To learn more about how spinal cord stimulators are placed, click here – (when on the spine education page, then scroll down to "spinal cord stimulator", and click "procedure overview". Prior to the placement of a spinal cord stimulator, the patient will go through a trial period - where the spinal cord stimulator is temporarily placed. After the trial period, if the patient feels the treatment is effective to minimize their back pain, then the implant is placed underneath the skin.
Two manufactures of spinal cord implants are Medtronic and Advanced Bionics. To learn more about the spinal cord stimulators, here are links to their sites – Medtronic and Advanced Bionics.
Spinal cord stimulation, is one of the treatments that minimally invasive spine specialists perform at Indiana Spine Group to treat failed back syndrome. Minimally invasive spine specialists with Indiana Spine Group include Jonathan Gentile, MD, Kevin Macadaeg, MD, and John Arbuckle, MD.
For more information, call our office at (317) 228-7000
Physicians with Indiana Spine Group presented at the fall conference of the Indiana State Chiropractic Association this past weekend, on November 1 and 2.
On Saturday Dr. Kevin Macadaeg, a minimally invasive spine specialist, spoke on minimally invasive techniques used to help manage spinal pain. Additionally, he addressed diagnostic and therapeutic spinal injections. Spine surgeons - Dr. Thomas Reilly, Dr. Kenneth Renkens and Dr. Rick Sasso also spoke on Saturday. Dr. Reilly discussed when spine surgery is a potential treatment option. Dr. Renkens’ talk entitled “Understanding Lumbar Surgery”, focused on the lower back and reviewed spine surgery options and indications for the lumbar spine. Additionally, he discussed the different types of lumbar fusions and their applications. Dr. Rick Sasso focused on cervical surgery, and his talk was entitled “The ABC’s of Cervical Surgery”. In this talk, he discussed common cervical surgical procedures; including spinal fusion and cervical artificial disc replacement.
On Sunday, minimally invasive spine specialists Dr. Jonathan Gentile and Dr. John Arbuckle reviewed case studies of minimally invasive diagnostic and therapeutic techniques. Spine surgeons Dr. Thomas Reilly and Dr. Paul Kraemer also reviewed case studies of surgery patients.
For more information about this conference, click here.
Minimally invasive spine therapies are one treatment option for spine problems and disorders. At this session, case studies will be highlighted and the minimally invasive therapies used for treatment discussed. Also included will be the decision triage for the applicable treatment modalities. A few minimally invasive spine treatments that will be discussed include radiofrequency rhizotomy, percutaneous discectomy and IDET.
The presenters for this session are John Arbuckle, MD, and Jonathan Gentile, MD. Doctors Arbuckle and Gentile are minimally invasive spine specialists with Indiana Spine Group.
At this special interest session Drs. John Arbuckle and Jonathan Gentile will discuss what to do with patients that continue to have back pain despite spine surgery and/or ongoing treatments. A diagnosis that remains a challenge to phyiscians, this session will define what a failed back is and what the warning signs are. Additionally, treatment options will be discussed including pharmacological therapy and implantable therapies; i.e. spinal cord stimulator.
Dr. John Arubuckle and Dr. Jonathan Gentile are minimally invasive spine specialists with Indiana Spine Group. They see patients at both our Indianapolis and Kokomo offices.
On Friday morning, there will be two sessions on spinal therapeutics. One session will focus on non-operative management of spinal problems. For this session, Dr. Jonathan Gentile will provide an
overview of the medical options for spinal treatment. Dr. Gentile is a minimally invasive spine specialist with Indiana Spine Group.
Session objectives include:
§ Guidelines and parameters of when additional treatment is necessary.
§ Limitations of medical treatment options, including physical therapy, exercise therapy and pharmacological management.
On June 18, Indiana Spine Group will be hosting a continuing medical education program/dinner for physicians. At this program, I will be speaking with John Arbuckle, MD and Jonathan Gentile, MD. (Drs. Arbuckle and Gentile are also minimally invasive spine specialists with Indiana Spine Group.) We will be providing, “A Current Review of Pharmacologic and Interventional Treatments for the Osteoporotic Spine”.
Topics that will be discussed include:
· A review of the latest pharmacologic clinical guidelines for the prevention and treatment of osteoporosis.
- A discussion of treatment algorithms for the osteoporotic spine; including indications and outcomes of vertebral augmentation.
This continuing medical education dinner, sponsored by Stryker Interventional Pain, has been approved for AMA PRA Category I Credit.
For more information, please call 317.228.7000.
A minimally invasive spine specialist is a physician that specializes in the treatment of patients with spine disorders. The focus of their patient care is to diagnose the cause of the spine problem, and then to treat the specific cause of the problem which will usually alleviate the symptoms; i.e. back pain.
A physician who is a minimally invasive spine specialist is usually board-certified in anesthesia as well as pain management. Other terms used for this specialty include pain management, interventional spine specialist or minimally interventional spine specialist. Regardless of the term used, key is physician’s board certification.
At Indiana Spine Group, there are three board certified minimally invasive spine specialists. They are Kevin Macadaeg, MD, Jonathan Gentile, MD, and John Arbuckle, MD.
On March 18, Anne Marie Tiernon with WTHR did a story on the spinal cord stimulator. For this story,
Dr. Jonathan Gentile, a minimally invasive spine

specialist with Indiana Spine Group was interviewed. Additionally, one of Dr. Gentile's patients was interviewed who suffered from "failed back syndrome", technically called post-laminectomy syndrome.
For patients who suffer from lower extremity pain and back pain following back surgery / spine surgery a spinal cord stimulator implant is a treatment option when other medical management treatment options are ineffective.
Read Anne Marie Tiernon's story, "
Spinal stimulator eases back pain."
Today, the Indianapolis Star published a story about the spinal cord stimulator. The patient highlighted in the story had a spinal cord stimulator implanted in March 2007. Prior to the spinal cord implant, the patient was side-lined from normal actvities as a result of her back pain. Since the procedure she has taken up ballroom dancing. Here is the link to the story.
This procedure, spinal cord stimulator implant, was performed by Dr. Jonathan Gentile. Dr. Gentile is a minimially invasive spine specialist with Indiana Spine Group. Other minimially invasive spine specialists at Indiana Spine Group are Kevin Macadaeg, MD, and John Arbuckle, MD.
Indiana Spine Group is a center of excellence for the treatment of spinal disorders and abnormalities. Located in Indianapolis - with offices in Kokomo and Anderson, we provide comprehensive spine care – including interventional pain management treatments, nonsurgical spine treatments, minimally invasive spine procedures, minimally invasive spine surgery and spine surgery. Treating both adults and children, some common diagnoses that we treat include degenerative disc disease, spinal stenosis, herniated cervical disc, failed back syndrome, osteoporosis and scoliosis.

Physicians with Indiana Spine Group include:
§ Ken Renkens, MD (neurosurgical spine surgeon)
§ Rick Sasso, MD (spine surgeon)
§ Kevin Macadaeg, MD (minimally invasive spine specialist)
§ Thomas Reilly, MD (spine surgeon)
§ Jonathan Gentile, MD (minimally invasive spine specialist)
§ John Arbuckle, MD (minimally invasive spine specialist