Decision guide · Updated October 6, 2026
Two different mechanisms
Ask whether the clinician is proposing medication delivery or electrical neuromodulation, and why that mechanism fits your symptoms. The same person may have several types of pain, and a device plan should name which component it is expected to address.
One option changes drug delivery; the other changes nerve signaling. Ask the clinician to identify which part of your pain problem each would address and what remains untreated.
Compare trials and burdens
The clinic lists both services. Discuss how each trial is run and evaluated. A pump needs refills, medication management, and a response plan for interrupted delivery. A stimulator needs programming and device upkeep. Neither system is a maintenance-free procedure.
Write down the expected clinic contact frequency for the first year. A pump needs medication supply and refill coordination; stimulation can require repeated programming. That schedule may affect work, travel, and who can help if a visit is missed.
Compare risks and alternatives
Review surgery, infection, hardware issues, medicine effects, imaging compatibility, and future treatment changes. Write down the follow-up team and emergency contact for the specific device under consideration.
Ask how either device affects MRI planning and care with other clinicians. Keep the exact model identification and treatment team contacts. A backup plan matters most when a pump delivers medicine continuously and an interruption could require urgent assessment.
Questions to ask
- Why does my diagnosis point toward drug delivery or stimulation?
- What must the trial demonstrate for each option?
- Who will provide long-term device care and emergency support?