What to Expect After Spinal Cord Stimulator Surgery

If you’re searching for “what to expect after spinal cord stimulator surgery,” you’re not alone. Most patients look this up because they want reassurance—and a clear, realistic roadmap for recovery. It’s completely normal to feel some anxiety about the days and weeks after surgery, especially if you’re already living with chronic pain and you’re hoping this next step finally brings meaningful relief.

Common questions we hear include:

  • “How long will I be sore?”
  • “When can I drive, work, or exercise again?”
  • “What’s normal healing… and what’s a warning sign?”
  • “How do I use or adjust the stimulator?”

The good news is that recovery after spinal cord stimulator surgery is usually step-by-step, and most patients do best when they have clear guidance, realistic expectations, and consistent follow-up support. You don’t have to figure it out on your own—and you shouldn’t have to “guess” whether what you’re feeling is normal.

At Medici Orthopaedics & Spine, our physician-led team is experienced in comprehensive pain care, including neuromodulation options like spinal cord stimulation. Under the direction of Dr. Sonny Dosanjh, M.D., our approach is evidence-based and least-invasive whenever possible, with a strong emphasis on helping patients move better, feel better, and regain quality of life. Just as importantly, we support patients before and after procedures—because outcomes improve when recovery is guided, not rushed.

Right After Surgery: The First 24–72 Hours

Typical Immediate Post-Op Experience

Incision Soreness, Swelling, and Bruising
It’s normal to have soreness and tenderness at the incision sites, along with some swelling or bruising.

“Pocket” Discomfort Where the Battery Sits
Many patients notice soreness, pressure, or a bruised feeling where the generator was placed. This is especially common when sitting, changing positions, or sleeping.

Temporary Increase in Pain Due to Procedure Irritation
Even if the stimulator will help long-term, it’s normal to feel temporarily more sore at first because tissues were manipulated during the procedure.

Post-Anesthesia Effects

It’s common to have:

  • Fatigue or grogginess
  • Mild nausea
  • Constipation risk (especially if pain medication is used)

Staying hydrated and following your discharge instructions can make these effects easier to manage.

Pain Control Expectations (General Guidance)

Pain control is usually focused on keeping you comfortable enough to:

  • Rest and sleep
  • Move safely (short walks, basic activities)
  • Avoid over-relying on medication long-term

Your doctor will give specific instructions for any prescribed medications—follow those exactly, and avoid adding extra medications unless your care team confirms it’s safe.

Driving and Transportation

Most patients should not drive immediately after surgery. Reasons include:

  • Post-anesthesia effects
  • Pain medication side effects
  • Limited twisting/turning early on (which can strain healing tissues)

Plan for someone to drive you home and help with transportation until your provider clears driving.

Wound Care and Incision Healing

What “Normal” Looks Like

Many patients notice:

  • Mild redness right around the incision
  • Soreness or tenderness
  • A small amount of swelling

This should gradually improve, not worsen.

Keeping the Incision Clean and Dry

In general, you’ll be advised to:

  • Keep the area clean
  • Avoid soaking or submerging incisions early on
  • Avoid applying lotions, ointments, or topical products unless specifically instructed

Showering and Bathing Guidance

Showering restrictions vary depending on closure type and surgeon preference. Some patients can shower after a certain time window; others need longer. The key rule: follow your surgeon-specific instructions rather than a generic timeline.

Bandages, Steri-Strips, or Surgical Glue

You may have:

  • A bandage that needs to stay on for a set period
  • Steri-strips that fall off naturally
  • Surgical glue that should not be picked or scrubbed

Infection Prevention Basics

Good incision care includes:

  • Clean hands before touching near the area
  • Avoiding friction from tight clothing
  • Watching for changes that suggest infection (increasing redness, warmth, drainage, fever)

Stitches or Staples Removal (If Applicable)

Some closures dissolve on their own. If you have staples or non-dissolving stitches, you’ll be given a follow-up appointment for removal.

Activity Restrictions: Protecting Leads While They Scar In

Why Restrictions Matter

The main concern early on is lead migration, meaning the lead moves from the intended position. If that happens, pain relief can change dramatically, and additional intervention may be needed.

Typical Early Restrictions (First Several Weeks)

Most patients are instructed to avoid:

  • Bending, twisting, and heavy lifting
  • Overhead reaching or aggressive stretching
  • High-impact activities (running, jumping, intense workouts)

Your care team will tell you exactly what “heavy lifting” means for your case.

Safe Movement Tips

Small technique changes can protect healing tissues:

  • Log-roll out of bed (avoid twisting your spine)
  • Keep your spine neutral during transitions (sitting/standing)
  • Take short, frequent walks to prevent stiffness and support circulation

Walking is often encouraged because it promotes recovery without stressing the leads.

Work Restrictions and Return-to-Work Guidance

Return-to-work timing varies based on:

  • Whether your job is desk-based or physical
  • How much lifting, bending, or driving is required
  • Your pain level and healing progress

Your provider will usually outline restrictions for your employer if needed.

When Physical Therapy Is Considered

Physical therapy may be introduced after the initial healing period to:

  • Restore mobility safely
  • Improve strength and posture
  • Support long-term function without stressing the implant

Recovery Timeline: What to Expect Week by Week

Days 1–3

  • Incision soreness, swelling, and “battery pocket” tenderness are common
  • Rest, hydration, and short frequent walks are often encouraged
  • Protect incisions and avoid bending/twisting to reduce strain

Week 1–2

  • Walking usually increases gradually as comfort improves
  • Some people reduce reliance on pain medication (varies widely)
  • You may begin early programming basics and get more confident using the remote
  • Restrictions remain important to protect the leads

Weeks 2–6

  • Continued healing with improving incision comfort for many patients
  • Activity restrictions still matter (this is a key window for lead stability)
  • Programming adjustments are common as your body changes and you become more active

After 6–12 Weeks

  • Many patients progress toward more normal activity (with provider clearance)
  • Strengthening and longer-term conditioning may begin
  • Your team fine-tunes programming around real-life needs (work, walking, sleep, hobbies)

Long-Term Living With a Spinal Cord Stimulator

Battery Types: Rechargeable vs Non-Rechargeable

  • Rechargeable: smaller batteries are common; you’ll charge on a schedule
  • Non-rechargeable: no charging, but the battery is replaced when it runs out
    Your device choice depends on your needs, energy usage, and physician recommendation.

Charging Routines and Best Practices (If Rechargeable)

  • Establish a consistent routine (many people charge weekly or as advised)
  • Keep charging sessions calm and predictable
  • If charging becomes difficult or inconsistent, tell your team—there are often simple fixes

Follow-Up Schedule and Maintenance Programming

Periodic follow-ups help:

  • Fine-tune programs as your activity level changes
  • Address new pain patterns or breakthrough symptoms
  • Ensure the device continues supporting function long-term

Travel Considerations

  • Carry your device ID card, especially for airport security
  • Expect metal detectors/security screening to require special handling
  • Follow manufacturer guidance for scanners and hand wands as instructed by your team

MRI and Imaging Considerations

MRI safety depends on the device model and how it was implanted. Some systems are MRI-conditional, meaning MRI may be possible under specific conditions. Always:

  • Tell imaging staff you have an implanted device
  • Confirm MRI compatibility through your physician/device information before scheduling

Lifestyle Considerations

Exercise progression

  • Many patients return to exercise gradually after clearance
  • Your team may recommend low-impact conditioning and core/hip strengthening for long-term spine support

Weight changes and device comfort

  • Weight loss or gain can change how the generator feels under the skin
  • If the pocket becomes uncomfortable, your physician can evaluate options

When batteries/leads may need revision

  • Over time, some patients may need battery replacement or, less commonly, lead revision—your team monitors this and plans proactively.

Get Support Before and After Spinal Cord Stimulator Surgery

Recovering from spinal cord stimulator surgery can feel like a lot—new sensations, activity restrictions, programming adjustments, and the constant question of “Is this normal?” The truth is: you shouldn’t have to navigate recovery alone. Having the right team in your corner can make the process less stressful and far more successful—because the best outcomes usually come from clear guidance, thoughtful follow-up, and a plan that adapts as you heal.

At Medici Orthopaedics & Spine, we take a patient-centered, least-invasive approach to pain care and neuromodulation. Under the leadership of Dr. Sonny Dosanjh, M.D., our physician-led team focuses on evidence-based strategies that help patients move toward real improvement—not just temporary symptom coverage. That includes support before procedures, careful oversight during recovery, and ongoing help with questions like programming changes, activity progression, and long-term pain management planning.

Contact Medici Orthopaedics & Spine

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

Ambulatory Surgery Centers

Marietta
792 Church Street, Unit 101
Marietta, GA 30060
📞 (470) 795-8398

Snellville
2220 Wisteria Dr, Unit 100
Snellville, GA 30078
📞 (470) 795-8398

Clinics

Kennesaw
2911 George Busbee Parkway, Suite 50
Kennesaw, GA 30144
📞 (770) 545-6404

Snellville
2220 Wisteria Drive, Unit 101
Snellville, GA 30078
📞 (470) 645-9297

Buckhead PM&R
3200 Downwood Circle, NW, Suite 520
Atlanta, GA 30327
📞 (770) 872-7549

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