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


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Old 11-06-2012, 02:35 PM #1
SnowWhyte SnowWhyte is offline
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Confused SCS Trial Scheduled!

So my SCS trial is scheduled for 3 weeks from today- Nov. 27th!

Anxious/Excited...

Can you guys share your experiences of what to expect for the actual trial procedure? I talked to my doc about it of course, but first-hand accounts are so much more telling about what to really expect.

Thanks!!!

~Colleen
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Old 11-06-2012, 03:51 PM #2
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Default

Yay!!! That's awesome!!


My trial was really easy. They put me out to insert the lead and woke me up to make sure I could feel the stimulation, and then put me back under to finish up.

I woke up in recovery and they turned it on. It was instant, and I mean instant relief. I had 5 or 6 programs. They gave me a book to mark my pain level, activity level, and whether I could do more, take less meds, etc.

I had 60-75% relief during my trial. My back was sore the first day, but it wore off quickly. I was able to keep up with my kids for the first time in a year. I was sad to take it out.

I got mine for crps/rsd in my right foot following a peroneal tendon tear/surgery in January 2011. Unfortunately, it mirrored to the left leg (foot only) but went all the way to right hip. It also spread to my right hand due to a bad IV in March 2012. Luckily it's med controlled for now

Anyway, I have a St. Jude eon. My rep said crps patients are love or hate. There's not usually a middle ground.

I love mine, even through my complications, and I am doing things that I was unable to do before.

Hope this helps!!

TK
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Old 11-06-2012, 04:45 PM #3
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Default Nearly identical

My story is nearly identical to TK.
Went in, went to sleep, vaguely remember being woken as they did the placement, snoozed again, wake up in recovery, dude turns it on...programs it and I walk out PAIN FREE - first time in ..... wow, I have no idea how long.

That afternoon I took a L O N G walk (for me) down to the far end of our block (we're very close to one end) and back. It was 102 degrees and I DIDN'T CARE because I could walk, at a good clip, and not be in debilitating pain.

Tested it extensively over the next 7 days, was very sad to have it out (like TK) but exactly 2 weeks later, to the day, I got the implant.

Having had muscle stim many times over the years I am very familiar with the sensation this gives - I find it extremely soothing (especially since the alternative is NOT soothing! ) although some folks do not like it.

I did have about 5 of the 7 days dealing with pretty bad back spasms in the low-back (entry site) and hoped/prayed this would NOT be the case with the implant. It isn't - not at all. I think it's because there's something there, protruding from the skin and thru the muscles and such. That part wasn't too fun but it wasn't intolerable, at all.

I used this time to start getting used to the restrictions AND to better anticipate what I'd need for post-implant I recommend you do the same.

Hope it goes as well for you as it has for TK and me! I'm enjoying near 100% relief most of the time, down to around 70% on real bad days - overall I call it about 80% - 85% success. "They" call anything over 60% success so - I'm good to go! Only need to charge the unit about 1x/week (it comes out to like 10 or 11 days but I just do it each weekend so I don't have to think about it during the week).

VERY happy with this implant!


*tips his hat*
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Old 11-07-2012, 02:19 PM #4
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Cool Easy Peasy

Well Colleen.....I too didnt have any bad experience with the trial....

I was in overnight. Was awake for the procedure, well sedated, but enough to block out what was happening but yet to be 'awake' to let my Consultant know where I was feeling the stimulation.

Then when I was back in the ward the Rep came and went through all the programmes with me. I had 3 programmes. Found it of great benefit immediately. I only had the trial for about 3 days, if my memory serves me well, well it was over two and a half years ago nowwhere does the time go!!! but I knew straight away that this was going to work...

I know everyone has a different experience and their level of pain management is different but as the others have said they too didnt have a bad experience. I trust and pray that yours will be the same AND that you will get great benefit from it too.......

Take care and look after yourself

Jackie
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Old 11-07-2012, 08:27 PM #5
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Laugh

Congrats on the trial date being set!!

I'm excited for you! By now, I'm sure you've gathered that the support here is fantastic You won't be alone as you go thru this, that's fer sure.

How many days will you be on the trial? Seems everybody's have a little bit of variation, as each Dr likes to do these things a little bit different.
The jist of it is mainly the same tho, as you've seen thus far in your responses.

If you have utmost confidence in your Dr and have a good relationship with him/her, then you've pretty much got it made in the shade

Rae


Here's a copy/paste from what I posted on Ashley's thread since she asked the same question.........Call me lazy, which I'll certainly admit to!

Good communication is KEY to a successful trial. You will need to know what he will be doing to you while on the operating table, so that you can do your part in accurately describing where you are feeling the stimulation, or if you are 'not' feeling the stimulation where it should be. It's a 3-way teamwork when the moment comes for the Rep to turn on the unit, but it's you who will call the shot because only you can feel the stim.

Normally, when you get in the OR, the anesthesiologist will put you in what is called a 'twilight daze', meaning you are not all the way out of it. Rather, you'll be sedated just enough to be able to comfortably withstand the procedure, yet awake enough to be able to know what's happening and able to communicate to the OR team, and the Rep from the manufacterer of your SCS.

For me, during the procedure, there were a few times when it became uncomfortable as the local anesthesia seemed to wear down and I could feel the needle and/or the incision. All I had to do was mumble 'ouuuch' and he'd shoot me with more local to better numb the area. They are usually pretty good in keeping the patient comfortable. Again tho, this is why it's crucial to have good communication.


When you first go home from the procedure you may feel a bit overwhelmed because of the procedure itself and trying to decifer the surgical pain vs your original pain condition. Completely normal. Allow your body to be 'mad' at first, concentrate on laying on ice and rest the first day or so. In no time tho, you'll be up for tinkering with the controls and doing things around the house to get an idea of how you will fare with this. By day 3, I was completely in LOVE with the whole thing and thrilled once it became apparent that the stimulation was covering over my RSD/neuropathy pain.

Hope this helps somewhat

Rae


Last edited by Rrae; 11-07-2012 at 09:04 PM. Reason: add more info
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Old 11-07-2012, 09:57 PM #6
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Smile Hi Rae...and all my other SCS friends!

Hi Rae!

First, thank you for your reply (and thanks to everyone else, as well , the more I hear from others who have been through this, the better I'm feeling about it- it's more helpful than I can express! )

As for my upcoming trial: it will last for 7 days (I already have an appt for a week after to have it removed- btw, no one has mentioned how that part goes... It sounds painful, but I don't believe I'm being sedated or anything for it... This scares me. Can you guys share how the temporary SCS removal process went for you?)

Anyway, I am very excited for the trial! I'm just concerned about taking care of myself, and my dog, afterwards, as bending is not allowed. Do you know is crouching is okay?

Also, I am definitely NOT 'lightweight' when it comes to anesthesia, so I'm going to have to address that w/them for my procedure... I know this from past blocks, and also my bunionectomy surgery that set off my RSD- I woke up multiple times, and truly believe that it had a hand in causing the RSD... but that's just my theory.

My doc has also rushed through blocks before, and started before my sedation was even given... I'm hoping that as this is a much more major procedure, that he'll be more careful with this. But I'll be discussing it with him before, that's for sure!

My big paranoia at this point, like I mentioned already, is the removal... I may call them tomorrow to ask what they plan to do for it... I'm very restless regarding all this, so I don't think I'll be able to wait till my procedure to ask about the removal! Patience is def. not a 'virtue' that I have much of, especially when I'm excited or anxious about something.

Also, when you talk about being partially put under, does this include more than just the minimal sedation used for LSB (blocks) used to minimize anxiety/etc.? Because that's what I keep picturing and it's def. minimal...sounds like not nearly enough to get through this SCS procedure! Have you had both (or similar 'light' sedation in the past)- i.e. are you able to compare the sedation for the two diff kinds of procedures?

That's my other hang-up at the moment, lol...

Thank you so much for your help!

~Colleen
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Old 11-19-2012, 01:44 AM #7
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Default Also Having Trial Soon

I will also be having my SCS trial in a couple of weeks on Nob. 30. Unfortunately, I was supposed to already have had twice in the past month or so but it was first postponed because of insurance not clear on psych evaluation procedures. Then I was supposed to have it this past Thursday but the center had a surprise Medicare audit that day and they didn't feel they would be able to give me the appropriate time and attention. They could not have been more apologetic or sympathetic so although it was emotionally stressful because both times were cancelled at the last minute they have gone above and beyond to try and make it up to me. So, I will be having my 7-day Medtronic trial on Friday, November 30th (they reassured me it will definitely happen) for RSD pain in my right ankle. I have been told I will be sedated and the doctor has explained what he will do. Reading the comments I hadn't thought of getting a grabber to help with unexpected items but will definitely check that out. I've now how two trial runs for prepping and I come up with more things to do each time to help. Wishing you great success with your trial, Colleen!
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Old 11-19-2012, 06:37 PM #8
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Smile LagunaErica-

Welcome LagunaErica!

Thank you for the well-wishes! Best of luck to you in your trial as well!

I'm also getting a Medtronic unit for my trial, and if that goes well, I will be getting a Medtronic Adaptive Stim RestoreSensor SCS implant. Once programmed correctly, I'm told it's great..."Set it, and forget it" is what I keep hearing, which sounds like a great lil concept.

I'm also getting it for RSD pain... in my L foot that has spread up my left leg and over to my right leg, and also back pain do to bulging disc L4-L5. So I understand the devil that is RSD, as do most people here (as you've probably found, this is a subforum from an RSD/CRPS forum).

Anyway, again, good luck to you in your upcoming trial. I (and I'm sure many others here in our loving community of fellow SCS'rs) will keep you in my prayers.

~Colleen
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Old 11-20-2012, 08:51 PM #9
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Smile Hello LagunaErica!

Welcome Aboard!

So glad they finally landed you a date for your trial!
You'll get lots of caring feedback here and we'll be anxious to hear how this goes for you, so please keep us posted!

It's great to have you!

Rae
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