Spinal cord stimulation (SCS) is an advanced neuromodulation therapy for patients with chronic pain that has not responded to other treatments. A small device delivers mild electrical impulses to the spinal cord, interrupting pain signals before they reach the brain. The best part — you try it before you commit with a temporary trial period.
Spinal cord stimulation may be appropriate if you have:
5-7 day temporary trial to assess effectiveness
Permanent implant takes approximately 1-2 hours
Outpatient procedure
50% or greater pain reduction during trial qualifies for permanent implant
The spinal cord stimulation procedure occurs in two phases, giving you the opportunity to test the device before committing to a permanent implant.
A temporary lead is placed in the epidural space through a small needle under fluoroscopic guidance. The lead connects to an external stimulator worn on a belt. Over 5 to 7 days, you test the device during your normal daily activities to determine if it provides meaningful pain relief. If you achieve 50% or greater pain reduction, you are a candidate for the permanent implant.
The temporary lead is removed and a permanent lead is placed through a small incision. A pulse generator (about the size of a stopwatch) is implanted under the skin, typically in the upper buttock area. The device is programmed and adjusted wirelessly to optimize your pain relief. Modern systems offer rechargeable batteries, MRI compatibility, and multiple stimulation waveforms.
Dr. DelSole is a fellowship-trained orthopaedic spine surgeon with extensive experience in minimally invasive and complex spinal procedures. He brings a commitment to patient-centered care and evidence-based surgical decision-making.
Dr. DelSole can help you explore whether spinal cord stimulation is right for you. Schedule a consultation today to discuss your pain management options.