Doctor insights on:
Medtronic Spinal Cord Stimulator Problems
Depends: They can work very well in the properly selected patient, who has failed most other conservative measures and doesn't have any psychosocial or secondary gain issues. A trial is done first to make sure it helps before implanting one. ...Read more
Limitations: Pros are your pain significantly will be improved and life will be better because pain under better control. The procedure is also totally reversible. Limitations of the device include inability to obtain an MRI scan, which could be an issue if you have diseases requiring MRI scan. There is likelihood that future technology will include MRI compatible spinal cord stimulators. ...Read more
That depends on: Several factors: the device manufacturer, the size and type of battery, how often it is on and to what intensity or strength that it is utilized. It is hard to give a general answer because of all these factors. Typically, one is expecting several years on average. ...Read more
Besides anesthetic and surgical risks, there are risks involved with scs itself. It includes scs malfunction, scs affecting the wrong location, overstimulation, the lead may move or become damaged, requiring surgical repositioning or removal. ..
The benefits of scs include pain control, improving quality of life, reducing medication dosage. .. ...Read more
Depends: Depends on the reason for the stimulator. If you are able to walk or run, then spinning is likely to be OK too. Ask your doctor who knows you! ...Read more
Ask the Corp: The company who provide the device and certify the physicians are the best people to ask. They will have to answer to you if they are incorrect and they have specific experience with this procedure. Hope it goes well. ...Read more
Chronic pain: Both stimulators work by the gate control theory of pain. Stimulating the sensory fibers blocks the pain fibers. A trial of spinal cord stimulation is performed first. If the pain is significantly reduced then a permanent stimulator is placed. Some stimulators are now MRI compatible. Discuss with your physician which system is best for you. ...Read more
Can a person with a spinal cord stimulator become tolerant and not receive benefits in the long run?
SCS: Although you have a scs - tolerance to its effects can be seen. This is more with older designed systems. The newer ones that are designed now days (boston scientific) result in less tolerance. One has to rule out new pathology as a reason. ...Read more
Is a spinal cord stimulator a permanent procedure? Can the stimulator be removed if needed after the implantation?
Not exactly: A spinal cord stimulator can be removed - of course don't go into it expecting to have it removed. ...Read more
Are you asking is you can use the dynatron if you have a scs?
You can use it, but I would turn the scs off while using the dynatron. The dynatron is used to treat sympathetic pain (like the scs).
I would question why you needed it however, as it seems to me to be a duplication of therapy. ...Read more
Yes, but rare:
Heterotopic ossification is bone formed in soft tissues from trauma -- from a bruise to an injection, to surgery of any kind. Bone forms in the healing cells that generally knit the soft tissues together -- SOFTLY! The hard bone formed can be painful, and is easily felt or seen on x-rays, as it contains calcium.
Please see your doctor about this. If it doesn't bother, no treatment needed! ...Read more
Is trans-cutaneous electrical nerve stimulation (TENS) the same thing as a spinal cord stimulator? Differences?
What are your opinions on the spinal cord stimulator? My pain management dr is forcing me to get it and I just don't think it's gonna work.
Spinal cord stimulation (scs) is a device that transmits mild electric currents to the spine to interrupt pain signals and replace the pain sensation with a mild tingling known as paraesthesia. It is approved for treatment pain of the trunk and extremity. It is very effective for selected patients.
However, if you don't feel comfortable with the treatment, you shouldn't do it. ...Read more
Had fusion surgery in jan 2010 and then 2011 a spinal cord stimulator now the disk above my fusion is bothering me what could it be in a lot of pain?
Discogenic pain: Following spinal fusion the adjacent disc above or below the fused site can bear the weight load causing back pain or recurrence of leg pain. Check the placement of the spinal cord stimulator with an xray to determine if the leads have moved if pain relief has stopped. A ct scan may be indicated to determine if there is re-herniation, spinal stenosis, spinal cord or nerve root compression. ...Read more
Approx. 6 weeks: Any surgery results in skin and muscle being incised to get to whatever target is being treated. The human body takes about 6 weeks to repair and regenerate these tissues back to about as full strength as they will be. The actual surgery for a SCS implant involves a small incision near the spine to insert the needle to thread the leads and anchor them, and a separate incision for the generator. ...Read more
I have a spinal cord stimulator implanted in my back my employer is asking for me to take a polygraph will this interfere with the test?
Not at all: Polygraph examinations use changes in your normal physiology such as heart rate, rate of breathing, and blood pressure to help interpret the examinee's reaction to the questions. A spinal cord stimulator supplies a very small current to the spinal cord and is not only not detectable but it also does not change in response to external stimuli. It will have no impact in the exam. ...Read more
I had a spinal cord stimulator removed 2 months ago, it "sluffed out" 10 min surgery now I have a severe ichy spot on spine were the leads were?
Spinal Cord Stimulat: I recommend you discuss this with the doctor who removed your stimulator or your pain specialist if the are not the same person. ...Read more
Yes: Spinal cord stimulation (scs) therapy is one of the best and effective therapies for crps. The key though is having the right diagnosis first (other clinical conditions can present with leg pain too) and getting a scs trial therapy first so as to determine whether or not one is a candidate for the scs therapy on a permanent basis. Good luck and be well. ...Read more
Spinal cord stimulator I have myotonic dystrophy type 2. Can you tell me if this can be used on a person with md? Pros, cons?
Unclear: While your disease process of md may not specifically preclude you from having a spinal cord stimulator placed, the movement disorder you experience may not allow the stimulator to work best in your condition. The lead may not remain in the optimal spot. In addition, with problems like cardiomyopathy, this may not be optimal treatment for you. See a local pain specialist for recommendations. ...Read more
I have a temp. Boston scientific spinal cord stimulator and had an episode with run away voltage. Is there any history of this happening?
SCS: Yes it can. The trial phase will provide the answer. ...Read more
I am a chronic pain sufferer and plan on having a spinal cord stimulator implanted? What painkillers are available for spinal cord?
All of them: Any pain med is compatible with the implanted stimulator. Speak with your doctor. ...Read more
I have a spinal cord stimulator & have about 15-20% improvement in pain level from pre-implant. Is that percentage about average for others?
No: Most patients will receive at least 50% reduction in their pain. How much reduction in pain did you have during your trial? You may need some reprogramming and evaluation to make sure your leads have not shifted. If you had less than a 50% reduction in your pain during your trial then you should have never been implanted. ...Read more
Pm docs- what type of interventional procedures should I try before the spinal cord stimulator for small fiber neuropathy pain (pain is worse at night?
Small Fiber Neuro: Spinal cord stimulator has been shown to be effective in treating a number of chronic pain situations such as chronic pain, such as failed back surgery syndrome, complex regional pain syndrome, ischemic and coronary artery disease. There is also a case report showing the successful treatment of small fiber neuropathy with spinal cord stimulation from georgetown university. ...Read more
If my neuropathic pain is worst in hands, will spinal cord stimulator help them, too? Where are scs placed?
Neuromodulation: Spinal cord stimulation is approved for chronic pain of the trunk and extremity. It is commonly used for neuropathic pain or crps (complex regional pain syndrome) of the extremity. You would need to undergo the trial to see if it'd help with your pain. For the hand pain, scs will by placed in the cervical area. ...Read more
I've had a laminectomy, spinal fusion of lower 2 discs, and a spinal cord stimulator put in last year. Still have back & leg pain. Any hope left?
I recommend you have the scs reprogram with the company representative. If it doesn't help to relieve some of your pain, discuss your pain with your doctor again. Scs is usually used as adjunct therapy, not a sole therapy for pain.
If he/she cannot help you, you should seek a second opinion. ...Read more
Not understanding: My assumption is you are asking what spinal cord stimulators (scs) are best at treating? Typically scs is good at treating neuropathic pain disorders, whether related as a brachial plexus avulsion or a chronic radiculopathy post spine surgery. Also patients with complex regional pain syndromes have been helped with scs. Scs is currently being used for vascular pain being done in europe. ...Read more
Spinal cord stimulator provided some relief. Over time the pain has worsened in back/legs. Surgeon is scs dr and is no help now. 3 surgeries. Hope?
Adjustment: I suggest calling the representative for the company. A simple reprogramming may be all that you need. ...Read more
I have CRPS (mild, part-controlled by meds, physio) left foot. PM doctor suggests spinal cord stimulator. Sounds scary- is it necessary for my CRPS?
Low complications: The trial has a low complication rate1 week trial will tell you if it helps you uniquely. Implantation follows trial ...Read more
Best for leg pain: Spinal cord stimulation can be very effective for chronic intractable extremity pain but is not as effective for back pain. Temporary electrodes are initially inserted with an external pulse generator and if the leg or arm pain is adequately controlled, a permanent system is then implanted. ...Read more
Treatment for pain: Spinal cord stimulation (scs) involves an implanted electrode (in the neck for arm symptoms, thoracic area for leg and back symptoms) connected to a pulse generator, all under the skin. While how it works is not completely understood, patients describe a tingling sensation where they felt pain. A trial placement of the electrode is necessary to see if patients will experience adequate pain relief. ...Read more
Pain pump: Yes you can but it's not very common. ...Read more
Sister had spinal stimulator trial friday her belly bloat there vibration in belly the device removed today can she have permanent or no thanks?
Powerful tool: Scs is a very powerful tool to ne used in certain cases. The goal of teh trail is to make the patient see for themselves if it help thie case or not. The best person to anser is the patient herself she knows how much help she got. Recruiment of later nerve in the spine could most of the time lead to abdonimal vibration, it sound from the discrition that the patient benefit from another trial. ...Read more
Hi, I have idiomatic neuropathy. I also have a nerve entrapment in lower back. I'm considering spinal stimulator. Injections haven't worked. Any ideas?
Another opinion: I would get several other opinions first from other pain doctors and/or physical medicine specialist (physiatrist). I've noticed more people than not have problems with the spinal stimulators. ...Read more
Daughter 25 had spinal stimulator trial yesterday than her belly swollen didn't bowel laxative 2 didn't go gained 4 lb feels vibration belly?
Scs: Would recommend eval by physician who manages stimulator. Likely having no bm for couple days increases abdominal volume and then makes it more sensitive to feeling stimulator. ...Read more
Cronic foot pain in toes no reason even got a spinal stimulator balls under toes don't touch floor has to ware toe scocks for support all the time?
Chronic pain: It sounds like you are being treated for a chronic pain syndrome, commonly known as reflex synmpathetic dystrophy. There is no known cure for this. Doctors manage it with painkillers, anti-inflammatories, physical therapy and spinal injections or neurostimulators. Continue seeing your pain management doctor and podiatrist. They will do all they can for you. ...Read more
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