ReActiv8 Procedure
The ReActiv8® procedure is a minimally invasive implantable therapy designed to treat chronic low back pain by restoring muscle function rather than simply blocking pain signals.
This treatment uses a small implanted device that delivers targeted electrical stimulation to specific nerves, activating the multifidus muscle, a key stabilizing muscle in the lower back.
What Conditions Does This Treatment Help?
- Chronic low back pain (lasting 6+ months)
- Mechanical back pain (movement-related pain)
- Multifidus muscle dysfunction or weakness
- Pain not improved with conservative treatments
How Does the ReActiv8 Procedure Work?
In many patients with chronic back pain, the multifidus muscle stops functioning properly, leading to instability and persistent pain.
- A small device is implanted in the lower back
- Leads are placed near nerves controlling the multifidus muscle
- The device sends gentle electrical impulses
- This causes the muscle to contract and retrain over time
With regular use, the therapy helps:
✔ Restore muscle strength
✔ Improve spinal stability
✔ Reduce chronic pain at its source
👉 Think of it as “physical therapy built into your body”
What to Expect During the Procedure
Before the Procedure
- Imaging (MRI/CT) and evaluation
- Confirmation of multifidus dysfunction
- Review of failed conservative treatments
During the Procedure
- Minimally invasive surgical procedure
- Performed under anesthesia
- Small incisions made in the lower back
- Device and leads are implanted using imaging guidance
- Procedure typically takes about 1–2 hours
After the Procedure
- Same-day or short-stay discharge
- Device is activated after initial healing
- Patients use a remote to perform therapy sessions
Benefits of the ReActiv8 Procedure
✔ Treats the root cause of pain (muscle dysfunction)
✔ Improves spinal stability and movement
✔ Reduces chronic low back pain
✔ Minimally invasive with small incisions
✔ May reduce need for medications, including opioids
Studies show patients can experience significant improvement in pain and function over time
Who Is a Good Candidate?
You may be a candidate if you:
- Have chronic low back pain for 6+ months
- Have not improved with therapy, injections, or medications
- Have multifidus muscle dysfunction
- Are not a good candidate for major spine surgery
👉 Ideal candidates have mechanical back pain—not primarily nerve compression pain
Risks & Side Effects
- Infection or bleeding
- Device malfunction
- Lead movement (migration)
- Continued pain
When Is This Treatment Recommended?
- Conservative treatments have failed
- Pain is due to muscle dysfunction and instability
- Surgery is not ideal or not indicated
- Long-term restoration (not just symptom relief) is the goal
Recovery & Results
- Initial recovery takes about 4–6 weeks
- Muscle retraining and pain improvement occur gradually
- Best results are seen over months of consistent use
- Device battery typically lasts 5+ years
Patients often experience:
✔ Improved movement control
✔ Reduced pain levels
✔ Better quality of life
FAQs
Treatment Offered By Kansas Pain Management
Kansas Pain Management offers a comprehensive pain treatment plan that is tailored to each patient’s specific needs. The first step is a thorough evaluation, which includes a medical history, physical examination, and diagnostic testing, if necessary.
Treatment options may include medications, physical therapy, injections, or surgery, depending on the underlying cause of the pain.
Kansas Pain Management also offers a range of minimally invasive procedures to help alleviate pain and restore function. With board-certified and fellowship-trained physicians, Kansas Pain Management is committed to providing the highest quality care for patients suffering from pain. You can book an appointment with us at Overland Park, Lawrence, Leavenworth/Lansing, Roeland Park, etc. We also serve nearby locations like Ottawa, Missouri, Topeka, Belton, Manhattan, Lee’s Summit, Johnson County & Kansas areas.
Book an appointment here to learn more or call us at 913-339-9437 to schedule now.
Some Of The Other Surgical Procedures We Provide:
FAQs
Patients activate the device using a wireless remote control for 30 minutes twice daily—typically in the morning and evening.
The therapy aims to break the cycle of chronic low back pain by strengthening the multifidus muscles, reducing pain, and improving daily function over time.
It is intended for patients with chronic low back pain caused by multifidus muscle weakness who have not responded to treatments like pain medication or physical therapy.
In a University of Kansas Health System study, 60% of participants experienced a 60% reduction in overall pain within one year.
Yes, the ReActiv8 Restorative Neurostimulation System is FDA approved.
What We Do
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Google Reviews
Posted on Google Thomasin Kuhn-WichtendahlTrustindex verifies that the original source of the review is Google. Nicole Walton, NP, and her staff are absolutely wonderful to work with. They are always upbeat, supportive, and truly helpful, which makes managing my medical care so much easier. Together, we’ve been able to keep my chronic conditions from becoming overly painful, and I always feel heard and cared for. I would highly recommend this facility and the entire staff. My experience here has been far better than any of my past attempts with other offices. It’s a relief to finally have a team that makes me feel confident and comfortable in my ongoing care. I wanted to add an update of my most recent visit to this facility seeing a different provider: 6/25/26 I recently had an epidural steroid injection at Kansas Pain Management, and while no one looks forward to procedures like this, the team made the experience as comfortable as possible. From check-in through recovery, everything was organized and efficient. I was brought back for vitals and preparation, then escorted to the procedure room where Dr. Gupta and his staff explained what was happening and kept me comfortable throughout the process. The atmosphere was surprisingly relaxed—even when I joked that my backside was getting cold during the prep, everyone shared a laugh, which helped ease the tension. The injection itself was understandably painful at one point, but Dr. Gupta was clearly targeting the area that needed treatment. The staff responded quickly, kept me informed, and within a couple of minutes I was on my way to recovery. I spent about an hour at the facility from arrival to departure, which I thought was very reasonable. The center was clean, well organized, and I appreciated having an easily accessible restroom near the waiting area. The paperwork process was quick, and it was nice to see familiar staff members who remembered me and genuinely cared about how I was doing. Living with chronic pain can be exhausting, so it means a lot to be treated by people who acknowledge what you're going through, respect your time, and do everything they can to make a difficult procedure a little easier. Thank you to Dr. Gupta and the entire team for your professionalism, kindness, and compassionate care.Posted on Google Janell ThomeTrustindex verifies that the original source of the review is Google. Had RFA Lower lumbar w/90-95% great result! Would recommend Dr. Dalal. But, if you want touchy/feely pampering, forget it! Dr. Dalal is all business and knows her craft, and gets the job done! Very professional office!Posted on Google MaryAnn DowningTrustindex verifies that the original source of the review is Google. My husband Keith sees Kristina Grove once a month, she is amazing at listening to Keith and addressing any of his issues to make sure he gets the proper care and medication. Also Victoria at the front desk always greets my husband and I with a great smile. The Lawrence location is perfect for us.
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Google Reviews
Posted on Google Thomasin Kuhn-WichtendahlTrustindex verifies that the original source of the review is Google. Nicole Walton, NP, and her staff are absolutely wonderful to work with. They are always upbeat, supportive, and truly helpful, which makes managing my medical care so much easier. Together, we’ve been able to keep my chronic conditions from becoming overly painful, and I always feel heard and cared for. I would highly recommend this facility and the entire staff. My experience here has been far better than any of my past attempts with other offices. It’s a relief to finally have a team that makes me feel confident and comfortable in my ongoing care. I wanted to add an update of my most recent visit to this facility seeing a different provider: 6/25/26 I recently had an epidural steroid injection at Kansas Pain Management, and while no one looks forward to procedures like this, the team made the experience as comfortable as possible. From check-in through recovery, everything was organized and efficient. I was brought back for vitals and preparation, then escorted to the procedure room where Dr. Gupta and his staff explained what was happening and kept me comfortable throughout the process. The atmosphere was surprisingly relaxed—even when I joked that my backside was getting cold during the prep, everyone shared a laugh, which helped ease the tension. The injection itself was understandably painful at one point, but Dr. Gupta was clearly targeting the area that needed treatment. The staff responded quickly, kept me informed, and within a couple of minutes I was on my way to recovery. I spent about an hour at the facility from arrival to departure, which I thought was very reasonable. The center was clean, well organized, and I appreciated having an easily accessible restroom near the waiting area. The paperwork process was quick, and it was nice to see familiar staff members who remembered me and genuinely cared about how I was doing. Living with chronic pain can be exhausting, so it means a lot to be treated by people who acknowledge what you're going through, respect your time, and do everything they can to make a difficult procedure a little easier. Thank you to Dr. Gupta and the entire team for your professionalism, kindness, and compassionate care.Posted on Google Janell ThomeTrustindex verifies that the original source of the review is Google. Had RFA Lower lumbar w/90-95% great result! Would recommend Dr. Dalal. But, if you want touchy/feely pampering, forget it! Dr. Dalal is all business and knows her craft, and gets the job done! Very professional office!Posted on Google MaryAnn DowningTrustindex verifies that the original source of the review is Google. My husband Keith sees Kristina Grove once a month, she is amazing at listening to Keith and addressing any of his issues to make sure he gets the proper care and medication. Also Victoria at the front desk always greets my husband and I with a great smile. The Lawrence location is perfect for us.