Spinal Cord Stimulation or Implant/Battery – MD Pain

Post- Procedure care instructions
SCS IMPLANT/battery replacement/exchange/explant MD PAIN

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 implant you may experience temporary relief, or your pain may intensify temporarily before you notice an improvement. Soreness at the procedure 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.

WHAT CAN OR SHOULD I DO AFTER THE PROCEDURE?

Activity:  For 6-8 weeks following implantation, it is important to avoid any sudden jerking movements, bending, twisting, pushing, pulling or heavy lifting which could dislodge your electrodes. Explants, activity restrictions not necessary.  

Diet:  Start with clear liquids, especially since you have had anesthesia. 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 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 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:  Ensure your wound remains clean and dry for the first 48 hours, you may then remove the dressing and shower.  Keep a dressing on the incision until your 2-week follow-up appointment.  Wear the abdominal binder 24/7 except when showering until your first follow up appointment. You may change the dressing if it becomes saturated and after showering. 

Shower:  You may remove your dressing in 48 hours and shower, allowing soap and water to run over your incision. Pat incision dry and reapply clean dressing before you put on your abdominal binder. Please avoid all bathtubs, swimming pools, and hot tubs for the next 2 weeks to avoid submerging your incision in water.

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

Follow-up: You will have a follow-up appointment with your physician in 10-14 days, if you do not have an appointment scheduled, please contact the office. 

POST PROCEDURE PRECAUTIONS

Please call your physician’s office if you develop any of the following:
  • Excessive bleeding (saturating one or more bandages over the course of 2-4 hours).
  • Excessive swelling, pain, or redness at the procedure site.
  • Drainage from the procedure site.
  • Fever >100.4 °F.
  • Severe headache occurring after the procedure that is worse when standing and/or sitting and is not controlled by standard medications. This may also be associated with nausea and/or vomiting.
  • Sudden onset of pain, numbness or weakness in arms or legs.
  • 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.
        • 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. 

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