Spinal Cord Stimulation

IS SPINAL CORD STIMULATION (SCS) RIGHT FOR ME?

SCS is often considered for individuals who have experienced nerve-related pain for at least six months and have not found relief through other treatments like medications, physical therapy, or injections. It’s also an option for those who have had unsuccessful surgeries aimed at reducing pain.

Conditions commonly treated with SCS include:

• Chronic back or leg pain
• Pain following back surgery
• Complex Regional Pain Syndrome (a condition causing severe, long-lasting pain)
• Nerve pain in the arms or legs
• Pain from spinal cord injuries

HOW DOES SPINAL CORD STIMULATION WORK?

The SCS system consists of thin wires, called electrodes, and a small battery pack, similar to a pacemaker. The electrodes are placed near the spinal cord, and the battery pack is implanted under the skin, usually near the buttocks or abdomen. When activated, the system sends mild electrical pulses to the spinal cord, disrupting pain signals before they reach the brain. This can reduce the sensation of pain and may allow for decreased use of pain medications.

WHAT TO EXPECT DURING THE PROCEDURE?

Before committing to a permanent SCS implant, you’ll undergo a trial period to see if the therapy effectively reduces your pain. During this trial, temporary electrodes are placed under the skin and connected to an external device. This trial typically lasts about a week. If you experience significant pain relief, you may proceed with the permanent implant.

The permanent implantation is an outpatient procedure. The electrodes are positioned near the spinal cord, and the battery pack is placed under the skin. Both components are connected and secured, with small incisions that heal over time.

WHAT TO EXPECT AFTER THE PROCEDURE?

After the procedure, most individuals start to feel pain relief within a few days, though it can take up to two weeks for the full effects to be noticeable. The amount of relief varies from person to person, but many experience a 50% to 70% reduction in pain. This improvement can make daily activities easier and may reduce the need for pain medication.

The recovery period after implantation is fairly short and you can typically shower within 48 hours and can return to work in 3-5 days. The incisions fully heal within 2 weeks. You’ll need to avoid bending and twisting for 4–6 weeks to help everything heal properly. Once everything is healed, you can return to full activity by 8 weeks after surgery.

FOLLOW-UP CARE

After the procedure, you’ll need to visit your doctor for a follow-up within the first one to two weeks to ensure your device is working properly and to make any necessary adjustments. After that, follow-up appointments may be scheduled every few months to a year, depending on your response to the treatment and whether any adjustments to the stimulation settings are needed.

Over time, the battery in the device will need to be replaced, typically every five to ten years for a non-rechargeable unit and much longer for a rechargeable one. Your doctor will monitor this during follow-up visits.

If you notice changes in how well the device controls your pain or experience any discomfort at the implant site, you should contact your doctor right away for evaluation.

COMMON QUESTIONS ABOUT SPINAL CORD STIMULATION

Can I stop taking pain medications after getting an SCS?

Some individuals can reduce or even stop their pain medications after SCS implantation, but this varies from person to person. Always consult your doctor before making changes to your medication regimen.

Is the SCS device noticeable under the skin?

The device is designed to be discreet and is typically not noticeable under clothing. Most individuals find that it does not interfere with how their clothing fits.

Is the device uncomfortable?

Most individuals do not find the SCS device uncomfortable once they have fully healed. Mild discomfort at the implant site is normal during the initial healing period but improves over time.

If you’re considering Spinal Cord Stimulation, consult with our pain management specialists to determine if it’s the right option for your specific condition.

Will I feel the stimulation all the time?

Some people notice a gentle tingling or pulsing sensation, while others feel very little. Your doctor can adjust the settings based on your comfort and needs.

Can I go through airport security or get an MRI with an SCS?

Yes, but always let security personnel know you have an implanted device. Some systems are MRI-compatible, but you should check with your doctor before scheduling any imaging.

What happens if the device stops working?

If you notice a change in pain relief or the device isn’t working properly, contact your doctor. Adjustments or device checks can usually solve the issue.