| Popis: |
A 50-year-old woman with failed back surgery syndrome (FBSS) has been identified as a spinal cord stimulation (SCS) candidate by her pain management physician and is undergoing a one week trial. She is met shortly before the trial procedure to confirm the pain areas that the physician has evaluated to be treatable with SCS, provide an overview of the procedure, set expectations, and answer questions. She says that she has pain in the low back and both legs including the feet, equal in intensity on both sides of the body. She rates her pain as an 8 out of 10 in the low back and 6 in the legs. The patient is informed that during the procedure, she will be awakened for “intraoperative testing” to ensure that stimulation is covering all of her pain areas or a reasonably large amount of the areas. She will feel a tingling sensation (paresthesia), and she needs to identify where she feels it. The goal is for her to feel the tingling sensation in all of her pain areas if possible. It is also explained to her that sometimes longer programming sessions may be needed to obtain complete coverage and that this may not be feasible in the operating room (OR) but a large proportion of the pain areas can be captured most of the time. |
