It depends on programming. Traditional SCS creates a mild tingling/buzzing sensation (paresthesia) in the area of pain, which overlaps and “distracts” from the pain. You typically feel that instead of pain. Many patients get used to it and don’t find it unpleasant – some even find it soothing. Newer “high-frequency” or “burst” stimulation can be programmed so that you don’t consciously feel any tingling (paresthesia-free); the pain just reduces. 

We can try different modes. You’ll have a remote to adjust intensity if needed (e.g., you might turn it up when active, down when resting). It should never deliver a shock or anything; if you feel something uncomfortable, we adjust the programming. We always instruct: don’t drive a car while adjusting or if stimulation could be distracting until stable settings are found – but most can drive fine once they’re used to it.

Yes, you can travel and use normal electronics. Airport metal detectors may pick up the metal in the device; you will have an ID card to show security. Usually, you’ll request a pat-down instead of going through the metal detector or full-body scanner, to be safe. 

Handheld security wands can interfere if directly over the device, so it’s best to avoid those near it as well. As for phones and appliances, they generally do not interfere. Very strong electromagnetic fields (like certain industrial equipment or MRI machines) can, which is why MRI is a consideration. But everyday things like microwaves, cell phones, radios are fine. Just keep your stimulation remote and charger away from strong magnets. And don’t put cell phone right next to the implant for long periods (like a pocket over it) to be extra cautious, though it’s usually fine.

It’s rare to be 100% pain-free, but many patients experience a dramatic reduction. The goal we set is usually at least 50% reduction in pain intensity. Some do report 80-100% relief, but we don’t promise that. We also aim to improve functional abilities – maybe you can stand an hour instead of 5 minutes, or sleep through the night, etc. You might still have to manage some residual pain with occasional meds or therapy, but it should be much more tolerable.

Think of SCS as a tool to manage chronic pain when other tools have failed. It’s quite successful when properly used, but it’s not an absolute cure for the underlying condition (e.g., it won’t remove arthritis or heal nerve damage, just mask the pain from it). We also encourage continuing a healthy lifestyle, exercise, etc., as tolerated, to maximize overall well-being.

If you have a rechargeable battery (which many newer ones are), you might need to recharge it about once a week (some devices maybe 1-2 times per month, depending on usage and programming intensity). Charging is done wirelessly by placing a charger paddle on your skin over the device for an hour or two. We instruct you fully; it becomes routine, like charging your phone. If you choose a non-rechargeable battery (maybe to avoid dealing with charging), those are sealed units that typically last 3-5 years on average (shorter if you use high settings often). When depleted, you’d need a minor surgery (incision over the generator site) to replace the battery unit. It’s a simpler procedure than initial implant (leads stay in place). We’ll discuss pros/cons of each type. Many prefer rechargeable to avoid frequent replacements, especially if younger.

Generally yes, but always inform healthcare providers you have an SCS. MRI compatibility depends on device type – many are now labeled “MRI Conditional,” meaning you can get an MRI under certain guidelines (like using specific machine settings, etc.). 

If MRI is needed for an emergency and your device isn’t compatible, the device may need to be turned off or rarely removed – but we plan ahead if MRI is foreseeable. CT scans, X-rays, and ultrasounds are fine (the device might cause artifact on images in that area, keep in mind). 

You should avoid diathermy (a type of deep heat therapy) as it can interact dangerously. If you need surgery in the area of the leads or device, the surgeon needs to be aware so they don’t disturb it. Dental work is fine (some caution with electrocautery if you have device on – usually just turn it off for surgeries). We give you a booklet with all these do’s and don’ts.