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hi this is dr. david green with the arizona pain network where we bring you anything and everything education for pain management today the topic is what does it take to get a spinal cord stimulator now for those of you who dont know what a spinal cord stimulator is its a device that is implanted underneath the skin with a battery pack that also doubles as a program generator that has a wire coming out of it that feeds up around the spinal cord and gives off electrical impulses and it can change the way the brain perceives pain signals in whatever area is painful might be your back might be one leg both legs but what it does is it sort of trades out the pain for like a warm tingling type sensation that can be a lot more pleasing than the chronic daily pain so for the person whos had surgery that failed whos had surgery that succeeded but then over the course of a few years developed scar tissue around a nerve root and leg pain resulted there might not be another surgical answer so