Spinal Cord Stimulation for chronic back pain

Posted by rhuck513 @rhuck513, Apr 17, 2023

I have suffered with chronic back pain for a couple of years. It started after I had my hip replaced, and then a hip replacement revision on the same hip. Thee surgeon claims that the replacement is good, and that I suffer with nerve damage. It's been nearly 2 years since my surgery and I need help!
Have any of you had a Medtronic Spinal Cord Stimulation installed? If so, how is it working for you? Any help would be appreciated!

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@heisenberg34

I have had two spinal cord stimulators. The first one helped a lot for abou3 years. Did they mention the trial to you? Fairly simple procedure done in the office. You have a temporary leat placed along side the spinal cord and the battery pack worm for 3 to 5 days. You evaluate what, if any, pain relief you get. They are looking for at least 50% pain reduction. Then you decide if you want the permanent implant. I got about 70% pain relief. After the trial, it was about 50%. But, that, along with my pain meds allowed me to resume almost all previous activities, including cycling, which I had not been able to do for almost two years.
Hope this helps you. I also just had the morphine pain pump surgery, which is going well so far. Besr wishes and prayers for wisdom for guidance to the right procedure.

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What scs did you have implanted? What does the pain pump ...pump? Did they have to remove the antenna wires between scs devices? or justt replace the battery/generator?

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I have had an Abbott Proclaim for over 2 years.
The surgery went well and recovery not too bad at all.
I expected better results. I have had it reprogrammed several times. Now doctor believes a couple of leads are disconnected. I’ll have surgery to repair and add more leads to my upper spine.
I understand many people get great results though.

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@nibblesnbits

What scs did you have implanted? What does the pain pump ...pump? Did they have to remove the antenna wires between scs devices? or justt replace the battery/generator?

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The one I have delivers hydromorphine. I had the original Medtronics battery replaced with a Nevro battery. That, along with the leads and paddle are still in place. So far, the pump is beginning to provide some pain relief. It will likely take 3 to 5 more adjustments to get the right amount set.

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@heisenberg34

The one I have delivers hydromorphine. I had the original Medtronics battery replaced with a Nevro battery. That, along with the leads and paddle are still in place. So far, the pump is beginning to provide some pain relief. It will likely take 3 to 5 more adjustments to get the right amount set.

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I have the Nevro for 2 years now. It has releived my lumbar spine and thigh pain. I now have hip issues that are getting confused by the scs. I have outer hip pain in the left. I had outer hip pain on the right. I got injections in both hips. The right is bone on bone, but was relieved by the injection. The left hip has a good space in the joint, but the pain causes the outer pain and send a trigger pain to the knee and then that leg collapses.
What pain is the pain pump targeted to if the Nevro is taking care of the spine pain?
Thanks for your reply. I was really curious if they could use the same wires.

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@fmmartinez58

Yes, I did. I actually had Medtronics as well. I had a fantastic trial and zero on the final. I also found the doctors in my HMO group had an allegiance to the company and not the patient. I was new and desperate and didn't know I needed to do research on the manufacturer. That one week was heaven.

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You were, indeed, very unfortunate. It's not unusual for the permanent implant to give less relief then the trial. This is often a result of the paddle not being placed in the "sweet spot" in the intrathecal space during surgery. My trial went well, too, giving me about 80% pain reduction. After the implant, it was more like 50%. Fortunately, that, along with my pain meds, provided good pain relied for more than three years. Yes, a health network usually affiliates with one particular type of SCS. Of course, you can request a different type, but, as you said, going in for the first time, you don't have that information, and, they likely won't tell you. Does Medtronics or Nervro get a "kick back" for each unit implanted. Not sure, but it's possible.

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@heisenberg34

I switched it out for a Nevro SCS. That did nothing for my pain. I just had a morphine pain pump implanted about 2 weeks ago. They start on a very low dose and then you go back for a few visits to up the med dosage until you hit the best dosage level. I had my first adjustment last week and am going back for the second adjustment this coming Tuesday.

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Please let me know how the pain pump works out for you & I wish you luck! I have thought about one but I don't know anyone who has one.

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@juneblond

Please let me know how the pain pump works out for you & I wish you luck! I have thought about one but I don't know anyone who has one.

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So far, so good. Have had it increased in output. Less burning in my feet; less back pain. Doc said 3 to 5 more adjustments before I reach optimum pain mitigation. Will likely never be totally pain free, but much better than where I was. I’ll take it!

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@heisenberg34

So far, so good. Have had it increased in output. Less burning in my feet; less back pain. Doc said 3 to 5 more adjustments before I reach optimum pain mitigation. Will likely never be totally pain free, but much better than where I was. I’ll take it!

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To be better than you were is good. In 2020 they were trying to talk me into surgery with no guaranty, of course, I'm glad I didn't do it. Although I have more pain than ever. I'd love to walk with my 2 liitle dogs but I haven't been able to for a several years. I have stenosis, disc degeneration, and radiculopathy, as far as an MRI in 2017. So I am looking for solutions. I really appreciate your your help.

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Have you done a trial for a spinal cord stimulator? Relatively simple, minimally invasive procedure. A couple of days will tell if it will give you pain relief.

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@heisenberg34

Have you done a trial for a spinal cord stimulator? Relatively simple, minimally invasive procedure. A couple of days will tell if it will give you pain relief.

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I did a very long time ago and it didn't work. BUT the DR. I had was not good and the woman from the place where the stimulator was from wasn't much help. I see now there are a many various makes of them.

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