EXTERNAL TRIAL STIMULATOR LEAD INSERTED LOCAL ANESTHETIC Spinal Cord Stimulation (Boston Scientific) www.viewmedica.com © 2014 Swarm Interactive. Unauthorized duplication is strictly forbidden. Overview Spinal cord stimulation (also called SCS) uses electrical impulses to relieve chronic pain of the back, arms and legs. It is believed that electrical pulses prevent pain signals from being received by the brain. SCS candidates include people who suffer from neuropathic pain and for whom conservative treatments have failed. Trial Implantation The injection site is anesthetized. One or more insulated wire leads are inserted through an epidural needle or through a small incision into the space surrounding the spinal cord, called the epidural space. Find the Right Location Electrodes at the end of the lead produce electrical pulses that stimulate the nerves, blocking pain signals. The patient gives feedback to help the physician determine where to place the stimulators to best block the patient's pain. The leads are connected to an external trial stimulator, which will be used for approximately one week to determine if SCS will help the patient. Determine Effectiveness If the patient and physician determine that the amount of pain relief is acceptable, the system may be permanently implanted. At the end of the trial implantation, the leads are removed. Permanent Implantation The permanent implantation may be performed while the patient is under sedation or general anesthesia. First, one or more permanent leads are inserted through an epidural needle or a small incision into the predetermined location in the epidural space. Generator Implantation Next, a small incision is created, and the implantable pulse generator (IPG) battery is positioned beneath the skin. It is most often implanted in the buttocks or the abdomen. The leads are then connected to the IPG battery. End of Procedure The implant’s electrical pulses are programmed with an external wireless programmer. The patient can use the programmer to turn the system on or off, adjust the stimulation power level and switch between different programs. HENDERSONVILLE • COOKEVILLE • HERMITAGE • NASHVILLE SKYLINE • STONECREST

LEAD INSERTED EXTERNAL TRIAL STIMULATORSCS will help the patient. Determine Effectiveness If the patient and physician determine that the amount of pain relief is acceptable, the system

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E X T E R N A L T R I A L S T I M U L AT O R

L E A DI N S E R T E D

LO C A LA N E S T H E T I C

Spinal Cord Stimulation (Boston Scientific)

OverviewSpinal cord stimulation (also called SCS) useselectrical impulses to relieve chronic pain of theback, arms and legs. It is believed that electricalpulses prevent pain signals from being received bythe brain. SCS candidates include people whosuffer from neuropathic pain and for whomconservative treatments have failed.

Trial ImplantationThe injection site is anesthetized. One or moreinsulated wire leads are inserted through anepidural needle or through a small incision into thespace surrounding the spinal cord, called theepidural space.

Find the Right LocationElectrodes at the end of the lead produce electricalpulses that stimulate the nerves, blocking painsignals. The patient gives feedback to help thephysician determine where to place the stimulatorsto best block the patient's pain. The leads areconnected to an external trial stimulator, which willbe used for approximately one week to determine ifSCS will help the patient.

Determine EffectivenessIf the patient and physician determine that theamount of pain relief is acceptable, the system maybe permanently implanted. At the end of the trialimplantation, the leads are removed.

Permanent ImplantationThe permanent implantation may be performedwhile the patient is under sedation or generalanesthesia. First, one or more permanent leads areinserted through an epidural needle or a smallincision into the predetermined location in theepidural space.

Generator ImplantationNext, a small incision is created, and theimplantable pulse generator (IPG) battery ispositioned beneath the skin. It is most oftenimplanted in the buttocks or the abdomen. Theleads are then connected to the IPG battery.

End of ProcedureThe implant’s electrical pulses are programmedwith an external wireless programmer. The patientcan use the programmer to turn the system on oroff, adjust the stimulation power level and switchbetween different programs.

HENDERSONVILLE • COOKEVILLE • HERMITAGE • NASHVILLE SKYLINE • STONECREST

www.integritypainconsultants.com