Spinal Cord Stimulation Implant

Procedure Description:

Spinal cord stimulation (SCS) implant is performed after a successful SCS trial. The goal of the SCS implant is to provide long term pain control. The leads are inserted into the spine and secured in place to avoid lead migration. A pocket is created under the skin in the flank to implant the battery called an IPG (Implantable Pulse Generator). At the conclusion of the surgery, the device is completely implanted under the skin.

What it treats:

SCS has potential to substantially improve pain in the neck, upper and lower backs, head, shoulders, arms/hands, chest, abdomen, hip, buttocks, groin, and legs/feet. SCS most effectively treats chronic nerve pain associated with the spine, shingles, nerve injury, CRPS, and neuropathy, in particular diabetic neuropathy.

How it is performed:

The SCS implant is performed in a sterile operating room environment. Typically two small incisions are made, one closer the spine and the other in the flank. The surgery typically takes less than 60 minutes. The procedure is usually performed with IV sedation.

Pre-procedure instructions:

Do not eat or drink for 8 hours prior to the procedure or drive for 12 hours after the procedure. A driver home is required and must be a friend or family member. Medications that prevent blood clotting (aspirin, coumadin, Plavix, Eliquis, Xarelto, etc), will need to be held prior to and after the implant with the prescribing physician’s permission. Make sure to inform your pain provider if you are on any blood thinners so additional instructions can be provided. An oral antibiotic is prescribed prior to the implant. Fill this before and have it ready to start after the implant.

What to expect after the procedure:

After the implant, there may be mild procedure related soreness, redness, and swelling that usually subsides after the first week. For the first month after the implant, avoid excessive bending or twisting as this may cause the leads to shift out of place. The incisions will be covered with a clear dressing called a Tegaderm. Keep this in place and dry for two days, then remove the Tegaderm. Underneath will be rectangular white bandages called Steristrips. Once Tegaderms are removed, showering is allowed and then pat the Steristrips dry. Allow the Steristrips to gradually fall off on their own. Avoid swimming or bathing until after your follow up visit with the provider. The SCS manufacturer representative stays in close contact to monitor progress and adjust settings. Contact the provider for any worsening symptoms including fever/chills, headaches, worsening redness/swelling/warmth.