Peripheral Nerve Stimulator

Peripheral nerve stimulator
implant and Trial
Sprint & Nalu

9218 Kimmer Drive, Suite 101 Lone Tree, CO 80124
(P): 303-623-2680 (F): 303-623-2814

WHAT SHOULD I EXPECT FOLLOWING THE PROCEDURE?

Immediately after the procedure you may experience temporary relief, or you pain may intensify temporarily before you notice an improvement. Soreness at the procedure site (and IV site) is common and may persist for a few days.  The degree of pain and onset of pain may vary from patient to patient. 

If you experience discomfort, you may apply a wrapped ice pack intermittently for the first 24 hours then heat or ice packs thereafter. You may take analgesics such as Tylenol but avoid other blood thinning anti-inflammatories such as Ibuprofen or Naproxen that may increase your susceptibility to bleeding. Do not take extra opioid medications without permission from your physician.

System use at home. Make sure that the Pulse Generator is snapped onto the mounting pad. The entire surface of the mounting pad must be in contact with your skin.  Check that all cables are firmly connected.  Turn stimulation ON for the amount of time prescribed by your physician.  If the stimulation feels uncomfortable or painful, decrease the intensity to a level that is comfortable.  Replace and recharge the Pulse Generator battery when the battery icon on your remote shows 1 bar. Always have 1 battery charging in the recharging base so that you never miss your daily treatment

WHAT CAN OR SHOULD I DO AFTER THE PROCEDURE?

Activity: Limit strenuous physical activity and motion (such as bending, twisting, climbing, and lifting) near the implant for at least 1 week.  Avoid excessive stress (tugging, pressure, and heat) that may damage the stimulation system.  You may resume exercise and physical therapy when directed by your physician.  

Diet:  Start with clear liquids, especially if you have had sedation. If your stomach tolerates liquids, slowly advance your diet as tolerated until you have resumed your normal diet. Do not consume alcohol for the next 24 hours.  

Sedation/Anesthesia: If you have had sedation/anesthesia the following applies for the next 24 hours. DO NOT drive, drink alcohol, or use recreational drugs, operate machinery, tools, or firearms, sign important or legal documents. You MUST have a responsible adult with you for 24 hours following sedation/anesthesia. 

Medications:  Please resume your home medications as indicated on your home medication discharge list. If taking any blood thinners, please refer to the discharge medication list to determine when you may resume your blood thinner. If you receive a prescription for narcotic pain medications, please follow instructions on the bottle on how and when to take.  Please do not drive while taking narcotics or muscle relaxants. If you receive a prescription for antibiotics, please follow the instructions on the bottle and complete entire coarse of antibiotics.  

Wound Care: Never soak the exit site in water.  It is ok to shower.  Always remove the Pulse Generator (Stimulator) and Mounting Pad from your body and keep a waterproof bandage over the exit site when showering.  A MicroLead (thin, thread-like wire) exits your skin under the waterproof bandage.  DO NOT pull on it. Change your mounting pad, cradle, and bandage as necessary.  Mounting pad should be changed daily or as needed.  Clean skin under the bandage with mild soap and water, or wipe skin with an alcohol pad.  Allow skin to dry. When placing a new bandage, make sure that no part of the adhesive touches the MicroLead or Connector.  Check the skin under the bandage for redness, swelling, drainage, or bleeding. If any of these are present or if your MicroLead pulls out, notify your doctor, and your representative. 

Shower:  It is OK to shower. Please avoid all bathtubs, swimming pools, and hot tubs.   

Follow-Up Appointment: You will have a 2 week follow-up appointment with your physician, if you do not have an appointment scheduled please contact the office to schedule.  At this 2 week appointment please make sure you bring your stimulator and all the boxes and equipment given to you during your procedure, as they will be turning on the stimulator at this appointment.  

Work:   You may return to work or school 24 hours after your procedure. 

POST PROCEDURE PRECAUTIONS

Please call your physician’s office if you develop any of the following:

  • Local tissue swelling, redness, drainage or severe tenderness at the injection site or NEW onset of radiating pain to a different location of your body.
  • Fever > 100.4 °F
  • Severe headache occurring after the procedure that is worse when standing and/or sitting and is not controlled by medications. This may also be associated with nausea and/or vomiting.  
  • You may experience numbness or weakness immediately following the procedure, if this lasts more than 6 hours, please contact your physician.
  • In the event of any urgent problems or questions, call your physician’s office at the number listed below from 8:00 am – 5:00 pm, Monday-Friday. If you call after hours, the answering service will connect you with the on-call provider. For emergencies, call 911 or go to the nearest Emergency Room. 
  • VMD Pain: 303-750-8100
  • VThe Denver Spine and Pain Institute: 303-327-5511
  • VOrthopedic Centers of Colorado: 303-344-9090

GO TO THE EMERGENCY ROOM or CALL 911 IF YOU ARE EXPERIENCING:

    • Rapid development of bowel or bladder incontinence or inability to urinate within 6 hours.
    • Loss of sensation in the groin/rectal area or loss of strength in arms or legs.
    • High fever, sudden onset of substernal chest pain, or shortness of breath.
    • Severe lethargy, weakness, inability to walk, seizures or onset of confusion.

     

    PHYSICIAN: ___________________________________   OFFICE PHONE NUMBER: _______________________________

     

    INSTRUCTIONS GIVEN BY: ____________________ RESPONSIBLE PARTY SIGNATURE: __________________________________________________

     

    Date: ___/___/___   TIME: _____________ COPY PROVIDED TO PATIENT. 

    Patient Sticker