Spinal Cord Stimulation
Questions About SCS
Q: Is SCS safe?
Yes. SCS therapy has been proven safe and effective and has been in use for more than 40 years. Hundreds of thousands of people worldwide have been treated with SCS. But of course, you should review the risks of the therapy with your physician. Boston Scientific SCS Systems are FDA-approved for adults with chronic pain of the trunk and/or lower limbs (low back and legs).
Q: Will I be totally pain-free with SCS?
People differ in the amount of pain relief they receive with SCS therapy. The trial, or test drive, may help will help you determine the amount of relief you will receive. SCS is generally considered effective if your pain is reduced by at least 50%.
Q: Will SCS allow me to be free of pain medications?
Every person differs in how effective SCS therapy is for them. For some patients, SCS therapy may work well enough that pain medications are no longer needed. For others, success with the therapy can mean using less pain medication. Always consult your doctor before changing your medication dosage.
Q: Will my insurance cover SCS?
SCS is covered by most health insurance plans, including Medicare and most worker’s compensation programs. Your clinic or physician will need to get approval first. Insurance providers generally require pre-authorization for SCS. After determining that you are a candidate for SCS, your physician and his/her office staff will provide your insurance company the necessary documentation needed to complete the pre-authorization.
Contact us at 301-703-8767 for more insurance coverage details.
Q: Can I get diagnostic imaging with this system?
SCS patients have many imaging options. Commonly used methods such as X-Rays, CT Scans, PET Scans and Ultrasounds can image many different parts of the body, including soft tissue. In addition, the Precision Spectra System allows for MRI scans of the head for patients who meet the eligibility requirements. SCS systems have varying limitations and conditions related to MRI scans. Talk to your doctor to find out which option is right for you.
Q: Can one SCS system help me manage pain in more than one area?
Our SCS Systems are designed to cover several pain areas at the same time if needed. You can use your wireless remote control to adjust the amount of stimulation for each pain area.
Q: Do I use my SCS system 24 hours a day?
It’s up to you and your physician when to use SCS therapy and how much to use. Our SCS Systems and the rechargeable battery technology are designed so that you can keep it on 24 hours a day. However, you should always consult your doctor first.
Q: Will it be visible under my skin? Will I feel the implant?
No. You will not be able to see the device under your skin. Unless you tell someone you have it, they’d never know. Our SCS implanted IPGs feature contoured, oval shapes and are small. Your doctor can position it in the most comfortable and convenient location for you. Some patients report that they can feel the unit by pressing on their skin. In many cases, it is not visible to others.
Q: How big is the implanted device?
It’s about the diameter of a silver dollar.
Q: Can I actually control the SCS therapy?
Yes. Our SCS System’s wireless remote control lets you turn stimulation on and off, increase and decrease the level of stimulation, and target different pain areas using settings or programs customized by your physician specifically for you.
Q: How long will my spinal cord stimulator and battery last?
Our SCS System uses powerful, rechargeable battery technology that carries a 5-year warranty, but they may last even longer.
Q: How often will I need to recharge the implant battery?
You decide on a recharging schedule that best fits your needs. Most people choose to charge based on a routine that fits their lifestyle, like during their favorite weekly TV show. Your wireless remote control will also tell you when your implant battery is low and needs recharging.
Q: How convenient is it to recharge the implant battery?
Recharging the implant battery is designed to be very simple. The charger is lightweight, wireless, and portable, so you can charge on the go. Either an adhesive patch or soft cloth belt (included with the charger) can be used to help place the charger over the device.
Q: Will I set off store security detectors or be tracked in some way?
No. You could think of the device similarly to a pacemaker. You will NOT set off store security detectors or be tracked in any way (tracking is not possible).
Q: Will the implantable pulse generator (IPG) battery be damaged if it is allowed to run down?
No. Unlike other rechargeable batteries, the Boston Scientific SCS System IPG batteries are designed to prevent damage and resume normal function once charged.
Q: When can I resume my usual activity after the procedure?
For several weeks after the implant procedure, you will be asked to restrict your physical activity. Once that period is over, Precision SCS Systems are designed to help you lead a healthy and active lifestyle. However, you should always consult your physician before resuming activity after surgery or before engaging in physical activities.
Q: Is SCS reversible?
Yes. Even though your leads and IPG are surgically implanted, they can be disengaged or removed by your physician, if ever needed.
Q: What's the difference between a primary care physician and a Pain Management Specialist and why does it matter for people with chronic pain?
Pain Management Specialists are physicians who specialize in treating chronic pain. These physicians receive years of advanced, specialized training in pain management and focus on treating patients with severe pain.
Q: How do I get in touch with a local Boston Scientific Clinical Representative or attend a local event to learn more?
Please reach out to their Patient Care Specialists — available 5 a.m. – 5 p.m. PST, Monday – Friday. Call 866.360.4747.
Questions About the Trial
Q: Can I test drive SCS first?
For people who now manage their chronic pain with SCS therapy, the first step was a trial, which is a test drive of a Precision SCS System. This allows you to try out a Boston Scientific System first to experience it firsthand, so you and your physician can decide if it is right for you.
Q: How many days does the test drive last?
If your physician recommends SCS for your pain condition, you can try out a temporary system before final implantation. The test drive lasts on average 3 to 7 days (may be shorter or longer). In this testing time, and at its conclusion, you and your physician can decide if spinal SCS therapy helps manage your pain. If it does, you can move forward with the implanted system. If it doesn’t, you simply have the trial system removed. Remember that the beauty of the test drive is you’ll know first-hand if SCS is right for you before making any commitment.
Q: What about the trial procedure? How long does it take?
The trial starts with an outpatient procedure conducted at the physician’s office or surgery center and usually takes 1 to 2 hours. Then, over the next 3 to 7 days (may be shorter or longer), you are able to see if the SCS System works for you in helping manage your pain.
Q: Will I have any limitations during the test drive?
Yes. Unlike the long-term implant, the temporary system has external components. Because of the external components, there are some precautions you’ll need to take. Your physician will go over all these with you, but some general things to know are this:
- You will need to keep the system dry — so bathing or showering cannot be done during the test drive. Prepare for this prior by showering the morning of the procedure.
- Avoid activities and positions that could pull your leads out of place.
- Consider keeping a journal over the next week to evaluate the therapy. Note any new things you’re able to do and also how you’re sleeping. Go about your daily activities and take notice of how you’re feeling and the things you may be able to do that you weren’t before.