Treatments, Procedures, and Conditions Treated

Dr. Nandan Lad collaborates with multidisciplinary care providers at Duke Health to provide each patient with a customized treatment plan. We offer a variety of safe, innovative approaches, including: Microvascular Decompression, Dorsal Root Entry Zone (DREZ), Deep Brain Stimulation (DBS), Spinal Cord Stimulation (SCS), Peripheral Nerve Stimulation (PNS) and Intrathecal Therapies (ITT).


Treatments and Procedures

We perform original surgeries and implants, as well as revisions to prior procedures. Our team will review your full medical history to determine the best options for you.

  • Spinal Cord Stimulation
  • HF10 Therapy - High Frequency Stimulation
  • DRG Stimulation Dorsal Root Ganglion Neuromodulation
  • Deep Brain Stimulation
  • Dorsal Root Entry Zone DREZ (facial pain)
  • Dorsal Root Entery Zone DREZ (brachial plexus avulsion)
  • Peripheral Nerve Stimulation
  • Microvascular Decompression (MVD)
  • Motor Cortex Stimulation
  • Radio Frequency Ablation
  • Intrathecal Therapies for severe spasticity
  • Myelotomy
  • Cordotomy
  • Spinal Neurosurgery
  • Peripheral Nerve Surgery
  • General Adult Neurosurgery

Conditions We Treat

  • Chronic Pain
  • Parkinson’s Disease
  • Essential Tremor
  • Dystonia
  • Sciatica
  • Low back pain
  • Failed back surgery syndrome
  • Post-Laminectomy Pain Syndrome
  • Herniated discs
  • Complex regional pain syndrome
  • Painful nerve injuries
  • Fibromyalgia
  • Spinal cord injury spasticity and pain
  • Complex Regional Pain Syndrome (CRPS)
  • Neuropathic Pain
  • Post-Herpetic Neuralgia
  • Trigeminal Neuralgia
  • Atypical Facial Pain
  • Spasticity
  • Headache - All Types
  • Occipital Neuralgia
  • Cancer Pain
  • Postherpetic neualgia
  • Abdominal Pain
  • Post-mastectomy pain
  • Headaches
  • Pelvic pain
  • Post-hernia pain
  • Painful peripheral neuopathy (from diabetes or other causes)

Conservative Management

At Duke Health, we take a multidisciplinary approach to ensure patients get maximum benefit from conservative therapies before proceeding with surgery or implants. Conservative management may include the following approaches:

  • Physical Therapy
  • Occupational Therapy
  • Use of treatment modalities including TENS/Ultrasound/hot packs/cold therapy
  • Behavioral Modification (psychological evaluation to include pain coping skills, biofeedback, hypnosis, relaxation techniques)
  • Manipulative Therapy (Adjustments through osteopathic, physical or chiropractic therapy)
  • Aerobic exercise, massage, stretching
  • Coadjuvant pain medications including NSAID’s, muscle relaxants, and nerve pain medications

Technology

  • Awake DBS (using MicroElectrode Recording)
  • Asleep DBS (using Clearpoint iMRI navigation)
  • MRI-compatible Neuromodulation
  • Dorsal Root Ganglion (DRG) stimulation
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