Test Driving Your Spinal Cord Stimulation?

Chronic pain from spinal conditions, failed back surgery syndrome, and neuropathic pain can benefit from spinal cord stimulation. A spinal cord stimulator (SCS) is a device that uses thin wires to send electrical signals that disrupt the nerves around the spine. When someone has a spinal condition or other forms of chronic pain, these nerves send pain signals to the brain. Disruption can lead to pain relief. Spinal cord stimulators are surgically installed in the lower back, but doctors recommend a neurostimulator trial first. Here are 3 key things to know before undergoing an SCS trial.

1. You have more drug-free control over pain management

A neurostimulator trial opens chronic pain patients to new possibilities. The patient will use the SCS for 5-7 days first, with the device managed outside of the body. The leads are placed in the lower back using a medical procedure called fluoroscopy. During the trial, the patient can adjust the intensity of the SCS stimulator for better relief. This control can improve symptoms but also reduces the need for strong pain medication. Patients record and report the results to the doctor. This information helps both parties make an informed decision.

2. There are benefits but also limitations

Typical benefits include reduced pain, more mobility, and reduced pain medication use. Patients can also avoid additional complicated surgeries. At the same time, the device does not eliminate all pain. Studies show that 50-70% of patients notice a change. The patient also manages the device, reports battery life, and addresses potential failures. The device is also surgically installed and may cause some discomfort. Deciding on spinal cord stimulation should not be taken lightly. Even after the trial, the doctor will help confirm if the device will work.

3. Is it right for you?

The doctor must confirm at least a 50% reduction in pain to consider continued use of the device. SCS is a long-term commitment to pain management. Follow-up visits, battery replacements, and other requirements are necessary for success. The device is also useful if there are noticeable changes in mobility, activity levels, and quality of life. If activities like walking, standing, or engaging in social activities were once too painful, a trial and long-term implementation is the appropriate move. SCS is also ideal for those psychologically ready for the device and lifestyle changes, as mental health challenges negatively affect outcomes. Discuss these pros and cons before deciding.

The trial that may change your life

Chronic pain from long-term conditions can lead to distress, high medical costs, and pain medication dependency. For those who may not want or benefit from surgery, SCS is an option. The neurostimulator trial provides space to test the solution without a long-term financial or surgical commitment. Once the trial is successful, moving forward can be life-changing. If not, the team can revisit other options, like physical therapy. The SCS moderates pain perception, so additional strategies should continue. Long-term use provides a tailored approach to pain management so that patients can enjoy fantastic results and relief.