My pain management doctor is going to try epidurals for my back pain, but if they don't work, he wants to try a neurostimulator. I would really appreciate comments/experiences/suggestions from anyone who has a neurostimulator. I don't look forward to another minor surgery, but if the epidurals don't work, that is my only option. Thanks everyone!
Has anyone else had a neurostimulator implanted for pain control?
Question posted by kathyhanson on 15 Oct 2013
Last updated on 19 November 2024 by yvelazquez
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46 Answers Page 2
I have the neurostimulator. I had my first one implanted in june 2016 and had surgeries in july , August and september of 2016 and had to have it removed due to the wires protruding out my back where the incision was made and i caught mrsa. then i went to the same surgeon last year to see if it was an option again he told me it was not an option as i would die. i went to a neurologist and had the neurostimulator implanted again on oct 2017 and i am having issues with the battery draining fast and taking long to recharge the rep thinks it is a defective battery so i have to go back in and get the battery replaced. it helps with the pain but i am also on pain medications which i want them to take me off but the stim is not taking all the pain away . it will take a while because they have to do different programs as your body gets used to it. but this time around my incision healed properly it is just getting the pain under control .
i suffer from my l4-l5 herniated torn disc and also sciatic nerve pain. hope this helps. but you can also do google research the brand i have is medtronic.
I had a neurostimulator implanted in my right hip in 2014 and it's given me 50% or more relief from the pain in my lower back, until about the last couple of months and it has got to where it hurts in my butt cheek and all around the area of the implant, I'm to the point that I want it taken out and possibly have them put in a pain pump my doctor has talked to be about cause the neurostimulator sticks out so much that my belt rubs it cause I've lost weight and I can't handle it anymore
I am a 43 year old man with a fused hip due to Avascular necrosis which was done when I 23 years old. I walk with a severe limp because after the fusion I am shorter on one side then the other. Because of the limp and arthritis I have had an extremely painful back and am on social security disability because most days it is impossible to stand or walk. I went to a surgeon in Reno Nevada and after nerve ablations and nerve blocks he suggested a stimulator which could relive my pain by as much as 80%. This was I believe 2015 the first surgery was done by the surgeon and the St. Jude rep was there to show us how to use the device. When it was turned on I felt horrible burning and it felt like I was being shocked. I was told the leads had fallen and so I had a second surgery to replace it. The second surgery the box did not work. So again I had surgery with two incisions to remove both the box and the leads.
This time they replaced it with the upgraded MRI friendly device. This device never worked correctly and soon after would not turn on at all. In the meantime my pain in my back is continuing to get worse and I feel like the device is also causing pain. I will need to have the device removed in a fourth surgery in order to get an MRI but I have put this off due to costs and needing a new surgeon because I have lost confidence in the one that performed the three failed surgeries. I have been having major depression episodes due to my worsening pain and lack of mobility. My wife decided to look into having it removed so I can have the MRI and hopefully treatment. We are hoping someone can help us with the process of a fourth surgery. So that I may be able to get some relief. The St. Jude rep was there to sell the device but after the 3rd one was installed he was replaced by a new rep who never returned my calls.
So sorry to hear about your pain and all the surgery failures. Your wife is right to find a different surgeon. I hope that you have read some of the other answers. E.g. one encourages finding a surgeon who has a lot of experience. And others have also had terrible experiences. One person who had a bad experience with the Jude one, instead had a good experience with Boston Scientific neurostimulartor. I hope that you will look into medical treatment for your depression. I was nearly suicidal from my pain and having no life. My doctor said to increase my antidepressant which I was already taking and to get therapy. I told her that no drug could possibly help me because it was situational. But just increasing the antidepressant eased the pain (antidepressants can also help physical pain) and relieved my depression. I did not have the time for therapy, but just the medication helped me. So please help yourself in that way also. I wish you better days. Sara
I have had 2 back surgeries, 1st which failed and caused nerve damage, 2nd op new neurosurgeon fixed surgery but living with chronic nerve pain still. With epidemic of drug abuse have hard time getting any pain meds prescribed due to mds stating cdc discouraging prescribing. Now trialing scs, medtronic. So far no noticeable relief on what they said are HD settings, rep wants me to go in to try non hd setting. Anyone with experience with these setting differences and if when they trialed had hard time determining if true difference in pain (since told won't take all pain away, unsure if just a good day or actually working )? Running out of options.
After 6 back surgeries and constant pain that drugs didn’t even really help, I had a neuro stimulator implanted. It saved my life, literally! I would not have lived long because of the pain and mental fatigue it takes to fight that pain. I have had it 4 years now. If someone is truly in pain, they will love it. If they are not, they may find it annoying at times. Mine is fro st Jude and I thank god for it!!!
Yes. I had spinal fusion in 2008, three vertebrae and the sacrum. Ten months later they took the titanium rods out because they were causing pain. In 2013, the neurologist recommended another spinal surgery. My family doctor recommended an orthopedic surgeon give a second opinion. The ortho surgeon recommended a neurostimulator.
I had the first, a St Jude model, installed in December, 2013. When I got home it didn't work. Three weeks later, they replaced the leads, and it worked for a while, then stopped, and they replaced the leads again at the end of March, 2014. That time, the anesthesiologist let my blood pressure drop too low during the surgery, and I suffered ischemic colitis as a result. Ended up spending 10 days in ICU, plus 45 days on oral morphine after I got out. I could have died from the ischemic colitis, so consider every invasive procedure risk. So much for 2014.
My pain management doctor recommended another neurosurgeon. He took out the St Jude model which had quit working. He installed a Boston Scientific neurostimulartor in early 2015. It's worked wonderfully ever since. He anchored the leads in place. The previous doctor did not do so, the leads worked their way to one side and fried.
I would recommend getting the Boston Scientific unit that tolerates MRIs. Every doctor I've been to wants an MRI of something, and they have to do a Ct scan instead because my Neurostimulator does not allow MRIs. Torn ligament, no MRI; lIgament still torn. Therapist after knee replacement hyper-extended my knee, tore something else, they wanted an MRI. Still torn.
Now I have a "too large to pass" kidney stone near the neurostimulator, and they're trying to figure out if they can blast it without indangering the neurostimulator.
I also recommend finding a neurosurgeon who has lots of experience installing these. Make sure your surgical team knows all of your allergies, anesthesia experiences, exactly where you want the stimulator implanted, and make sure you take the time necessary to heal. The placement is important because the charger fits in a belt that you wear until your implant is charged. I usually recharge it once a week. These things do have a life span, so make sure you discuss the future of your pain control with your doctor.
I get other pains from time to time, like my right knee. I have an external tens unit that I purchased from amazon.com for $25 that works great. I think the brand is ForeverHealth. I highly recommend these because of multiple leads, and many preprogrammed and customizable settings.
Good luck.
Hi Kathyhanson,
5 years ago I had the Medtronic unit implanted. I spent 12 plus years doing PT, taking enough pain medication to dose a horse as well as injections. My whole lower back is fused and I have severe nerve damage from a fall down stairs.I went with Medtronic because it was the only unit that was MR I compatible and it had auto adjusting programs. The down side is you feel the stimulation non stop. This took a few months to get used to, it feels Like having pins and needles under the skin.The unit worked well for 4 years, I still have discomfort around the implant site but I can honesty say it reduced my pain by 60% and I cut my pain med in half. The battery failed after 4.5 years. Granted I had on 24/7 most days but based on Medtronics info it should last 7 years. I am having it replaced with the St. Jude unit. The down side for this unit is no auto adjust and no full body MRI.the big positive is you do not feel the stimulation.
My best advice is stay away from the manufacturers Web site! They never talk about the down side or failures. I went on YouTube and watched many many vlogs and videos of real people who documented every thing from the trial through 5+ years on as well as forum's like this . I found this the most helpful and HONEST information any where. My other bit of advice is do not expect the unit to make you 100% pain free. Most of these companies will tell you if you get 50% relief that's a great result. I have spoken with some people who even thou they were told this they fell into deep depression when it did heal them back to "normal". Aslo remember this is not permanent as it can always be removed. Not ideal but for me it was a better option then having a cage and hardware installed in my body that could never be reversed.The key is research research and more research! !
I wish you well and healing
I have had one for 4 years and it has been wonderful for me. I have the ability to turn up the stimulation or turn it down. And like I said it has helped me greatly. Good luck to you.
Donna
I just got my Medtronic Stimulator Implanted 15days ago. My trail was fantastic surprisingly simple and worked very well. The actual implant now is very sensitive. With no changes to device the impulses I get go super strong what I explain as surges. Yet for periods I can barely feel anything. Did you experience any of this? I also have the impulses go down my left leg and the leads are at c2-t1 mostly cervical, this is a bit alarming if my leg just goes out. Still healing from surgery and it is very slow, still burns and stings 2 weeks after. Just wanting to find out if you or others with greater time users have an input for me. I also do not take any pain meds, solo Motrin.
Thanks
Sandi
be very sure your physician gives you ALL the info on it, not just from the manufacturer... do lots of research on multiple sites and weigh the pros and cons that apply to your specific situation. I had my stimulator for years and the surgery was quite painful for me... the temporary one was a breeze, the permanent one was difficult, but you do recover from it... be prepared to have a "bump" where the stimulator controller is inserted. I am not sure why, but that site was uncomfortable the whole time i had the stim (not a huge bother considering)... the stim takes some time to adjust to, and I used it on high stim often, as the distraction was better than the pain... when my unit was no longer chargeable, it was decided to change battery and possibly put in new stim that allows MRI... when my doc went to remove old leads and paddles in my upper spine area, the leads disintegrated in his hands...
I am now left with the leads and paddles left in my thoracic spine area, attached to the spine/spinal cord area with scar tissue... if they have to tunnel out the leads/paddles, I would run the risk of paralysis. So only when/if a condition arises where I am required to have MRI's will they reconsider the risk of removing the leads/paddles... if I had known this risk was possible, I think I would not have considered the stimulator at all. Best of luck to all.
Yes indeed I got it. And if you could only get some of the relief I have, you would not even consider the trouble of the minor surgery. Yes, it's uncomfortable till the healing gets along and you learn not to use it too much. I have had mult. surgeries and spinal fusion, and uncountable spinal injections and RF Ablations ( nerve Burns). Knee replacement with bad results and this stimulator is doing a grand thing within this beat up body. I also talked with a woman that had been bedridden for several years due to several things but the new style Strimulator has her up and doing things for herself now. I have to add, that my hard-headedness made it difficult to NOT keep turning it up with my controller till I finally learned the Overstimulation does just the opposite and makes for more pain so now I have it just one number up from where they set it at surgery. And, they can always readjust the settings that it works on and how much, just with their computer.
It just takes a few minutes to meet with them to do this. I certainly recommend stimulators to anyone that has gone thru a long period with severe chronic pain.
Best of luck.
I personally would never recommend anyone get a neurostimulator implanted... when they went to replace my unit with a newer one that can allow you to get MRI's, the surgeon picked up the leads in my upper back to replace and they disintegrated in his hand. The scar tissue from the leads/paddles had embedded scar tissue close to my spinal cord and they will not remove them, as the risk of damaging the cord is too great. Please, please think long and hard before you get one... this was not one of the complications discussed with me prior to implantation of the original implant. I did get some good relief/distraction from it, but the cost was too great to me, as I now have to worry about the scar tissue damaging my cord and the risk of complications including possibly paralysis.
Additionally, I would not consider this "minor" surgery... it is an invasive procedure, and as such, it is painful surgery where I believe most require overnight in hospital, carries risks of infection, rejection by the body, movement of stimulator and/or leads, as well as scar tissue... and, depending on your age, you will most likely need unit replaced one or more times in your lifetime. best wishes...
Additionally, I would not consider this "minor" surgery... it is an invasive procedure, and as such, it is painful surgery where I believe most require overnight in hospital, carries risks of infection, rejection by the body, movement of stimulator and/or leads, as well as scar tissue... and, depending on your age, you will most likely need unit replaced one or more times in your lifetime. best wishes...
May I ask what brand stimulator do u have?
My stimulator was a Medtronic.
I had a stimulator implanted in October of 16, we've adjusted it 4times, STILL NOT RELIVING MY PAIN!##!#Very disappointed !!!
Now he wants to do hip injections, which I am doing January 19th.. we'll see what happens??? Still not able to walk more than 20- 30 steps !!! Extreme pain ...
I've had 2 neurostimulators trialed, one in 2013 and a 2nd one in 2015. Both provided quick relief at 50% or better less pain initially but within a few days they basically stopped working to a level where I'd call them both failures. To be fair, one of them was capable of masking all of my chronic pain, but it had to be set so that the electrical current was so high that it was more painful than the physical pain I started with.
One has already been removed and the 2nd one will likely come out sometime this year. The best pain reduction I obtained after much adjustment of the equipment was maybe 10 to 20%, and that's being generous. If I could have seen the future, I would never have had either installed, but I was getting desperate and willing to try anything to get some relief.
A few other comments: a successful installation is supposed to reduce overall pain by 50 to 75%; successful installations are apparently in the 60% to 70% range. So there are people who are pleased with their stimulators.
I am currently on a physical therapy program working with someone who specializes with nerve pain, and am using a Norspan transdermal patch. This approach has been ongoing for 6 months now and I am seeing some improvement. I began this program at the request of my doctor, but I didn't think it would work after 10 years of chronic nerve pain in my replaced left hip region, my lumbar spine and both legs from the waist down with the left one being dominant. I'd even go so far as to say that I thought I was going to end up in a wheel chair but I finally have some hope. The workouts are painful at times, but if I overdo it, my therapist backs my routine down and we begin again. I don't know how much total relief I'll get, but I'm seeing the best results with pain relief that I've had in many years so there's definitely hope.
I am day 4 of the trial implant Boston Scientific unit a I can quite pleasantly pain sensation down my left leg as well as the jittering and spasms I would receive are gone, I went out for dinner tonight and sat for two hours with out having to wriggle around or brace myself to stop the pain sensation.
Also today according to my phone it is saying I have walked 6km's today and I haven't had the collapsing sensation that I get in my left leg all of a sudden from either sitting or standing for too long.
I know there will be trial and error with scaring and the possibility of lead movement which could lead to loss of therapy but for the above I feel strongly about taking that risk.
My Boston Scientific consultant has assured me that the leads don't mine easily and that with allowing enough time post surgery for the leads to be held in place by scat tissue and introducing activities slowly that an active life style can be achieved.
Another benefit my consultant told me is that Boston Scientifc units can allow for movements of the leads and have a wide range of programming to remap your unit.
I am currently using the burst feature and love it it provides little sensation or buzzing and has allowed me to enjoy normal life activities today that would normally leave me in intense pain and with spasms.
If I could offer any advice have a thorough conversation with your pain specialists to find out if this device is right for you and take onboard all their input and instructions.
I hope my experience helps!!! :)
Hello I also am being advised by my pain management doctor to try the neuro stimulator implant. I have a buldging disc @ c7-t1, degenerative disc disease t5-t9 and arthritis running through my entire spine. Have been on strong pain meds since early 2008, was originally told by my spine surgeon in 2008 that he wouldn't operate in any capacity on my spine due to less then 50% chance of being able to walk after surgery. I have had epidural injections, facet joint blocks and RF nerve burns done and haven't had any relief from pain, was told I shouldn't work anymore as my line of work could cause problems to worsen and or paralyze me ( equipment operator) have also been told that the stimulator may not work and is a process that if it doesn't work can be reversed and other surgical options should also be discussed with an orthopedic surgeon.
Currently I am waiting and doing as much research as I can, unfortunately for me the stimulator isn't covered by my insurance so will have to find out if they can find a study to get me into and find a sponsor to cover the implant, before I go that route I would like to know if the stimulator implant works or if I am wasting my time. Thanks
I had a stimulator placed in my neck due to occipital neuralgia. The 2 surgeries I went through were excruciating. Unfortunately I received no relief. My doctor refused to take it out and so I walk around with leads in my head which is very problematic for receiving any kind of massages or osteopathic manipulations. Please find another solution.
I had A Boston Scientific stimulator implanted in November of 2012. It Disney help with all my pain, but it does give relief of some of the pain. I am happy with it. Sometimes I feel it isn't helping, but when I turn it off I realize how much of the pain it takes care of. I go in about 3 times a year to have adjustments done. Sometimes a little tweaking of the simulations makes a big difference.
Kathy; My doctor would not let me get one but had me use the tens unit, But i do know of many people that have had them put in and had gotten very good results with them.
I realize my response is well past the sell by date of this question, but I decided to reply anyway because my situation may be different from anyone else's. I have both relatively "simple" chronic pain being caused by nerve problems in my lumbar spine such as multiple instances of stenosis and all of my discs being enlarged, but currently not compressing any root nerves. I also have complex pain resulting from a total left hip replacement. My first implant was a Medtronic unit that helped relieve both back and leg pain to some degree during the trial. After permanent implant, it began to provide increasingly less relief. Multiple re-programming was done, but nothing helped. So I just turned it off completely, went back to my surgeon who then recommended a new model (this is in Australia, but approval is very close in the U.S. for the new model, a St. Jude Medical Neurostimulator with Boost and Tonic pain relief ).
The surgeon spoke to the manufacturer re. whether my old Medtronic lead wires would work with the new stimulator and got a yes even though it was discovered that one of the two wires had dropped down slightly. I was told flat out that that wouldn't be an issue, that even one wire would get the job done, so there was no attempt to re-position the wiring and anchor that had slipped. This may have been due to fear of causing infection, but I can't be certain of that.) Anyway, the St. Jude unit was installed and during the trial, I had relief of greater than 50% in my worst pain areas and was all grins. Unfortunately, shortly after release from the hospital, I had a hard fall which moved the higher mounted lead wire and required new programming. Though both wires are lower than planned at this point, they're still high enough in the thoracic area to reach my pain areas. The new programming was not as effective as the original St. Jude programming (same person did it). A couple of weeks later, I had another fall, but it was mild compared to the first fall. However, I still needed reprogramming and once again, it didn't match the original programming's pain relief. I cannot help the occasional falls which result from hereditary peripheral neuropathy that affects my sense of balance. But I am trying to be much more careful than I was previously. In about 4 weeks I'll be seeing my surgeon and the programmer again at which time I plan to tell them that most of my pain relief is gone even though I know that the stimulator is functioning because I can feel the tingling when it's in the tonic mode. And the boost mode, which has a higher electrical pulse rate, no tingling, and is supposed to be superior to the tonic only models, is also working. To be fair, there is maybe 25% relief in two main areas, but I have many major pain areas that aren't receiving any pain relief. At the last programming session, I asked my programmer what her success rate is with her patients. The reply was that with non complex pain, she had 100% success, but I was her first patient with complex pain. I and the programmer realize that the wiring issue alone isn't the sole problem. There's also an issue with her zeroing in on the pain areas during the programming. Since the lead wires are no longer perfectly aligned as desired, she has to use verbal feedback from me to know when she's got the electricity traveling to a problem area so it's hit or miss much of the time. When I next meet with the surgeon, I plan on asking for new back lead wires, but I'm almost certain that he'll say no because of the possibility of infection since the leads are partially made from plastic. And apparently if you work with plastic in a revision, the chances of infection are higher. Having said that, I also know that St. Jude states in their consumer brochure that if a patient wants their system removed, they can take it all out, including the lead wiring. Another topic for discussion when we next meet. I don't really want to get into a possible lawsuit because of possible incompatible wiring or some other re-installation issue. I just want a solution to the equipment problem. If I'm told that my occasional falls can't be worked around, then it's over. In the meantime, until the next meeting, I'm continuing with light exercise until I next see the experts. Having said all of the above, I would somehow like the St. Jude system to become fully functional again because the few days of relief I experienced were wonderful. If anything significant occurs in the future, I'll post about it. If you got this far, thanks for reading what I wrote.
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pain, back pain, pain management, epidural, neurostimulator
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