomniamodelcars
@Insomniamodelcars 2 года назад
I had mine done 11/24/21. I wish I could say it helped. I once thought any improvement would be good. I can honestly say I can't tell when it's on or off. The nervo assistant does little. 1 week working with you. After that it's text if there's a issue. It was the biggest waste of 135,000. ANYONE THINKING OF DOING THIS. PLEASE SPEND MORE TIME THINKING. Where the battery pack is installed always hurts and is tender. Mine got infected and drained for over a week. ALITTLE BETTER ISNT WORTH THE SURGERY RISK. GOOD LUCK
@wportermcroberts
@wportermcroberts 2 года назад
you are 100% correct and this is a big problem. Of course when the stimulator stops working or works poorly it makes everybody look bad, the doctor, the technology. Worst of all it seems like a bait and switch. We are really working on trying to find out why some people do so very well with them and why some people do not. there are positive predictors and negative predictors and this is why the trial helps to some degree. Having a few decades of experience neuromodulation and having seen incredible outcomes that occur with a good implant it is incredibly encouraging however it saddens me greatly when one of these does not work. i’m sure it is most frustrating for the patient who feels abandoned and at the end of the road without any where to turn when these devices fail our patients. lastly if you were an insurance company why would you wanna spend all that money for something that had no positive impact. The balance of all this negativity however is that for the majority of people it is life-saving technology.
@wportermcroberts
@wportermcroberts 2 года назад
One more thought for anyone else is reading this: you are 100% correct as well: “a little bit better is not worth the surgical risk!” I completely agree if you’re not profoundly better during the trial you should not have the permanent implant!
@Insomniamodelcars
@Insomniamodelcars 2 года назад
You need to inform these ppl that anyone of them could be the ones this device does NOTHING for. I know your here to sell a device..but what you are really selling is..hopes.. Hopes the pain will go away or lessen. Thar they can have a normal life again. But if it's a 50% chance of a better life it's also a 50%chance nothing will improve. If anything your worse off because your forced to realize you will NEVER be pain free. You will be " in some form" of pain for the rest of your life. That is a tough pill to swallow. That's where I am now. WHEN YOU HAVE NO HOPE WHATS LEFT? If you do this surgery decide what you'll do if your not one of the lucky 50% who feel better..sorry if I come across as negative. I only want to voice that this may not be a cure all......thank you
@wportermcroberts
@wportermcroberts 2 года назад
@@Insomniamodelcars And of course that’s exactly what I do…. I have about an 87% success rate with implants. That is 87% are happy or very happy they had the implant years later. That’s not bad. Keep in mind, I am “selling” nothing. NO ONE is getting rich doing spinal cord stimulation. 63685: (www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57709&LCDId=36035&DocID=L36035). $344.00 to the physician. But that’s not the real point. This is: This technology can be live saving. I’ve had patients who were suicidal, then after implant get their marriages back, their jobs back, and their lives back. You ARE right it’s not for everyone, but the key is it works for many, well selected patients. What it won’t work for: Arthritis. Disc pain. Acute pain. Musculoskeletal pain, rheumatic pain, hardware pain. The list goes on. Here’s how it should work after the trial, and does in our office: “Hey doc, that was great I felt a bit better…”-> No implant. “Hey doc, That was wonderful, I felt about half the pain gone at times…”-> No Implant. “Hey doc, I didn’t get a lot of relief, but its all the hope I have…” -> No Implant. “Hey doc, this is a miracle, I beg you please put this implant in, THE TRIAL WAS LIFE CHANGING!”->. Ok Lets get you scheduled. I can understand you’re very frustrated, but really what should happen is you return to a great pain doc, who loves his or her patients and enjoys trying to figure out the route to success, and why you’re hurting. The stimulator is not the end of the road, is just a very powerful tool that works wonders, for some folks, who have certain pathologies. Go see your pain doc. Hopefully he or she is one of the good ones. The very best of luck in your pursuit. You deserve it!
@m.e.c.513
@m.e.c.513 Год назад
@@Insomniamodelcars My doctor wants me to have trial and he said to reserch it myself. Nice. Because of doctors not wanting to prescribe opioids for chronic pain, I feel forced to do this in hopes it will reduce my pain. Terrified of being paralyzed. What happens then?
@bernardneary7238
@bernardneary7238 Год назад
?Drs have Nevro spinalcord stimlutar implant ?is can iHave emo scan??in hospital at minute for scan for separate issues?be grateful if you could use your brains
@bernardneary7238
@bernardneary7238 Год назад
E.m.i scan
@cd1528
@cd1528 2 года назад
Cant hear you guys have to hold phone right on head and listen hard in quiet room to hear you
@wportermcroberts
@wportermcroberts 2 года назад
Sadly the volume is not great! Noted! Thank you!
@PEMF.Hydrogen.LLLT.Experts
@PEMF.Hydrogen.LLLT.Experts 4 года назад
Nice, thanks for posting this video
@martinkillmer9001
@martinkillmer9001 4 года назад
You could hardly heat the patient talk. He must have been to far away from the microphone. Need improvement there.
@anitakasen9753
@anitakasen9753 3 года назад
@@martinkillmer9001 I agree. I had the volume turned up to the maximum level and it was hard to hear both of them, but especially the Nevro representative. I think he was too far from the microphone. That said, the information was very helpful. Thank you.
@SilasMarnerAuAg
@SilasMarnerAuAg 3 года назад
thank you for posting this
@carieevans2346
@carieevans2346 Год назад
does it work for scoliosis?
@wportermcroberts
@wportermcroberts Год назад
No it does not. While off label now, however, Mainstay medical may in time be indicated.
@romanmurray9489
@romanmurray9489 4 года назад
Why isn't this an option for spinal stenosis?
@wportermcroberts
@wportermcroberts 4 года назад
roman murray Excellent question. You would think it would, but it does so poorly. Lumbar spinal stenosis causes intermittent ischemia, lack of blood flow to the nerves to the legs. As one stands and walks, the canal narrows just a bit further and presses in on the nerves. The perfusion pressure of the tiniest arterioles supplying blood to the nerve roots is 32mm of mercury. If the pressure from the tight canal overcomes that. Then the nerve starve for oxygen and you get leg buttock and back pain with walking. Neuromodulation works on chronic unremitting pain that is either a dysfunction of the pain sensing system or from chronic damage to the the system, the nerves. One is intermittent, the other consistent. This is why. Neuromodulation helps some, but not enough. Look into Vertiflex Superion. If you have a naive lumbar spine it can be an amazing option. Best of luck!
@romanmurray9489
@romanmurray9489 4 года назад
What is a naive spine ?
@wportermcroberts
@wportermcroberts 4 года назад
A naive spine is one that hasn’t been operated on. And in particular at the level where the stenosis exists.
@captainobvious5349
@captainobvious5349 2 года назад
You guys left out how during the trial you treat the patients like royalty. And then how you drop the parties like a bad habit AFTER the trial. I texted my coach twice starting day 3. By day 5, communications no longer existed. His HOUSTON MANAGER, RYAN, was no better. * CRICKETS*
@wportermcroberts
@wportermcroberts 2 года назад
I'm sorry to hear this. I of course am not an employee of Nevro, any other spinal cord stimulator company, and receive no payments for them at all. I am simply trying to educate patients about the good, bad and ugly of spinal cord stimulation. I think the problem lies with your pain physician and the office. I would start there.
@captainobvious5349
@captainobvious5349 2 года назад
@@wportermcroberts My comment was about the lack of empathy by NEVRO coaching staff wand what to expect from thethem. You're video is about NEVRO SCS. People deserve to know what they can expect from the NEVRO company. You sound just like your typical NEVRO employee, by telling me my issue is with my Dr. by just totally ignoring the entire first portion of my message. LOL. Thats ok. My NEVRO coaches did the same thing.
@dcat2004
@dcat2004 3 года назад
Hi Doctor, I contacted your office through your email. I’d like to start trial. Thank you. Deb Doverspike
@markbrock1228
@markbrock1228 2 года назад
Way to go! But you don't answer this question : What do you do if you accidentally push the red button on the weekend? You are too busy patting yourselves on the back. Do you know the answer? Push the red and blue button together until the Nevro device beeps. Then it should be fixed.
@crawford323
@crawford323 3 года назад
Why is a rep dressed like a Dr or nurse?
@olfactorysnuff3692
@olfactorysnuff3692 2 года назад
To look important lol
@enoka12
@enoka12 2 года назад
We’re in the OR almost every day.
@ronwilliams3324
@ronwilliams3324 2 года назад
probably just scrubs
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