Spinal Cord Stimulator (SCS) Placement
Overview
Spinal cord stimulator (SCS) placement is a procedure that involves implanting a device to deliver mild electrical impulses to the spinal cord. These impulses interfere with pain signals before they reach the brain, providing relief for patients with chronic pain that has not responded to conservative treatments. SCS therapy can reduce the need for opioids and improve quality of life.
Indications
SCS placement may be recommended for patients with:
- Failed back surgery syndrome (FBSS)
- Complex regional pain syndrome (CRPS)
- Chronic pain in the back, legs, arms, or neck
- Peripheral neuropathy or nerve damage
- Intractable pain not responsive to medication or physical therapy
Procedure
SCS placement is a two-stage process involving a trial period followed by permanent implantation:
1. Trial Phase
- Temporary electrodes are inserted into the epidural space using a needle and guided by X-ray (fluoroscopy)
- The leads are connected to an external pulse generator worn on a belt or clipped to clothing
- The patient tests the device for 3–7 days to assess pain relief (targeting ≥50% improvement)
2. Permanent Implantation
- If the trial is successful, a permanent stimulator is implanted under the skin (typically in the abdomen or buttock)
- Leads are placed in the same epidural space and connected to an internal pulse generator
- The system is programmed and adjusted to provide optimal relief
Risks & Considerations
While generally safe, SCS placement carries potential risks:
- Infection at the implant site
- Lead migration or breakage
- Pain at the generator site or nerve irritation
- Device malfunction or need for reprogramming
- Rare complications include spinal fluid leak or nerve damage
Recovery & Outcomes
- Most patients return home the same day or the day after implantation
- Light activity is encouraged while avoiding bending, lifting, or twisting for several weeks
- Full recovery may take 4–6 weeks
- Many patients report a 50–70% reduction in pain, improved mobility, and reduced reliance on pain medications
Is Spinal Cord Stimulation Right for You?
If you're experiencing chronic pain that hasn't responded to other treatments, spinal cord stimulation may offer lasting relief. Our pain specialists will guide you through the trial and implantation process to determine if this advanced therapy is the right solution for your pain management needs.
