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SCS nerve stimulator implant

This is a discussion on SCS nerve stimulator implant within the Pain Management forums, part of the General Spine Discussion Forums category; I haven't had time to post too much this last week. It was a crazy week where I was in ...

  1. #1
    Senior Member daveinaustin's Avatar
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    Default SCS nerve stimulator implant

    I haven't had time to post too much this last week. It was a crazy week where I was in the office, and we had a couple deadlines on Friday. This weekend we've been preparing for my SCS nervce stimulator implant on Monday, Aug. 31st.

    I will be online after the procedure to give an update, and will start a new thread under the surgical outcome afterwards.

    Having the SCS nerve stimulator implant was a difficult decision. However, I want to sincerely thank all of you, and especially Justin and Mark-Perth who wanted me to fully research, challenge the doctors' opinions, and to have the doctors converge on this treatment option.

    After my re-injury three weeks ago, I had a lot of "fear, uncertainty, and doubt" about the cause of my current back pain. Although the doctors have not determined the root cause (which drives me crazy as an Engineer), they have determined what it is not.

    • The Intrepid fusion cage, which was recently recalled, was placed perfectly and has solidly fused. Therefore, I do not need revision surgery or the DSS motion coupler for those sections.
    • The 1.5 T MRI and CT scan w/o contrast confirmed the overall structure is good.
    However, there still could be an issue with L3-4's disc, which to a year old CT-Discogram and a recent MRI with contrast looks perfect. I will still be able to have another CT-Discogram in 5-6 months when insurance will cover it.

    Note: The majority of the doctors concurred that even if there is new pain with L3-4, surgery is not the right answer for it.

    My hopes and prayers are that the SCS nerve stimulator will reduce my pain and narcotic intake by over 50%, and will hopefully provide even more relief as time goes by.

    My doctors are 85% optimistic that with the nerve stimulator I'll be soon able to start up a better exercise regimen which will provide further relief.

    I look forward to provide update to the progress, and appreciate all prayers and encouragement with this difficult decision!

    -Dave
    Discectomy/Laminotomy, 1999
    L4-S1 DDD, 10/06
    Stalif Fusion L5-S1, 3/07
    Intrepid Fusion L4-L5, 7/08
    Increasing pain since solid fusing, 1/09
    Bilateral Transforaminal Injections 3/09
    Facet Joint Injections (L3-S1) 4/09
    RF Ablation (Medial Branch) 5/09
    CT Scan, MRI w/ contrast (no new info) 5/09
    Latest:
    - I wake up with no pain
    - Stand/sit for 15 mins., pinching pain begins
    - Pain at center, core L4-L5
    - Lying down, pulsing/throbbing pain for 2-3 hours
    - Taking 6-8 Norcos/day
    SCS Implant 8/31/09

  2. #2
    Founder / Administrator Justin's Avatar
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    Quote Originally Posted by daveinaustin View Post

    My hopes and prayers are that the SCS nerve stimulator will reduce my pain and narcotic intake by over 50%, and will hopefully provide even more relief as time goes by.

    My doctors are 85% optimistic that with the nerve stimulator I'll be soon able to start up a better exercise regimen which will provide further relief.

    I look forward to provide update to the progress, and appreciate all prayers and encouragement with this difficult decision!

    -Dave
    Dave,

    I wish you the very best on Monday. I know this was a hard decision to come to, but you've truly done your research; thus, enabling you to move forward with great confidence.

    I am hopeful that your pain will be greatly reduced and that you will be able to exercise more as a result.

    Your patience and perseverance over the last couple of months will truly pay off on Monday. I'm looking forward to your updates in the Surgical Outcomes Forum.

    Take care, my friend.

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  3. #3
    Moderator KBear's Avatar
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    Dave, Great job doing your 'homework' and not just taking what the drs say as 'gold'. I wish you luck for surgery tomorrow and will be praying for you.

    On another note, I saw the date for your surgery and can not believe August is over! Holy cow, time is flying.... makes me feel old just saying that. It also reminded me that it's my sisters b-day tomorrow, hopefully, I won't forget again and will remember to call her!
    31 years old- 1/06- In wreck with 18 wheeler at 25 years old; 6/06- Head on collision on Interstate, both wrecks other drivers fault. Numerous MRI's, PT, chiropractic, acupuncture, TENS therapy, massage therapy, facet injections, epidural injections, Nerve study, Discogram, confirms pain in L4/5, IDET, decompression, Bi-lateral neurotomy L3/4/5, denied by insurance twice, in Active L clinical trial, had surgery March 17, 2009 in Miami, FL- received Active L disc at 29 years old. Pain and medication free as of October 2010!Mommy to Emma- 8 years, Ava- 6 years & had baby Eli after ADR, via c-section on March 25, 2011 , completely pain free still!

  4. #4
    Senior Member
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    Default Good luck!

    All the best for Monday Dave. I hope the SCS brings you much relief & you're able to develop a good exercise regime when recovered.

    Looking forward to hearing how you get on.
    Last edited by dalhousie; 08-31-2009 at 05:26 AM.
    1993 Back pain age 29.
    1998-2001 DDD at L1/2. 10 admissions for discography/epidurals/facet injections/disc injections/RFA's.
    2005 ALIF at L1/2 with BMP & good result: pain free
    2007 DDD at L4/5 unresponsive to epidural. Discography: early degeneration, anular tear & bulge. Limited response to core strengthening.
    2009 ADR (activ L) L4/5.
    2012 Myofascial Pain Syndrome T10-L2

  5. #5
    Senior Member ajj1001's Avatar
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    Praying it goes well for you
    Alison 46 year old female
    2012 Doing Rehab
    2011 Sept 3rd Op Removal of old instrumentation and PLIF L4/L5 - L5/S1 both adr in situ
    2010 May Discogram on L2/L3 & L3/L4
    2009 May 2nd Op Failed revision fusion on L5/S1 with Charite ADR in situ
    2008 Caudal epidural exacerbated nerve symptoms. Prolapse L2/L3
    2007 L5/S1 Facet deterioration
    2002 March 1st Op ADR Charite - L4/5, L5/S1
    2000 Disc prolapses L4/5, L5/S1

  6. #6
    Senior Member daveinaustin's Avatar
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    Thank you so much for your encouragements and prayers! We are so fortunate to have a forum where we can all come together and help each other through these times of our lives.

    God bless all of you!

    -Dave
    Discectomy/Laminotomy, 1999
    L4-S1 DDD, 10/06
    Stalif Fusion L5-S1, 3/07
    Intrepid Fusion L4-L5, 7/08
    Increasing pain since solid fusing, 1/09
    Bilateral Transforaminal Injections 3/09
    Facet Joint Injections (L3-S1) 4/09
    RF Ablation (Medial Branch) 5/09
    CT Scan, MRI w/ contrast (no new info) 5/09
    Latest:
    - I wake up with no pain
    - Stand/sit for 15 mins., pinching pain begins
    - Pain at center, core L4-L5
    - Lying down, pulsing/throbbing pain for 2-3 hours
    - Taking 6-8 Norcos/day
    SCS Implant 8/31/09

  7. #7
    Founder / Administrator Justin's Avatar
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    Dave, you're getting closer to pain relief!

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  8. #8
    Senior Member Katie's Avatar
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    Blessings and best wishes to a successful and uneventful surgery tomorrow, Dave. I look forward to hearing from you.
    Severe compression of spinal cord, flaval ligament, etc. at C4/5 & 5/6.
    Herniation and compression, at L3/4 to L5/S1 plus spondylosis at the latter level. Severe allergy to most metals.
    Three level surgery in Brazil with Dr. Luiz Pimenta on March 17/2010 using non-metal appliances. L5/S1-PEEK cage, ALIF; L4/5-PEEK cage, XLIF; C5/6-NuVasive NeoDisc. Three separate approaches, two minimally invasive. Currently minor residual back pain, from SI ligament and still overdoing things . Therapy and chiropractic treatments helping immensely. Gone from being almost bedridden to near normal activities including gardening. Life is gooooood!

  9. #9
    Founder / Administrator Justin's Avatar
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    Good luck Dave!

    Dave, today!

    Justin Averna
    Founder & President, Spine Patient Society™
    www.SpinePatientSociety.org
    A 501(c)(3) Tax-Exempt Nonprofit & Charitable Organization


    • 1994: Football Injury, Severe Hyperextension
    • 1997: Snow Skiing Injury
    • 3/7/1997: Laminotomy L4/L5
    • 1999 & 2003: Motor Vehicle Accidents (not at fault both times) --> Grade V Annular Tears L4/L5 & L5/L6
    • 11/15/2003: 2-Level ProDisc® L4/L5 & L5/L6*, *lumbosacral transitional vertebra --> Dr. Rudolf Bertagnoli
    • 4/2008: 4.5 years pain-free before "new" leg pain
    • 5/14/2009: Dynamic Stabilization System L4/L5, Dr. Rudolf Bertagnoli
    I'm here to help.
    Questions? Suggestions? Need help with registering, creating a signature, etc.?
    justin (at) spinepatientsociety.org


    Disclosure: I have no financial relationships with any surgeons, spine clinics, device manufacturers, pharmaceutical companies, hospitals, etc. -- the SPS Board of Directors serve without compensation.

  10. #10
    Moderator Cindylou's Avatar
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    Dave good luck today with your surgery. I will be praying for you and will be very interested to hear about your outcome and progress with pain relief with this procedure.
    • January 2000 MVA passenger, used jaws of life to retrieve me, neck injury and months of PT
    • June 2001 Bicycle accident, 2 compression fractures at T12/L1, Vertebroplasty Sept. 2001
    • April 2006 right hip, labral tear and repair
    • April 2007 3 level ProDisc @ L3/4, L4/5 & L5/6✷ ✷Lumbosacral transitional vertebra; Dr. Rudolph Bertagnoli
    • July 2, 2008 ALIF & Laminectomy @ L6/S1
    • July 30, 2008 re-opened 28 days later to remove bone cement that had leaked onto S1 nerve root
    • August 2008 Pulmonary embolism, double pneumonia, collapsed left lung, re-hospitalized 1 week
    • March 10, 2009 Right SI Joint Fusion
    • April 27, 2010 2nd right hip arthroscopy to remove adhesions and release psoas muscle
    • September 30, 2010 lumbar facet rhizotomy
    • December 9, 2010 12 bilateral lumbar trigger point and steroid injections
    • December 23, 2010 12 more bilateral trigger point injections w/o steroid
    • February 15, 2011 ESI bilaterally in lower lumbar...relief only for few days. Considering 1 more.
    Did Spinal Cord Stimulator trial from 5/11/11-5/17/11 with excellent results; Spinal Cord Stimulator surgery is Monday,
    July 18, 2011

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