Introduction to Spinal Cord Stimulator Trials

A spinal cord stimulator (SCS) trial is a minimally invasive procedure designed to determine if spinal cord stimulation can effectively alleviate chronic back and leg pain. By delivering electrical impulses to the spinal cord, this treatment can block pain signals before they reach the brain, offering patients significant relief and improved quality of life.

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Procedure Details

Preparation:

Before the Procedure:

• Patients should avoid eating for several hours before the procedure.

• Arrange for transportation home afterward, as you will not be able to drive.

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Procedure Description:

Positioning:

• Patients are comfortably positioned on the treatment table for easy access to the spinal area.

Needle Placement:

• Using fluoroscopic (x-ray) guidance, a small needle is carefully inserted into the epidural space of the spine.

Lead Placement:

• Electrodes are placed through the needle and positioned along the spinal cord.

Testing:

• The stimulator is activated, and patients provide feedback on pain relief to ensure optimal electrode placement.

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Duration:

• The entire procedure typically takes about 30-60 minutes and is conducted on an outpatient basis, allowing patients to go home the same day.

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Trial Period:

• The trial period lasts 5 to 7 days, during which patients can assess the effectiveness of the spinal cord stimulator in reducing pain.

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Expected Results:

• Many patients experience a significant reduction in pain during the trial period, leading to improved mobility and a decrease in the need for pain medications.

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Risks and Side Effects:

Common Side Effects:

• Temporary pain at the needle insertion site, mild bruising.

Serious Risks:

• Rare risks include infection, bleeding, or nerve damage.

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Post-Treatment Care:

Recovery:

• Most patients can return to normal activities the next day but should avoid strenuous activities during the trial period.

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Follow-Up:

• Regular follow-up appointments are scheduled to assess the effectiveness of the trial and to discuss the possibility of permanent spinal cord stimulator implantation if the trial is successful.

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Patient Eligibility:

Candidacy:

• Ideal for patients with chronic back or leg pain not responsive to other treatments.

Contraindications:

• Not suitable for patients with certain infections or bleeding disorders.

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Start Living an Improved Life:

With effective pain management through spinal cord stimulator trials, patients can reclaim their quality of life. Engage more fully in daily activities, hobbies, and social interactions without the constant burden of pain. At Vitruvian Health, our goal is to help you live a more active, fulfilling, and pain-free life.