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Neuromodulation involves direct stimulation of the nervous system with electrical signals. It is used as a treatment for unmanageable chronic pain and/or movement disorders.
For people in Canada who have a Medtronic:
Scroll down to the appropriate section to view educational videos and learn more about how to use devices specific to your therapy.
The following guidelines for deep brain stimulation (DBS) therapy should be followed.
After your surgery, your doctor or nurse will give you instructions about care at home. These instructions often include information about medications, the healing process after surgery, and when to return to your daily activities.
Making a full recovery from surgery is a process that can take several weeks. During the healing process, you will feel some discomfort at the incision sites on your scalp, and at the implant site for the neurostimulator. If you notice unusual symptoms, contact your doctor immediately.
Always follow your doctor’s instructions for taking medication.
During your recovery, follow your doctor’s instructions about activities that include bending your neck, raising your arms over your shoulders, or strenuous activities like lifting heavy objects.
Be careful when participating in activities that may result in accidents or falls. Sudden jerky movements may cause the lead in your brain to move. Falls may damage parts of the implanted DBS system. Surgery may be needed to replace any damaged DBS system parts.
Call your doctor if any of the following situations occur:
There may be changes in the level of your symptom control over time.
These changes may include:
In many cases, your clinician can correct these changes by reprogramming your DBS System. However, surgery may be required to reposition or replace the lead, replace the system, or remove the system.
Because your disease changes with time, your condition may improve, may worsen, or may remain unchanged with stimulation.
You can download a digital copy of the DBS programmer manual you were provided with in the programmer box, and watch the video below for a step-by-step guie on how to use your programmer.
DBS Patient Programmer - Activa SC
How to use your DBS Programmer
If you have a rechargeable neurostimulator, you can download a digital copy of the DBS recharger manual you were provided with in the recharger box, and watch the video below for a step-by-step guie on how to use your recharger.
How to use your DBS Recharger
After the initial healing period, neurostimulation therapy for pain relief will become a routine part of your day. Talk with your doctor about activities that may be easier with spinal cord stimulation. Many people experience improvements in their pain symptoms and quality of life after receiving a neurostimulator.
After the initial healing period (6-8 weeks), neurostimulation therapy for pain relief will become a routine part of your day.
A typical follow-up schedule is once every 6 months, although initially the neurostimulation system may require more frequent adjustments. Your doctor may want to see you more or less frequently, depending on your pain treatment plan. Between visits, you should call your doctor if:
You can download a digital copy of the SCS programmer manual you were provided with in the programmer box, and watch the video below for a step-by-step guie on how to use your programmer.
SCS MyStim Programmer Basics Video
See how to use the MyStimTM programmer to adjust the settings of spinal cord stimulation for chronic pain. The video shows how to synchronize the programmer with the neurostimulator and complete various programming tasks with your MyStimTM programmer
If you have a rechargeable neurostimulator, you can download a digital copy of the SCS recharger manual you were provided with in the programmer box, and watch the video below for a step-by-step guie on how to use your programmer.
SCS Charging the Neurostimulator Video
See how to establish a good connection between the recharger and your implanted neurostimulator, and how to charge your neurostimulator. The recharger is a hand-held device for charging the battery in your neurostimulator.
SCS Charging the Recharger Video
See how to charge your recharger for a Medtronic neurostimulator for pain. The recharger is a hand-held device for charging the battery in your neurostimulator. To recharge your neurostimulator, your recharger needs to be charged.
Sacral nerve stimulation may allow you to enjoy freedom from frustrating and embarrassing accidents.
Your doctor will place the neurostimulator where it is most comfortable. It usually will not show through clothing. Depending on your body build, the neurostimulator pocket may show as a small bulge under your skin.
People with sacral nerve stimulation have reported an improved quality of life and the freedom to live without the worry of leaks. The neurostimulator is designed to help reduce or eliminate your symptoms, which means you can worry less about making it to the bathroom on time or being near a bathroom every moment of your day.
Please ask your doctor if you have any concerns about travelling with your device. Your neurostimulator may set off the metal detector at the airport or theft detectors in retail stores. You will receive an ID card that you can present to security personnel to document that you have an implanted neurostimulator.
In general, the neurostimulator will not limit any of your activities. However, you should talk to your doctor about performing any strenuous activities such as heavy lifting or vigorous exercise, especially right after the surgery.
Interstim iCon Programmer Stimulation On/Off
How to turn your neurostimulator on and off with your iCon programmer
Changing Programs with Interstim iCon Programmer
How to change programs using the iCon patient programmer
Adjusting Stimulation Amplitude with Interstim iCon Programmer
How to adjust the amplitude with your iCon programmer
Replacing the Batteries of Your Interstim iCon Programmer
How to change the batteries in your iCon programmer
Attach the Antenna to your Interstim iCon Programmer
How to attach the antenna to your iCon programmer and position it over the neurostimulator
After the initial healing period (6 to 8 weeks), the drug pump will become a routine part of your day.
Your pump is placed near the surface of your skin for refill access. You may be able to see the pump under your skin when it is not covered with clothes, or if you are wearing fitted clothes. Depending on your size and shape, where the pump is implanted, and the size of your pump, the pump may not show at all.
The doctor fills the pump with pain medication using a needle. You and your doctor must work together to find the dose of medication that is most comfortable for you. Dosing can be customized to accommodate your needs at different times of the day/night or week.
You will need to return to your doctor's office periodically for checkups and to have your pump refilled. The medication in your pump needs to be refilled every 6 weeks to 6 months, depending on your dosage and the size of your pump. The frequency of refills depends on the drug concentration and the amount of pain medication you receive every day.
Some movements may stretch or put strain on the catheter or on the stitches that hold your pump in place. Your doctor may give you guidelines for activities to avoid.
Although the catheter is made of flexible and durable materials, it is still subject to wear. Excessive or repetitive bending, twisting, bouncing, or stretching can move or stretch the catheter. This damage may require surgery to repair or possibly replace the catheter.
How Targeted Drug Delivery Works
How the SynchroMed II Infusion System works