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


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Old 04-09-2013, 07:00 AM #1
BumpyRide BumpyRide is offline
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Frown Post implant guidance

Hi All, I'm new to this forum and am hoping for some guidance on my scs implant journey.

A little background might be useful so here goes! In 2003 I had a discectomy and foraminotomy, with minimal improvement as it resulted in scar tissue around the nerve root. In the years following I've tried numerous medications and interventions again with minimal improvement. My Scs trial was amazing, overall I came out with 65% improvement with the Nevro Senza which is why I was so keen to proceed with the full implant. I had the permanent implant 2 1/2 weeks ago.

Since my implant surgery, I have been experiencing extreme pain from the centre of my spine across and around my hip on the side where my battery was implanted. This pain feels like I am getting ripped apart from the inside, and occurs when I lay down, or sit. This differs from the surgical pain, and my only way of working through the pain is by pushing hard at certain points which seems to help localise and stop the pain from travelling. My specialist has said on numerous occasions that this is not normal and is taking the approach of tying to fix this with Lyrica and an analgesic cream, again no improvement as yet. This ripping pain does seem more prevalent when my stim is on. My Nevro rep & pain specialist tells me this is not normal.

My next concern is that when I have my stim on the area mentioned above from my spine out to and across my hip is in constant spasm and is very uncomfortable, worse than pre implant. This is why I did not use it for the 1 week and half. After the rep was insistent I need to have the stim on so she can map my pain for programming I have been working through the programs with no change. Again I'm told this is not normal and to keep proceeding, even though I have tried all program's with a similar result. I guess I am frustrated at the laid back approach of my rep and am curious if it is usual for this wait and see approach. When I question if this could be due to inflammation from the surgery I am told no, this is not normal.

Has anyone else had a similar experience with their scs implant or can offer any guidance as to how programming and post op recovery progress I would greatly appreciate it.

Thanks!
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Old 04-09-2013, 07:38 AM #2
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Originally Posted by BumpyRide View Post
Hi All, I'm new to this forum and am hoping for some guidance on my scs implant journey.

A little background might be useful so here goes! In 2003 I had a discectomy and foraminotomy, with minimal improvement as it resulted in scar tissue around the nerve root. In the years following I've tried numerous medications and interventions again with minimal improvement. My Scs trial was amazing, overall I came out with 65% improvement with the Nevro Senza which is why I was so keen to proceed with the full implant. I had the permanent implant 2 1/2 weeks ago.

Since my implant surgery, I have been experiencing extreme pain from the centre of my spine across and around my hip on the side where my battery was implanted. This pain feels like I am getting ripped apart from the inside, and occurs when I lay down, or sit. This differs from the surgical pain, and my only way of working through the pain is by pushing hard at certain points which seems to help localise and stop the pain from travelling. My specialist has said on numerous occasions that this is not normal and is taking the approach of tying to fix this with Lyrica and an analgesic cream, again no improvement as yet. This ripping pain does seem more prevalent when my stim is on. My Nevro rep & pain specialist tells me this is not normal.

My next concern is that when I have my stim on the area mentioned above from my spine out to and across my hip is in constant spasm and is very uncomfortable, worse than pre implant. This is why I did not use it for the 1 week and half. After the rep was insistent I need to have the stim on so she can map my pain for programming I have been working through the programs with no change. Again I'm told this is not normal and to keep proceeding, even though I have tried all program's with a similar result. I guess I am frustrated at the laid back approach of my rep and am curious if it is usual for this wait and see approach. When I question if this could be due to inflammation from the surgery I am told no, this is not normal.

Has anyone else had a similar experience with their scs implant or can offer any guidance as to how programming and post op recovery progress I would greatly appreciate it.

Thanks!
NOT A RECIPIENT
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ALL
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Last edited by eva5667faliure; 04-09-2013 at 07:38 AM. Reason: typo
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Old 04-09-2013, 11:38 AM #3
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Default yes AND

this is not normal...they are correct

NOW go say to them...YES AND...what are you doing about it...not what can..not what has...not what will....what ARE we doing about it.

Eva said it right...get on it fast and yes for sure check on infections and I mean be adament.....all you have to do is spend some time reading the horror stories from infections on these boards.

Those with much more knowledge will be on soon. Hang in there for some great advice!!

all my best
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Old 04-09-2013, 08:06 PM #4
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Thankyou for both your responses. Thankfully my specialist contacted my Nevro rep to suggest some programming, and as a result it is booked in for today :-) Hopefully with some tweaking I'll be able to progress and start to feel able to start doing some work (my work is happy for me to work from home for as much as I feel I can handle) and get more active like a walk around the block. Baby steps!

Has anyone else tried Lyrica before? I am on a relatively small dose and really feel, mmm its hard to explain sort of like I've been drinking, the giddy and fumbled talking! A friend actually thought I had been drinking when she came to visit and I had not! I'm finding it really hard to align my thoughts and words if that makes sense? My specialist wants me to keep persisting to see if this improves, I was hoping others may have had some experience with this.

Thanks again, its comforting to know that there are others out there who understand and are willing to help others :-)
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Old 04-09-2013, 08:54 PM #5
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Originally Posted by BumpyRide View Post
Thankyou for both your responses. Thankfully my specialist contacted my Nevro rep to suggest some programming, and as a result it is booked in for today :-) Hopefully with some tweaking I'll be able to progress and start to feel able to start doing some work (my work is happy for me to work from home for as much as I feel I can handle) and get more active like a walk around the block. Baby steps!

Has anyone else tried Lyrica before? I am on a relatively small dose and really feel, mmm its hard to explain sort of like I've been drinking, the giddy and fumbled talking! A friend actually thought I had been drinking when she came to visit and I had not! I'm finding it really hard to align my thoughts and words if that makes sense? My specialist wants me to keep persisting to see if this improves, I was hoping others may have had some experience with this.

Thanks again, its comforting to know that there are others out there who understand and are willing to help others :-)
yes i have taken LYRICA
and yes i did feel that way when i was
prescribed it but in addition i had severe
reaction blisters in mouth, heart beat was
different, itches, blurred vision
now my eldest is 32 epileptic diagnosed
at 23 is on the stuff
it makes her dopey like yourself
be well read everything on your meds
educate yourself as best you can

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Old 04-10-2013, 08:43 AM #6
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Heart Oh Bumpy

How I hope and pray you will be soon treated to assure all is well, and if not that your caregivers will respond as they must. It is definitely NOT okay for any caregiver to opine "that is not normal" and take no affirmative action; thus, it is my hope your appointment will be a step in the right direction.

Lyrica- it bears attention, care and respect. Through years of pain my docs had ramped me up to 1800mg Lyrica per day in addition to the opiates and others. Then, one leapt out of his reverie and asked how long I had been on such high dosage. He expressed concern as to potential long term effects and switched me over to Neurontin..... another nerve med. On that particular med I was ramped up to over 3000mg per day.

The ultimate goal was withdrawal from all pain meds and to allow this body opportunity to gain restorative balance. Thankfully with the aid of my stim AND careful guidance of DOC, made the difficult journey from med dependence to freedom. Now I rely dominately on the stim with med every now and again and sparingly.

I pray for you that all will surely be well once this is sorted out,
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Old 04-11-2013, 07:40 AM #7
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Thank you for the feedback Eva & Mark.

Fortunately my specialist has been keen to get things sorted a he will be away for a couple of weeks from tomorrow. My Nevro rep made it quite clear she was unhappy about having the programming sessions, but none th less checked my lead placement & unit functionality. As all was good she lowered my output for all 3 levels to see if overstimulation was the issue. I've been told to keep cycling through my programs for 48 hrs each to see if there is any change and she will review at the end of the month. I don't think it helps my original rep who did my trial has since left so my current rep is covering 2 areas along with training someone new :-s

My doctor wants me to persist with the Lyrica for another week and a half to see if the side effects become more manageable and if I see any improvement. He has also insisted no work for at least another 2 weeks so I cn rest and have no added stress. He has always been good at helping me be more realistic!

Johanna, I've sat down and logged everything I can remember so far and am trying to keep it up, thanks for the tip!

I was also wondering how long it takes for the lead inscision to settle down? On the surface mine looks like a scratch on a raised rectangular lump, however it's very hard to find a position where it doesn't get by pressure. I find the longer I'm out if bed it even starts to become quite painful. My specialist has explained that is it swallow as they stich the wires in place to hold them while the sca tissue form, but that help much getting comfortable :-)

Mel
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