Anyone had an Abbott SCS put in? BurstDR strength setting?
I'm curious to know what strength setting your spinal cord stimulator is set at for anyone implanted with an Abbott device that uses BurstDR technology.
I had a good trial and significant pain reduction after my permanent implant, but feel like the device has become less effective over time. I'm now 6 months post-op and feel like the device is no longer providing much relief at all.
I have a follow up appointment with my surgeon and the device rep in two weeks but want to experiment with different settings between now and then. However, I know it's possible to overstimulate the nerves and create irritation and pain at settings that are too high. My initial strength setting was at 7, then I increased to 8 a couple of weeks post-op. I briefly increased to 9 after a muscle spasm flare up and then returned back to 8.
I felt a little more confident experimenting with settings on my Medtronic device with tonic stimulation, but the Abbott BurstDR technology is more difficult to determine the delayed impact of adjustments due to the lack of paresthesia.
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I received the 7 day trial from Abbott and I can tell you first had that it absolutely worked for me. I have a trashed back with several bulged disks, fractures, and have had 1 herniated disk and a decompression surgery on L3,4,5 that failed. My leg, hip, and lower back has been horrendous. During the trial the pain was gone in my leg and hip. One spot in my back gave me some pain but tolerable . I am set to have it implanted because after the removal the pain has returned. I absolutely recommend the Abbott implant nerve stimulator.
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3 ReactionsI tried a different brand stimulator from Boston Sientific that different work. Maybe I should ask my pain specialist to try Abbott.
I have the Abbott SCS for about 7 mos. now, and have had minimal results. I did have the trial for about 10 days and saw some improvement,but during the trial they tell you not to bend over, or lift any objects over 5 pounds. so, it's kind of hard to see the full affect. Anyway, I now have the permanent one and see some minimal relief. I had two back surgeries, one was a laminectomy, and then 13 yrs ago a spinal fusion,, with the rods and pins put in. I have had back pain and have two dropped feet since then. I get around fine but the back pain is still there. I will say the Abbott company rep. has been great. He has met with me many times to try to readjust the implant. I have now 5 different programs on the phone app and have tried them all. So, I'd say if you get the trial, try to make sure you have it for as long as you can, and give it a good try. The only complaint I have about the device is that they tell you it only need charging every 2 or 3 months,, WRONG.. It all depends on the strength settings and to get any relief you have to have the settings set higher. So, then I have to recharge about every 3 weeks.. Not a big deal,,just a pain.. Also, they a have non chargeable one ,but it only last a few years and then you have to go thru the surgery again to put a new one in.. Not really an option for me.
Anyway, I'd recommend giving it a try as most say it gives some relief.
I had an L4-L5 fusion that left me with chronic pain in my lower back and legs.
After 2 years with little to no pain relief I had an Abbott SCS implant. That was 2.5 years ago. The implant has provided noticeable decrease in leg pain but has done little for the back pain. I continue to try injections periodically and take pain, anti inflammatory and anti spasmodic medications daily. Has anyone found something else to help relieve pain? Thank you.
Wishing you all a less painful weekend
I have advanced Ankylosing Spondylitis, I recently had bilateral SI joint fusion which I feel was mostly successful but it did nothing for the nerve pain throughout my low back, pelvis, hips & legs, after RFAs & other injections, a nerve stimulator is now my least invasive option. Any similar experiences I could get would be great.
I have the Medtronic Spinal Cord Stimulator with mixed reviews, it's a pain to charge and have needed more power to get any effect over the years & not allot of relief ! ! !
Well I got the Abbott implant in 4 weeks ago. They only gave me 2 settings, one with a burst and one with tonic. Here is my positive and negatives.
1. I believe I am getting results mostly helping my leg pain. I can say before the implant when the leg pain came it was terrible, that has subsided.
2. My lower back and butt pain comes and goes but not as bad as it was before surgery, so that is a slight positive. Maybe I am to close out from the surgery and have given it enough time, not sure.
3. Here are some negatives
A. They did not tell me before surgery that I was not getting a rechargeable battery. Everything I read was about the rechargeable battery but after surgery they told me the battery can last 5 years or less depending on how I use it, that was a disappointment for me.
B. The rep set only 2 settings and gave me very little education on how to navigate the settings, just told me not to set it to high, well I found out what was to high when I put it on the tonic setting at about 35 or so and went to the store and the back of my leg was on fire. I had to turn it farely high to feel it and boy I felt it.
3. Another negative is the connection to the generator is extremely slow and most often takes two tries to find connection. I tried it on my iphone and lost all connection and so I had the rep put it on the phone they gave me, still connection is a turtle.
4. Here was my instructions for follow up after my second post opt.” Call us if you have any issues “ Wouldn’t you think that a company would follow the people who purchased a critical medical device like this. I liked my rep a lot but not sure if that is Abbotts policy or not but that does not seem right to me that the pain clinic/ Abbott would not at least have scheduled follow ups, even yearly would be better than none.
Time will tell if this was worth the pain of surgery and 6 weeks of basically doing no bending, lifting, twisting. My question is, how do you not do some of those things, unless you have someone do everything for you.
I really am a bit upset that they did not give me a choice of the type of battery, I don’t relish going back in to have surgery to replace a battery.
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1 Reaction@smithki - sorry you didn't get the battery you preferred. This should have been agreed with your doctor before the surgery. If it is any consolation, surgery for battery replacement is less invasive and the recovery will be quicker than for the full system implantation. And you don't have to deal with recharging in the meantime, which some people find tedious and time consuming. Any follow up visits are typically with your physician. The Abbott rep is there for you when you have programming needs or device connection issues.
Setting the optimal strength level for Burst stimulation can be challenging since there isn't a lot of feedback. With tonic stimulation, I usually set the strength just below the point where I feel the stimulation. I prefer tonic and use it 100% of the time. The only downside is it uses more energy, so I have to charge more frequently. I don't know if this would also impact battery life for a non-rechargeable.
I agree the discharge instructions and activity limitations are difficult. I wasn't sure what no bending, twisting, or reaching really meant so I had my rep demonstrate what was okay and what wasn't okay, which was very helpful. I was able to do more during my recovery period than I initially thought.
Your last statement regarding the choice of battery is the fault of the doctor and the rep. For you to go back in to have it replaced after suffering through the pain and inconvenience without flexibility is tough. I had the Burst replaced due to the size of it. It extended out from my lower slight frame, with people coming up to me and asking what this was sticking out. I had it replaced five months later with the Eterna. (I can't recall if it was the other way around, Eterna then Burst?; I had mine removed in March after discovering the unit was off for three weeks without my knowledge)
The replaced Unit was tough to recharge. I would spend countless time finding the "sweet spot" to charge it.
I knew about The Abbott SCS since 2018, but wasn't ready to try it. There are still bugs in it to have it a success.
thank you, this was very helpful for me. I have experienced some burning discomfort with my setting as I think I had the settings to high. The rep set my burst at 12 and told me not to set it to high but I don’t know what is to high so I keep it at her setting. I seldom use tonic ever since I put the setting to high and left my house for over an hour. I came home with burning in the back of my leg that took awhile to go away after turning the unit back to burst at the lower setting. You gave an excellent explanation of how you set yours, I wish the rep had been that detailed for me. The main positive for me is that my leg pain from my back is 99% better and that is huge for me. The lower back is better as well just not as effective as it has been on my leg but I am ok with that for now.
Thanks again for your excellent explanation regarding my post.