Posted 3/28/2015 9:52 AM (GMT 0)
It's definitely something to take your time over. When they work well they are wonderful - when they don't, they can be a nightmare.
SCS is nothing at all like a TENS... the latter causes me incredible pain, but SCS has made an enormous difference to my life despite the problems I've had with it over the years (lead migration, multiple surgeries, premature battery failure, poor healing/reopening of incision sites). For me, a TENS unit feels like I'm being burned or shocked...the SCS in contrast is like a gentle rolling massage. But for all that it's wonderful in what it does do for me (almost no allodynia - no "burning skin" - can wear long pants and socks, which I couldn't do before, also helps my sciatica a bit, though that wasn't its intended purpose, just a rare win for me) it doesn't hit any of my deeper pain - I have morphine in my pump and still take oral meds (topiramate, meloxicam & oxycodone)
I found it a really easy surgery - though as Susie said that's definitely not what a lot of others report. I needed no post-op pain relief beyond a couple of days panadol. Second time round was much harder - but that was more due to the dr having to break down scar tissue to remove a damaged lead & causing some nerve trauma in the process than any other surgical pain. I found it much tougher psychologically than physically - getting the leads in the correct position to provide pain relief means you're either awake through the whole thing, or woken midway through - and because I have trouble with local anaesthetic (need large doses, a long time for it to work, and even then it doesn't work as well as it ought) I felt quite a lot :(
I've personally had almost all good experiences with my reps - and the very best from my current doctor. It might sometimes take a few days or a week if I need to see my rep, but I can always get in touch with them quickly - and don't ever have any charge for adjustments. Susie - is that charge just for a programming adjustment do you know? Seems disgusting if it is...as you say such a huge outlay on the units and tech initially, and not much better if its for a lead adjustment. My health insurance here has covered each of my three batteries & all my lead replacements - but know they're in the realm of $35,000-$40,000 here. I've had a few reps with them (ANS/St Jude) over the years and all have been good. Have always found Medtronic reps to be fantastic too.
On MRI - there's at least one on the market (either BS or Medtronic - or could even be both now) that is approved as MRI safe.
If you have any questions I can help with, feel free to ask :) my email ought to be linked under my name at the side there too.
Laura