Procedure Description
A spinal cord stimulator (SCS) is an implantable device that delivers mild electrical pulses to the spinal cord, interrupting pain signals before they reach the brain. This treatment is most effective for chronic neuropathic pain that has not responded to conventional therapies such as medications, injections, or surgery.
The process begins with a trial phase, where temporary leads are placed to test effectiveness. If the trial provides significant relief (typically ≥50% reduction in pain), a permanent implant is then placed.
What It Treats
SCS is FDA-approved and widely used to treat:
Failed back surgery syndrome (FBSS)
Chronic low back or leg pain (sciatica)
Complex Regional Pain Syndrome (CRPS)
Post-laminectomy syndrome
Peripheral neuropathy
Arachnoiditis
Painful diabetic neuropathy
Ischemic limb pain or refractory angina (in select cases)
SCS is ideal for patients who have not found sufficient relief with medications, injections, or surgical interventions.
How It Is Performed
Phase 1: Spinal Cord Stimulator Trial
You will lie on your stomach and receive local anesthesia and light sedation.
Under fluoroscopy (X-ray) guidance, thin electrodes (leads) are inserted into the epidural space of the spine.
The leads are connected to an external pulse generator, worn on your belt.
The device is programmed by a technician, and you test stimulation for 3–7 days, adjusting settings as needed using a handheld remote.
If you experience significant pain relief and improved function, you may proceed to permanent implantation.
Phase 2: Permanent Spinal Cord Stimulator Implant
Performed under local anesthesia with sedation or general anesthesia.
The permanent leads are placed in the same location as during the trial.
A small pulse generator (battery) is implanted under the skin, usually in the buttock or flank.
The system is tested and programmed before you go home.
Both procedures are outpatient or same-day surgeries and typically take 60–90 minutes.
Pre-Procedure Instructions
Do not eat or drink for at least 6 hours before the procedure if sedation is planned.
Review medications with your provider—blood thinners and certain medications may need to be paused.
Inform your provider if you:
Have an implanted pacemaker or defibrillator
Are pregnant or breastfeeding
Have an active infection or recent illness
Have metal allergies
Arrange transportation to and from the facility.
Wear loose, comfortable clothing and avoid wearing jewelry.
What to Expect After the Procedure
After the Trial:
You may feel immediate changes in pain levels during the trial.
You will track pain relief and daily activity using a diary provided by your care team.
Keep the area clean and dry, and avoid bending, twisting, or lifting during the trial.
The trial leads are easily removed in the clinic if the trial is unsuccessful or complete.
After the Implant:
You may experience mild soreness at the incision site, which resolves in a few days.
Pain relief typically begins within days and may improve over weeks.
You’ll use a wireless remote control to adjust the stimulator settings.
Avoid strenuous activity or lifting for 4–6 weeks while healing.
You may need periodic programming adjustments for optimal relief.
Call your provider if you experience:
Fever, chills, or signs of infection
Redness, swelling, or drainage at the incision site
Loss of stimulation or new/worsening symptoms
Lasting Relief When Other Treatments Fall Short
At Parkview Spine & Pain, we offer spinal cord stimulation as an advanced solution for patients with chronic, treatment-resistant pain. This life-changing therapy has helped thousands reduce pain, regain function, and reduce or eliminate the need for opioid medications.
👉 Schedule your consultation today to learn if you're a candidate for spinal cord stimulation.