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Spinal Cord Stimulation Trial Date / / DOB: Time: AM / PM ACCOUNT#: 1. I consent to the performance upon the following procedure: Spinal Cord Stimulator Trial (8 electrode contact lead is passed through
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How to fill out spinal cord stimulation trial

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How to fill out spinal cord stimulation trial

01
Find a healthcare professional who specializes in spinal cord stimulation.
02
Schedule an appointment to discuss your pain management options.
03
Discuss the benefits and risks of a spinal cord stimulation trial with your healthcare professional.
04
If deemed suitable for the trial, undergo a thorough medical examination and evaluation.
05
Prepare yourself mentally and emotionally for the trial, as it may involve some discomfort.
06
During the trial, the healthcare professional will implant a temporary electrode near your spinal cord.
07
Take note of any changes in your pain levels and overall well-being during the trial period.
08
Follow any specific instructions given by your healthcare professional regarding activity restrictions or pain management.
09
After the trial period ends, meet with your healthcare professional to discuss the results and determine the next steps.
10
If the trial is successful in providing pain relief, you may be a candidate for a permanent spinal cord stimulation implant.

Who needs spinal cord stimulation trial?

01
Individuals suffering from chronic pain conditions, such as failed back surgery syndrome, complex regional pain syndrome, or neuropathic pain, may benefit from a spinal cord stimulation trial.
02
Candidates for a spinal cord stimulation trial are typically those who have not found sufficient relief from other pain management options.
03
Patients who have tried medication, physical therapy, or other conservative treatments without success may be good candidates for a trial.
04
It is important to consult with a healthcare professional to determine if a spinal cord stimulation trial is appropriate for your specific condition and pain management needs.
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Spinal cord stimulation trial is a temporary procedure that involves implanting a device to deliver electrical signals to the spinal cord for the management of chronic pain.
Spinal cord stimulation trial is typically filed by healthcare providers such as pain management specialists, neurosurgeons, or anesthesiologists.
To fill out a spinal cord stimulation trial, healthcare providers must gather patient information, document medical history, perform physical exams, and obtain consent from the patient.
The purpose of a spinal cord stimulation trial is to test the effectiveness of the treatment in managing chronic pain before committing to a permanent implant.
Information such as patient demographics, medical history, implant details, trial duration, outcome assessments, and adverse events must be reported on a spinal cord stimulation trial.
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