SCS & Pain Pumps For spinal cord stimulator (SCS) and pain pump discussions.

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Old 02-08-2010, 05:23 PM #1
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Arrow SCS & Pain pumps - useful info & sites

I'll make this a sticky thread , as you find good info/ sites - please add them here.
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Old 02-09-2010, 06:00 AM #2
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This is an informative article. It also gives some statistics on success of the SCS implantation:

http://health.todaystmj4.com/Global/story.asp?S=5652524
Quote:
What are the results of outcome studies for spinal cord stimulation?
The following is a list of outcome studies on the success of SCS:

1. Kumar, 1991. 60 patients implanted for failed back surgery, 66% had greater than 50% pain relief. Follow up to 10 months.

2. Devulder, 1991. 69 patients implanted for failed back surgery, 55% had greater than 50% pain relief. Follow up to 8 years.

3. Richardson, 1991. 136 patients implanted for failed back surgery, 67% had greater than 50% pain relief. Follow up average was 45 months.

4. North, 1991. 50 patients implanted for failed back surgery, 53% had greater than 50% pain relief. Follow up was 2.2 years.

5. LaPorte, 1993. 64 patients implanted for failed back surgery, 55% had greater than 50% pain relief. Follow up average was 4 years.
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Old 03-27-2010, 06:03 PM #3
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info about SCS
http://professional.medtronic.com/in...view/index.htm
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Old 08-18-2010, 09:36 AM #4
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Another good info. link:

http://www.nationalpainfoundation.or...e-technologies


Discusses SCS's and pain pumps in some detail.
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Old 08-28-2010, 11:45 AM #5
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Default Frequently Asked Questions Re: SCS

Spinal Cord Stimulator TRIAL FAQ's:
-per Medtronics


The spinal cord stimulator trial is used to find out if this treatment will reduce your pain. You will go home with your trial leads in place. The trial most often lasts one week.

Your feedback during the trial is vital.

•Keep track of your pain for the length of the trial.
•Take your pain medicines as instructed by your doctor.
•Learn what settings of spinal cord stimulation work for you as you adjust the controller in response to your activities, body positions, and changes in pain.
You may have pain in your back where the leads exit. It is okay to use Tylenol® or ice to ease this pain. Avoid aspirin which increases bleeding. You will need to carefully watch your symptoms to decide what pain is caused by inserting the spinal cord stimulator and what pain is your normal, chronic pain.

You will need to restrict your activities during the trial period. This is so the leads in your back don’t move. If the leads move too much, you can lose stimulation.

•Do not raise your arms above your head.
•Do not twist, bend, or stretch your body at the waist. When rolling over, keep your body straight. Sitting in a chair is fine as long as you are careful.
•Do not make any sudden movements.
•Do not lift items weighing more than 5 pounds.
•Do not strain when moving your bowels. Take laxatives if needed.
You will have an incision in your back where the spinal cord stimulator leads exit. This will be covered by a bandage. You will need to take very good care of the site to avoid complications like infection or bleeding.

•You may not shower, soak in the tub, or go swimming for the time of the trial. You are encouraged to keep yourself clean with sponge baths.
•You will need to watch the site to make sure everything is healing well. Look at the site daily. Do not remove the bandage. Call your Doctor if you have:
◦Pus-like drainage.
◦Site is red or warm to touch.
◦Excess swelling, bruising, or bleeding.
◦Pain you cannot control

The Permanent SCS Implant:
Frequently Asked Questions (provided by Medtronic
)

What are some of the possible complications that I should be aware of?
As with any implanted device, infection can occur. The lead, extension, or
neurostimulator could move within the body or push through the skin. There could
be undesirable changes in stimulation. It is also possible that the implanted materials
could cause an allergic or immune system response.
Your neurostimulation system might unexpectedly cease to function due to battery
depletion or other causes. These events, which can include electrical shorts or open
circuits, conductor (wire) fractures, and insulation breaches, cannot be predicted.

What types of activities can damage or move the lead?
You should know where your lead is placed and keep in mind which movements
may put strain on the lead or on the stitches that hold the neurostimulator in place.
Leads become dislodged primarily because of certain motions or sudden repetitive
movements.
Exercise and other activities should be approached with caution. Excessive or
repetitive bending, twisting, bouncing, or stretching can move or break the lead.
A lead can break or fracture due to action of nearby bones and ligaments. Although it
is made of flexible and durable materials, it is still subject to wear. Therefore, seemingly
harmless or repetitive movements can cause unseen damage over time, eventually
causing the lead to fracture. This damage may require surgery to replace the lead.

When should I call my physician about my neurostimulation system?
Consult with your physician if you:
• Experience additional or unusual pain.
• Notice unusual changes in the quality of your stimulation or if you
experience no sensation.
• Need to increase stimulation more often than normal.
• Notice that the stimulation pattern changes.

Will I be able to drive?
Yes. However, you should turn your neurostimulator OFF prior to driving to help
ensure safe operation of your car.

Are physical activities safe?
Most activities are safe. However, you should always follow your physician’s
instructions with regard to work, exercise, hobbies, or other activities.

What should I do about airport security and theft detectors?
Use care when approaching airport security and theft detection devices such as those
found in libraries and some department stores.
It can be helpful to show your device identification card. Request a hand search.
Security personnel may use a hand-held security wand, but ask them not to hold the
wand near the neurostimulator any longer than is needed.
If you must pass through the security screening device:
• Turn your neurostimulator OFF.
• Approach the center of the security device, and walk through normally.
• Proceed through the security device, keeping as far away as possible from
the gate(s). Do not linger or lean on the security device.
• After you pass through the security device, turn your neurostimulator ON
again to resume therapy.

Can I travel on an airplane?
Yes. Your neurostimulator should not be affected by airplane flights.

How will I know if my neurostimulator is working properly? What happens when the
battery runs out?

If you have a rechargeable device, you will be able to use the patient programmer to
find out when the battery in both the device and the programmer is low.
Do Not let the battery in your SCS device run completely down!

If you have a non-chargeable neurostimulator, your physician will be able to tell you the state of the
battery in your device during regularly scheduled follow-up visits. If your physician finds
that the battery in the device is low, he or she will discuss a replacement procedure.

Can I go in a hot tub, steam room, or sauna?
Yes, but if you feel any localized heat sensation around your neurostimulator, get out.

Can I scuba dive or enter a hyperbaric chamber?
Do not dive below 33 ft. (10 m) of water or enter a hyperbaric chamber above
2.0 atmospheres absolute (ATA). Exceeding these limitations can damage the
neurostimulator system. Before diving or using a hyperbaric chamber, discuss the
effects of high pressure on your neurostimulator with your physician.

Can I sky dive or participate in other high-altitude activities such as skiing or hiking
in the mountains, or flying in a non-commercial airplane
?

High altitudes should not affect your neurostimulator. However, you should consider
the movements involved in an activity, and take care to not put undue stress on
your implanted neurostimulation system. For example, the sudden jerking that
occurs during skydiving when the parachute opens can dislodge or fracture the lead,
requiring additional surgery to repair or replace the lead.
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Old 09-01-2010, 07:36 PM #6
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Default ID Card/Tag/Bracelet

Should I be concerned about getting an I.D. tag or bracelet to disclose I have SCS implant/s?

Upon your surgery having occurred, both your SCS manufacturer and your surgeon's office should offer to and issue to you identification cards, much like a plastic credit card. If kept on your person/in your wallet, purse, or other convenient carrying place for your Identification and together with your identification and any insurance card you may have MOST ANY credible care giver/first responder to you in case of your incapacity would search for your identification/insurance/SCS warning card and find them together

Thank you Sarah for this important tip!
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Old 09-03-2010, 12:59 PM #7
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Default N.i.c.e.

Here is a link to the another site about SCS. This was given to me by my pain Consultant when I first discussed SCS with him. The NHS is the British health service In Ireland we have the Dept of Health and its the British guidelines that my Consultant seems to use as SCS is relatively new in Ireland.

http://www.nice.org.uk/nicemedia/pdf...PublicInfo.pdf

Its an interesting read!
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Old 09-03-2010, 01:25 PM #8
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Default Another link re SCS

This is another link I got from my Consultant regarding SCS......

http://www.spineuniverse.com/treatme...tion-right-you


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Old 09-16-2010, 04:52 PM #9
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Lightbulb Surge Protect Your Recharging Base for SCS

On information gained from Fionab, we have learned Boston Scientific urges its consumers to plug their charging base into a surge protector or surge protected outlet in order to maintain good grace under their Limited Warranty. Other manufacturers may maintain a similar posture. Buyer Beware!

Mark56 with grateful thanks to Fionab
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Old 09-17-2010, 03:21 PM #10
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Default Protecting your implant recharger...imp. information

As a thunderstorm is rolling in, I happened to think about how our computer, TV and other valuable electronics are plugged in to surge protectors so that lightning will hopefully not fry them. Got me wondering about my implant recharger as it sits there, in the docking station, plugged into the wall for whenever I need it.

So, I called the company and they said to put it on a surge protector because if they deem that's what took it out then it does not fall under warranty. When it's returned, they actually take it apart to make sure it's manufacturer's defect and not caused by something else.

So, I'm off to put mine on a surge protector.

P.S. Looks like Mark was on his toes and already posted some of this information for me...thanks

Last edited by fionab; 09-17-2010 at 03:23 PM. Reason: additional comment
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