Medtronic 97745 User Manual
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5 Adjusting your
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stimulation
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Introduction
Various features are available for adjusting
your stimulation. Each type or model of
neurostimulator provides a unique set of
stimulation features.
Stimulation features
Using the basic neurostimulation features, you
can adjust the intensity, pulse width, and rate
settings for your stimulation. For complete
information, see "Changing parameter and
stimulation settings" on page 101.
For information about Single and Group
mode, refer to "Programming modes" on
page 100.
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For information about AdaptiveStim, refer to
"Using AdaptiveStim" on page 117.
Adjusting stimulation settings
As your activities vary throughout the day, your
therapy needs may change. The controller
allows you to turn stimulation on and off, switch
from one programmed stimulation option to
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another, and adjust the intensity, pulse width,
and rate of the stimulation. Talk to your
clinician about the settings that apply to your
therapy.
Your clinician programs the available functions
and specifies the settings you can adjust with
your controller. Discuss this with your
clinician.
There is often more than one way to change
stimulation settings. These instructions
describe the most common ways.
Note: When a stimulation setting is changed,
you will see the change when accessing a Pain
area through the Home screen.
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To receive the most effective therapy, some
days you may need to adjust your stimulation
several times; other days you may not need to
adjust it at all. Your clinician will provide
complete guidelines about when you may want
to adjust your stimulation.
Table 5.1 provides general guidelines for
adjusting your stimulation. For additional
adjustment guidelines, refer to the sections on
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the specific features associated with your
neurostimulator.
Table 5.1 General stimulation adjustment
Situation Action
Stimulation is too strong Decrease intensities or pulse
Stimulation is not strong
enough
Stimulation covers too
much area
Stimulation does not cover
painful area
The pulses (tapping
sensations) feel too slow
The pulses (tapping
sensations) feel too fast
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guidelines
width(s).
Increase intensities or pulse
width(s).
Decrease intensities or pulse
width(s) or change to a
different program or group.
Increase intensities or pulse
width(s) or change to a
different program or group.
Increase rate.
Decrease rate.
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Table 5.1 General stimulation adjustment
guidelines (continued)
Situation Action
You have unexpected
changes in stimulation
You have tried adjusting
stimulation but are unable
to find an effective setting.
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1. Turn off the
neurostimulator.
2. Decrease intensities,
turn on the
neurostimulator, adjust
parameters, and slowly
increase intensities to
the desired level.
or
Change to a different
program or group and
turn on the
neurostimulator.
Contact your clinician.
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Table 5.1 General stimulation adjustment
Situation Action
You will be passing through
a theft detector or security
device
You will be using
potentially dangerous
equipment
You will be having a
medical procedure
Programming modes
Your clinician will choose one of two
programming modes, Single or Group mode
in order to best meet your stimulation needs.
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guidelines (continued)
Before engaging in these
activities, consult "Appendix
A: Electromagnetic
interference (EMI)" on
page 225 for details.
Single mode–This programming mode
•
allows you to adjust stimulation settings for
individual pain areas.
Group mode–This programming mode
•
allows you to adjust stimulation settings for
a group of pain areas.
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The programming mode selected by your
clinician determines what is displayed on
the Home screen (Figure 5.1).
Single mode Group mode
Figure 5.1 Programming modes displayed on the
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Home screen.
Changing parameter and
stimulation settings
The Home screen displays the Pain areas that
your clinician has programmed for stimulation
(Figure 5.2). You may be able to adjust certain
parameters and stimulation settings set up by
your clinician.
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Single mode Group mode
Figure 5.2 Pain area buttons on the Home
Note: If you have only 1 pain area and no
additional parameter or stimulation settings,
you may not be able to access pain area
settings through the Home screen.
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Pain area buttons
screen.
After pressing a Pain area button on the Home
screen, the Pain area will display the available
settings (Figure 5.3).
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Figure 5.3 Pain area settings.
Refer to Table 5.2 for a description of
parameter and stimulation settings and where
to find information for those settings.
Note: Some settings may not be available
depending on what your clinician has
programmed for your neurostimulator.
Table 5.2 Parameter and stimulation settings
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Exit button
Settings
Down button
Button Description
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Intensity—Controls the strength of the
stimulation.
Refer to "Increasing or decreasing a
parameter (intensity, pulse width, or
rate)" on page 106.
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Table 5.2 Parameter and stimulation settings
Button Description
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(continued)
Stimulation—On or off setting for
stimulation.
Refer to "Turning stimulation on or off for
individual pain areas" on page 110.
Rate—Sets the speed of the stimulation
pulses.
Refer to "Increasing or decreasing a
parameter (intensity, pulse width, or
rate)" on page 106.
AdaptiveStim—Turns AdaptiveStim on
or off. This feature is only available for
the implanted neurostimulator.
Refer to "Turning AdaptiveStim on or off"
on page 124.
Pulse width—Sets the length of the
stimulation pulse. It affects the strength
and coverage area of the stimulation.
Refer to "Increasing or decreasing a
parameter (intensity, pulse width, or
rate)" on page 106.
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