I think I mentioned something similar to this in the past, but I'm not sure it was about the same thing.
My pain doctor mentioned a SCS or neurostimulator by Medtronic as a possible solution to my increasing neuropathy & radiculopathy (it feels like someone is ripping my feet apart 24/7).
I have tried every single medication for nerve pain that exists, and even a couple that are very, very rarely used for it.
I'm reading through the booklet, and it sounds like a good option-- well, it's my only option short of me begging to have my spinal cord completely severed! I have been on the brink of tears for a few days now, and today was my begging-point. (I was begging my pain doctor to find something to make it stop.)
I will be cutting back from twice a week of physical therapy to only once a week because my hypersensitivity and nerve pain are so bad.
Anyways, the SCS works with leads inserted into the spinal column that are connected to a little thing that sends out electrical pulses that block signals from the nerves & spinal cord to the brain.
I think I've heard about this in the past as well Knight. I don't know anyone's who's done it or anyone who has any knowledge/experience with this. Do you know if there are any long term side effects?
Hey Knight, If you have ever used a TENS unit for an extended period of time and gotten relief then SCS might be a good option. I might try using a tens unit with pads attached just above the sight of pain. I had a Medtronic SCS implanted. As the pamphlet states you must first have a temporary unit implanted for several days. If you get relief think about it then make your decision. It requires a laminectomy in your spine then the generator unit is implanted in your buttock. You will then follow up with Medtronic Rep. for setting follow-ups to obtain relief. There are many settings...pulses, vibrating ect. and intensities to distract your brain and hopefully over ride the pain sensation. I wish you the best of luck with your decision. Find pain relief!!! Knight,
Hey Knight, If you have ever used a TENS unit for an extended period of time and gotten relief then SCS might be a good option. I might try using a tens unit with pads attached just above the sight of pain. I had a Medtronic SCS implanted. As the pamphlet states you must first have a temporary unit implanted for several days. If you get relief think about it then make your decision. It requires a laminectomy in your spine then the generator unit is implanted in your buttock. You will then follow up with Medtronic Rep. for setting follow-ups to obtain relief. There are many settings...pulses, vibrating ect. and intensities to distract your brain and hopefully over ride the pain sensation. I wish you the best of luck with your decision. Find pain relief!!! Knight,
I did try a TENS unit and it worked for my back pain, but didn't help with the nerve pain. My pain management doctor is going to discuss the Medtronic devices with the team (the other pain doctors and my neurosurgeon) to find out if it will give me any relief. At this point, I'm ready to try anything, since everything else has failed. Today I was thinking, "Not being able to walk isn't my disability; chronic, debilitating pain is my disability."
Hey Knight, If you have ever used a TENS unit for an extended period of time and gotten relief then SCS might be a good option. I might try using a tens unit with pads attached just above the sight of pain. I had a Medtronic SCS implanted. As the pamphlet states you must first have a temporary unit implanted for several days. If you get relief think about it then make your decision. It requires a laminectomy in your spine then the generator unit is implanted in your buttock. You will then follow up with Medtronic Rep. for setting follow-ups to obtain relief. There are many settings...pulses, vibrating ect. and intensities to distract your brain and hopefully over ride the pain sensation. I wish you the best of luck with your decision. Find pain relief!!! Knight,
I am discussing this option with my doctor as well.
I was wondering if you had it done or what you found out about it.
We decided against it after 2 events: 1. I found out that one of my neighbors has something similar along with hardware and it has done more bad than good for him, and 2. I have improved miraculously this past 6 months or so. We discovered a tricyclic antidepressant that has helped lower the severity of my nerve pain, so it is easier and less painful to stand and walk with my walker.
I am discussing this option with my doctor as well.
I was wondering if you had it done or what you found out about it.
We decided against it after 2 events: 1. I found out that one of my neighbors has something similar along with hardware and it has done more bad than good for him, and 2. I have improved miraculously this past 6 months or so. We discovered a tricyclic antidepressant that has helped lower the severity of my nerve pain, so it is easier and less painful to stand and walk with my walker.
I think it's good that you decided against it Knight. I'm not a fan of any invasive procedure firstly and the fact that you've been improving is excellent! Keep up the good work
I just went through the trial for the spinal cord stimulator. The surgeon implanted three leads: one at, one above and one below the level of my SCI (T-5). The leads combined into a single cord leading to an external "stimulator". The Medtronic's guy put in 4 programs for me to try out over a 10 day period. Unfortunately, none had any effect on my nerve pain - which is a band that encircles me at the T-5 level. This band is there 24/7, is either bad or really bad, and I had tried just about tool in the tool box to try and dull it. Little has had any effect. Gabepentin and dilaudid knock the pain down from about a 7 to a 6. The doctor said that my situation was rather unique for him. But, though I read that you are not going through with it, I would still recommend at least trying it.
Thanks for sharing your experience, it'll definitely be helpful to those considering trying out the stimulator! Sorry to hear that it didn't work out for you though. You have a T5 injury, do you know what your doctor meant when he said your situation was unique?
Thanks for sharing your experience, it'll definitely be helpful to those considering trying out the stimulator! Sorry to hear that it didn't work out for you though. You have a T5 injury, do you know what your doctor meant when he said your situation was unique?
Yea sorry for the delay in this response. Guess I got sidetracked elsewhere! For him I was unique in that I guess he hadn't attempted to try a simulator with someone who had an SCI or at least a thoracic one. His typical patient had compressed disk or somewhat similar issue.
Thanks for sharing your experience, it'll definitely be helpful to those considering trying out the stimulator! Sorry to hear that it didn't work out for you though. You have a T5 injury, do you know what your doctor meant when he said your situation was unique?
Yea sorry for the delay in this response. Guess I got sidetracked elsewhere! For him I was unique in that I guess he hadn't attempted to try a simulator with someone who had an SCI or at least a thoracic one. His typical patient had compressed disk or somewhat similar issue.
I have a progressive neuromuscular disease that produces a lot of neurogenic pain in my back and legs. I also get the electric shock like pains throughout my body and dysthesia in my feet. I have tried almost all of the pain meds without success. I usually get such weird side effects that I become totally dysfunctional - and still retain the pain. I am allergic to opoids so they are completely out of the question (I was given a small amount of an opiod while in the hospital. After a few minutes I developed a huge rash, and extreme difficulty breathing, and my heart rate shot to 250 beats per minute. The hospital staff spend the next 30 minutes pumping me full of drugs to counteract the opiod.)
It was then suggested that I try a Spinal Cord Stimulator. I tried the standard model with no success. I had to run the stimulator at 100% just to notice that it was on. I was told be the rep that 20 - 25% was normal and anything over 50% was extreme. I was surprised to discover that the paresthesia did cover the area of my pain but all it did was compete with the pain. I felt both the paresthesia and the pain. The leads were removed.
I then tried the newer version by Nevro. This device does not produce the paresthesia, it just eliminates the pain. I had the leads put in. Unfortunately this did not work. In fact, at some settings I had more pain than usual. It produced pain comparable to when my pain normally spikes. Otherwise, there was no difference in the level of the pain I normally experience. The leads were removed as well.
My conclusions from these events suggest that in might work for others but not for me. I am a non-standard case, however. It has been pointed out that I have a defective spinal cord so it is likely that my spine responds to a stimulus in an odd way. Also, the area of pain I experience is quite extensive. The device may be more likely to work for more localized pain in people with damaged but otherwise "normal" spines.
My recommendation is to consider the type of pain you have and consult with your physician. Since you will initial only try the stimulator, if it doesn't work you are only out the effort. If it does work you will have achieved something significant.