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Dr. Mastaneh Nikravesh, MD is a pain medicine specialist in San Diego, CA specializing in pain medicine, internal medicine (adult medicine) and addiction medicine. She graduated from St. George's University School of Medicine. Dr. Mastaneh Nikravesh, MD is affiliated with Sharp HealthCare, Sharp Mesa Vista Hospital, Sharp Grossmont Hospital and Sharp McDonald Center.
Sharp McDonald Center
Spinal Cord Stimulation (SCS)
If conservative treatment options and other spine surgeries have failed to provide someone pain relief, they may be a candidate for spinal cord stimulation. Spinal cord stimulation is a treatment for chronic back or leg pain. A spinal cord stimulator, which is surgically implanted underneath the skin (subcutaneously), can deliver electrical pulses to the area of pain. These pulses will reach the brain before the pain signals can, so instead of pain, patients will experience a tingling sensation.
To determine if spinal cord stimulation may benefit someone, they will first undergo a trial period. During this period, a temporary electrode lead is placed subcutaneously above the spinal cord, and it is connected to an external stimulator that they will carry with them. The procedure is typically completed within an hour, and patients may return home the same day. After a few days or weeks, the trial stimulator will be assessed for effectiveness. If the trial is unsuccessful, patients may undergo a second trial period, or the leads will be removed, and other treatment options will be considered. If, instead, a patient's pain is relieved during the trial, they will undergo surgery for implantation of a permanent stimulator and leads.
The components of a spinal cord stimulation system include the stimulator, the leads, and the wire that connects the two. Implantation of permanent leads may be percutaneous (through the skin) or involve a surgical incision. The spinal cord stimulator is implanted subcutaneously in the abdomen or buttock. The stimulator is battery-powered and may be rechargeable. If the battery is not rechargeable, it will last around 2-5 years, and a patient will need surgery to replace it.Their doctor will program the neurostimulator following the procedure.
After spinal cord stimulator surgery, patients may be released from the hospital the same day or the next one. In the weeks following the operation, patients will need to work with their doctors to find the optimal settings for their neurostimulator. Activities such as driving, twisting, bending, raising one's arms, sleeping on one's stomach, or lifting heavy objects should be limited.
Dr. Mastaneh Nikravesh, MD graduated from St. George's University School of Medicine. She completed residency at KPC Global Medical Center. She is certified by the American Board of Internal Medicine American Board of Preventative Medicine: Addiction Medicine American Board of Pain Medicine and has a state license in California.
Medical School: St. George's University School of Medicine
Residency: KPC Global Medical Center
Board Certification: American Board of Internal Medicine American Board of Preventative Medicine: Addiction Medicine American Board of Pain Medicine
Licensed In: California
Dr. Mastaneh Nikravesh, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Mastaneh Nikravesh, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
| Medtronic, Inc. |
$2,674
KYPHON EXPRESS II KYPHOPAK TRAY $1,358 |
VANTA ADAPTIVESTIM $995 |
INTELLIS ADAPTIVESTIM $179 |
Accurian $142 |
|---|---|---|---|---|
| Abbott Laboratories |
$1,123
PROCLAIM $1,123 |
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| SI-Bone, Inc. |
$230
$230 |
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| GlaxoSmithKline, LLC. |
$125
JEMPERLI $125 |
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| Saluda Medical Americas, Inc. |
$117
Evoke $117 |
| Travel and Lodging | $3,106 |
|---|---|
| Food and Beverage | $1,163 |
Dr. Mastaneh Nikravesh, who practices in La Mesa, CA, San Diego, CA, and Chula Vista, CA, is a medical specialist in pain medicine and addiction medicine. She is a graduate of St. George's University School of Medicine. Dr. Nikravesh's clinical interests encompass radiofrequency ablation and spinal cord stimulation (SCS). She is professionally affiliated with Sharp Grossmont Hospital, Sharp Mesa Vista Hospital, and Sharp HealthCare. According to Sharp HealthCare, new patients are welcome to contact her office in La Mesa, CA.