Spinal Cord Stimulator Trial in Snellville

Living with chronic pain can wear you down in ways other people don’t always see. It’s the daily ache or burning that never fully shuts off. The sleep loss that turns into fatigue and irritability. The limited walking, standing, or sitting that makes work and family time feel like a negotiation with your body. And the frustration that comes after you’ve already tried physical therapy, medications, injections, rest, and “pushing through”—only to end up right back where you started.

If that sounds familiar, a spinal cord stimulator (SCS) trial in Snellville may be a next step worth exploring—especially for certain nerve-related pain patterns. The most important thing to know is this: the trial is designed to help you decide with real-world evidence before committing to a permanent implant. In other words, it’s a “test drive” to see whether this therapy actually improves your pain and your daily function.

At Medici Orthopaedics & Spine, we take a careful, patient-centered approach that prioritizes the least invasive, least drug-dependent plan medically appropriate for you. Not everyone is an SCS candidate—and that’s okay. The right match depends on your diagnosis, your pain pattern, your health history, and your goals. Here in the Snellville area, our team provides coordinated pain management and interventional spine services, so you can get a complete plan—evaluation, trial, and next steps—without feeling bounced around.

What a Spinal Cord Stimulator Is

A spinal cord stimulator (SCS) is an implanted system designed to help reduce pain signaling before those signals reach the brain. Many patients describe it as a way to “turn down the volume” on chronic pain—particularly pain that behaves like nerve pain (burning, shooting, electric, radiating).

Core components

A spinal cord stimulation system typically includes:

  • Leads: thin wires that deliver stimulation near the spinal cord region
  • Generator/battery: the implanted power source used with a permanent system
  • Programmer/remote: a device used to adjust settings within prescribed ranges so therapy can be tailored to your needs

What the SCS Trial Is

A spinal cord stimulator trial is a short-term test period where temporary leads are placed and used for several days to see how well spinal cord stimulation helps your pain and function.

How the trial differs from a permanent implant

During the trial:

  • There is no permanent battery implanted
  • The temporary leads are removed after the trial period

If the trial is clearly successful and you choose to proceed, that’s when a permanent implant may be discussed as the next step.

What Conditions a Spinal Cord Stimulator Trial May Help

A spinal cord stimulator (SCS) trial is most often used when chronic pain behaves like nerve pain—the kind that burns, shoots, tingles, or radiates—especially after other reasonable treatments haven’t brought lasting relief. In a trial, we’re looking for a measurable improvement in both pain and function.

Common indications

An SCS trial may be considered for:

  • Chronic low back and/or leg pain (neuropathic/radicular patterns)
    Especially when pain radiates into the buttock, thigh, calf, or foot and feels burning, electric, or shooting.
  • Sciatica / lumbar radiculopathy when persistent
    When nerve-related leg pain continues despite conservative care and the pattern fits an SCS-responsive type of pain.
  • Post-laminectomy syndrome / persistent spinal pain after surgery (FBSS/PSPS)
    If pain persists after surgery (sometimes called “failed back surgery syndrome,” though many providers now use Persistent Spinal Pain Syndrome), SCS can be a proven next step for the right patient—particularly when nerve pain is the main driver.
  • Complex Regional Pain Syndrome (CRPS) (when appropriate)
    Certain cases of CRPS may respond to neuromodulation, but candidacy is very individualized.
  • Peripheral neuropathy (select cases)
    Some neuropathy patterns may be considered, depending on symptoms, distribution, and overall medical picture.

Success depends heavily on matching the therapy to the type of pain. SCS tends to help most when pain is primarily neuropathic/radicular. If your pain is mainly mechanical (for example, driven by instability, severe structural compression, or a clearly correctable mechanical issue), SCS may not be the best first choice.

The Evaluation Before the Trial

Detailed history and exam

At Medici Orthopaedics & Spine, we start with a thorough conversation and exam, including:

  • Where your pain is (back vs leg vs both), how it behaves, and what triggers it
  • How pain affects function: sleep, walking/standing, sitting/driving, work, daily activities
  • Neurologic screening (strength, sensation, reflexes) when relevant
  • Prior surgeries or injuries and how symptoms changed over time

Review of imaging

If you’ve had imaging, we review it to understand the full picture and rule in/out other priorities:

  • MRI (common for disc/nerve evaluation)
  • CT (sometimes useful post-surgery or for bony detail)
  • X-rays (alignment, stability, degenerative changes)

If updated imaging is needed, we’ll explain why—because the goal is making sure we’re treating the correct pain generator.

Prior treatments tried

SCS trials are usually considered after a patient has already made a good-faith effort with conservative and interventional options, such as:

  • Physical therapy and a structured exercise plan
  • Medication optimization (with a least drug-dependent approach whenever possible)
  • Injections (epidural steroid injections, nerve blocks, etc.)
  • Other minimally invasive procedures when appropriate

Screening steps often used in SCS workups

Depending on your case, additional steps may include:

  • Diagnostic blocks in some situations to better clarify pain sources
  • Psychological screening (when required)

This is not a “pass/fail” judgment. It’s a standard part of many SCS pathways because chronic pain affects sleep, mood, coping, and outcomes. The purpose is to support safety and long-term success—not to dismiss anyone’s pain.

Clear goal-setting: defining “success”

Before we ever place trial leads, we help you define what success would actually look like, such as:

  • Sleeping through the night with fewer wake-ups
  • Walking longer without needing to stop
  • Sitting/driving with less pain
  • Completing work and home tasks with less limitation
  • Reducing reliance on certain medications (when appropriate)

How the SCS Trial Procedure Works

Pre-procedure planning

Before the procedure, we’ll review:

  • Medications (especially blood thinners and diabetes meds)
  • Allergies and medical history
  • Any special precautions for your situation

You’ll also receive clear instructions on what to do the day before and day of the trial.

Driver requirements and sedation plan

  • Many patients need a driver, especially if sedation is used.
  • Sedation varies depending on the plan and patient needs—some patients do well with local anesthetic and minimal sedation; others may require more support.

Day-of procedure basics

On the day of your trial, the process generally includes:

  • Sterile preparation and local anesthetic to keep you comfortable
  • Placement of temporary leads under X-ray guidance to ensure accuracy
  • Initial programming to target the painful areas as effectively as possible
  • Post-procedure instructions and discharge planning

Typical duration and discharge

Most trials are done efficiently, and patients typically go home the same day with:

  • Dressing care instructions
  • Activity guidelines
  • A plan for follow-up and programming adjustments

What to Expect During the Trial

Trial length

Trial duration is typically several days (exact length can vary by practice and individual plan).

Activity guidance (very important)

To reduce the chance of lead displacement and to protect the trial accuracy, you’ll usually be asked to:

  • Avoid bending, twisting, and heavy lifting
  • Keep movements controlled and cautious
  • Follow specific limits on reaching and sudden motions

Keep dressings dry

  • You’ll receive bathing instructions (often sponge-bathing only) to keep the dressing clean and dry.
  • This helps reduce infection risk and helps the leads stay secure.

What you might feel

Depending on the system/settings used, you may notice:

  • Paresthesia (a tingling sensation) with some stimulation modes
    or
  • Paresthesia-free relief with certain modern settings/systems (when available/appropriate)

Programming adjustments are normal

It’s very common to need tweaks during the trial. If coverage isn’t ideal at first, small adjustments can make a big difference—so communication during the trial helps optimize results.

A Clearer Answer Before You Commit

Living with chronic pain can make you feel like your world is shrinking—less sleep, less movement, less freedom, and more frustration. But chronic pain doesn’t mean you’re out of options. The key is finding an approach that matches your pain pattern and goals.

That’s exactly why a spinal cord stimulator (SCS) trial can be so valuable. Instead of guessing, the trial gives you real-world evidence—how you sleep, walk, sit, and function while stimulation is on—so you can see whether this treatment is truly likely to help before you ever consider a permanent implant. When the diagnosis fits and the goals are clear, an SCS trial can be a meaningful step toward better function and a better quality of life.

Schedule a Spinal Cord Stimulator Trial Evaluation in Snellville

If you’re ready for a clearer plan—and you want to explore whether an SCS trial is appropriate for your chronic pain—our team at Medici Orthopaedics & Spine is here to help. We’ll walk you through candidacy, answer your questions, and coordinate next steps with a minimally invasive, coordinated, least drug-dependent approach whenever medically appropriate.

Main Contact: +1-844-328-4624
Website: https://www.mediciortho.com/

Medici Orthopaedics & Spine – Snellville
2220 Wisteria Drive, Unit 101, Snellville, GA 30078
(470) 645-9297

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