Spinal Cord Stimulator (SCS) Trial & Implant

Purpose:

To test if the stimulator provides at least 50% pain relief before considering permanent implantation.

What to Expect:

• A temporary lead is placed in the epidural space using a needle (not major surgery).
• The device remains external during the trial (usually 3–10 days).
• You'll use a remote control to adjust stimulation levels.
• Keep a pain diary to track how well it works.

Do's During Trial:

• Perform light activities to test the effectiveness.
• Keep the site clean and dry (no showers or baths).
• Communicate any changes in pain or sensation with your care team.

Don'ts During Trial:

• Avoid bending, twisting, or lifting more than 5–10 lbs.
• Don't make sudden movements that might dislodge the lead.
• Do not drive while the device is on.

After the Trial:

• If you receive significant pain relief, a permanent system may be scheduled.
• If not, the temporary lead is removed and other pain options will be discussed.

Procedure:

• The lead is permanently implanted in the epidural space.
• A pulse generator (battery) is placed under the skin, often in the buttock or abdomen.
• The procedure is typically outpatient or may involve a short hospital stay.

Recovery:

• Avoid lifting, bending, or twisting for 6–8 weeks.
• Keep incisions clean and dry.
• No baths, swimming, or hot tubs until cleared.
• Gradually return to normal activities as directed.

Incision Care:

• Watch for signs of infection: redness, swelling, warmth, drainage, or fever.
• Wear loose clothing over the incision sites.
• Follow up with your provider for wound checks and stitch removal, if necessary.

Using the Device:

• You will be trained to use a remote control to manage settings.
• Settings may be adjusted for different activities or times of day.
• Some stimulators are rechargeable; others are non-rechargeable and replaced after a few years.

Travel:

• Always carry your device ID card when traveling.
• Let airport security know you have an implanted device.
• Chargers and remotes are safe for travel and can be packed in your carry-on bag.

Long-Term Tips:

• Check with your provider before undergoing any medical procedure, especially MRIs.
• Let all healthcare providers know about your SCS system.
• Contact your care team if you experience changes in pain or problems with the device.