Keeping a pain log

Your health care provider may ask you to keep a pain log for a certain amount of time. You may answer questions in your log, such as:

• When do you feel pain?

• What does the pain feel like?

• How long does the pain last?

• What makes the pain better or worse?

• When the stimulation is on, is your pain relieved?

Your answers help show how well spinal cord stimulation may work for you. Your provider will give you guidelines for your pain log. You may have to stop taking pain medicine while you are keeping your log. This is to find out how well the stimulation worked on its own. Discuss this with your provider.

Spinal cord stimulation may help

Spinal cord stimulation is 1 type of treatment for chronic pain. Certain criteria need to be met to be a good candidate for this treatment. Spinal cord stimulation uses a small medical device that sends signals to your spinal cord. These signals block the chronic pain messages from being sent to your brain. You may or may not feel mild tingling from the electrical signals. It depends on the device and settings. First, a trial device is worn outside your body. This is to see whether it works to reduce your pain. If your pain is reduced, a permanent device may be used. This device can be removed at any time.

The stimulator system

The stimulator system has several parts. A power source makes the electrical signals. Your health care provider places permanent wires in your spine. And they implant a pulse generator pack into the lower back or upper buttocks area. This is done by a small incision (cut). A small handheld remote controls the stimulator. It can be used to make adjustments as needed. Your provider will explain the system you will be using in more detail.

Risks and possible complications

• Infection

• Bleeding

• Nerve damage

• Spinal cord damage

• Failure to relieve pain