Following a successful trial, when both the patient and doctor come to agreement on the correct placement of the impulses to effectively relieve the pain, the leads are removed and a permanent implant is prepared.
The permanent implant is performed when the patient is under sedation or general anesthesia. A number of leads specific to the case will be inserted through, again, a epidural needle or incision at the location that was determined by the trial. Through a small incision, an Implantable Pulse Generator battery is positioned and placed beneath the skin – most often in the buttocks or abdomen regions. The leads are connected to the IPG, and the permanent implant is complete.
The patient will have total control over the pulses that are generated by the IPG via an external wireless programmer. They may use the device to turn the pulses on or off, adjust the level or intensity of pulses, or other functions. The patient may experience swelling at the incision site for several days.