A significant reason to avoid the application of deep-tissue heating modalities, such as diathermy, during sacral neuromodulation therapy involves the potential for damage to the implanted device or surrounding tissue. The electromagnetic energy generated by diathermy can induce heat within the implanted neurostimulator, leading to malfunction, component failure, or even thermal injury to the patient. This is because the metallic components of the neurostimulator act as an antenna, absorbing and concentrating the energy.
The integrity of sacral neuromodulation relies on the precise delivery of electrical impulses to targeted nerves. Introducing uncontrolled heating in the vicinity disrupts this delicate system and compromises the therapeutic benefits. Furthermore, the consequences of device damage can necessitate surgical revision, increasing patient morbidity and healthcare costs. The establishment of safety protocols that restrict the use of diathermy in individuals with implanted neuromodulators is therefore critical for ensuring patient safety and maintaining the efficacy of the therapy.
