Published on June 22nd, 2018
Pain Relief at St. Luke’s is No Fish Story
Little did Bruce Harpel and his wife Leslie know that a fishing excursion in 2016 that Bruce took with a friend to Great Swamp Fish and Game in rural Quakertown would foster a transformative change in their quality of life.
Leslie suffers from osteoporosis, hip bursitis, chronic Lyme disease and fibromyalgia, and had two spinal fusions. Bruce has been in treatment for spinal stenosis, Type 2 diabetes and neuropathy. Both of them suffered from debilitating burning pain in their legs.
“My husband was fishing with a friend and he told him about St. Luke’s Spine & Pain Associates in Quakertown,” recalled Leslie, who was still in tremendous pain at the time.
Extraordinary care from the St. Luke’s team would soon make their lives immeasurably better.
Because of that fishing trip, they turned to Scott Loev, DO, a pain management specialist with St. Luke’s Spine & Pain Associates, and Steven Falowski, MD, a functional neurosurgeon with St. Luke’s Neurological Associates.
The 70-something husband and wife took part in dorsal column stimulator trials at different times with Dr. Loev, and then received a permanent BurstDR stimulation implant performed by Dr. Falowski.
“Essentially, we place an electrode on the spinal cord to treat various disorders for chronic pain in the back and legs for patients who had spine surgery in the past or who are not candidates for surgery,” Dr. Falowski said.
The Harpel’s both had prior surgeries.
Leslie, a retired elementary school teacher, tried acupuncture, deep water aerobics, epidurals, Transcutaneous Electrical Nerve Stimulation (TENS), a back brace and eventually the spinal fusions in 2007 and 2009, but they only provided temporary relief.
And then came the fishing trip that changed their lives. Leslie underwent the BurstDR spinal cord implant in October of 2016, and Bruce had his in April of 2018.
“After my second spinal fusion, I was still experiencing severe searing pain that wouldn’t allow me to do what I wanted to do with my husband, children and six grandchildren,” Leslie said. “When we started going to St. Luke’s, it was like a whole new world opening up. I can’t tell you how pleased we’ve been not only with everyone’s professionalism, but their extraordinary kindness and compassion. “
Bruce’s stenosis and leg pain were initially treated with epidural injections, which negatively affected his blood sugar levels. He was using a walker to get around and even needed an electric cart for grocery shopping.
After his wife’s surgery for the BurstDR stimulation implant, Bruce underwent a laminectomy with Dr. Falowski, which alleviated pain for about six months before the pain migrated to his opposite leg, making him a candidate for the BurstDR technology.
“The new BurstDR stimulation allows us to treat patients more completely,” Dr. Loev explained. “It’s unique in the fact that it treats the physical pain and the emotional suffering component of pain.”
Initially, Dr. Loev performed a spinal cord stimulation procedure, a trial, to make sure this was the best therapy for the Harpels before Dr. Falowski performs the permanent implant.
Dr. Falowski said that while typical complex spine surgery carries a 50-70 percent success rate, research shows that 30 percent of patients remain in chronic pain regardless of the successful surgery. BurstDR addresses that chronic pain.
“The technology has gotten so much better that results from surgeries like these have gone from very good to spectacular,” Dr. Falowski said. “With the whole opiate epidemic in the United States right now, this technology is providing a major change in medicine.”
“There are thousands of programming capabilities with BurstDR,” Dr. Loev said. “Patients can meet with their representatives to make changes and help maintain pain relief with patient-controlled therapy where they are able to have desirable long-term results.”
While Leslie says she’s see is pleased with the BurstDR spinal cord stimulation, she still requires nerve pain medication and a muscle relaxer to relieve neck pain, but is considering a stim procedure for her cervical spine to address it.
Bruce says that the procedures have greatly improved their quality of life and given them a true appreciation for the extraordinary care available at St. Luke’s.
“The doctors have wonderful abilities, their follow-up is superior, and their staff is very knowledgeable,” he said.
Now, both Bruce and Leslie are back on the water again, fishing together, along with their children and grandchildren.