NEUROMODULATORY PROCEDURES

Subacute Spinal

Compression Fractures

Vertebroplasty and kyphoplasty are spinal procedures indicated for patients with subacute vertebral compression fractures and persistent pain. The procedure is performed by injecting bone cement into the fractured vertebral body. If a patient has persistent pain for 2 weeks or more after initial injury, the patient is a candidate for vertebroplasty/kyphoplasty. 

Intrathecal Drug Pump Placement for Spasticity, Cancer & Chronic Pain 

 Intrathecal drug delivery is a minimally invasive procedure in which a microcatheter is advanced into the intrathecal sac within the spinal canal and connected to a subdermal medication reservoir that elutes microdoses of drug at a constant rate. Intrathecal pumps can be filled with medications to treat chronic pain, neuropathic pain, cancer pain and spasticity. 

Spinal Cord Stimulation for Chronic Back Pain

A minimally invasive technique to treat chronic back pain in patients with failed back syndrome, persistent back pain after spinal surgery, and medically refractory back or sciatic pain that is not amenable to surgical treatment. A neuroelectrode is advanced into the epidural space of the spinal canal, stopping peripheral pain signals in their tracks. 

Stem Cell Therapy for Degenerative Spinal Disorders 

During this procedure, a patient’s stem cells are obtained by and centrifuged down to identify and separate specific primitive cells that will help heal tissues. Stem cells are then injected into the disc, stimulating healing of the disc by using these primitive blood cells to stimulate regeneration of the collagen within the disc. 

Optune® Transcranial Electrical Stimulation for Treatment of Glioblastoma Multiforme Brain Tumors

Optune® delivers TTFields that help slow or stop GBM cancer cells from dividing and may also destroy some cancer cells. TTFields do not enter the bloodstream, so they do not significantly increase chemotherapy-related side effects. Continuous treatment with Optune® can be received almost anywhere with wearable and portable therapy solutions.

Minimally Invasive

Spine Surgery

Minimally invasive spine surgery stabilizes the vertebral bones and spinal joints while relieving pressure being applied to the spinal nerves — often a result of conditions such as a spinal instability, bone spurs, herniated discs, scoliosis or spinal tumors. Minimally invasive surgical approaches can be faster, safer, produce better cosmetic results, and require less recovery time.

Vagus Nerve Stimulators for Treatment of Epilepsy and Cluster Headache

Many patients with epilepsy don't fully respond to anti-seizure drugs and Vagus nerve stimulation may be an option to reduce the frequency of seizures in people who haven't achieved control with medications. Vagus nerve stimulation may also be helpful for people who have not responded to intensive depression treatments.

Migraine Treatment

Dr. James works to discover and understand each patient's unique migraine triggers, prevention methods, and treatment modalities, including Botox injections and occipital and frontal nerve stimulation, to offer you a prompt, accurate diagnosis and the latest in treatment options.