Spinal Cord Stimulator for CRPS in North Carolina Workers’ Comp Cases (2025)

Complex regional pain syndrome (CRPS) is a debilitating condition that can make recovery from workplace injuries particularly challenging. For those with severe or treatment-resistant CRPS, a spinal cord stimulator for CRPS in North Carolina workers’ comp cases may provide relief when other therapies have failed.

This device interrupts pain signals to the brain and is increasingly used to address chronic pain and improve mobility. However, navigating the process of securing approval for a spinal cord stimulator through workers’ compensation can be complex, requiring clear medical evidence and strong legal advocacy. Understanding its role and impact on your claim is crucial.

What Is a Spinal Cord Stimulator and How Does It Help CRPS?

A spinal cord stimulator (SCS) is a medical device implanted near the spinal cord to manage chronic pain by disrupting nerve signals before they reach the brain. For individuals with CRPS, this treatment can provide significant relief from severe and persistent pain. The stimulator uses electrical pulses to mask pain signals, often reducing the need for medications and improving mobility and daily function.

CRPS patients who have not responded to conventional treatments, such as physical therapy or medications, may benefit from an SCS. While not a cure, the device offers hope for those struggling with debilitating pain. Its ability to enhance quality of life makes it a valuable option in North Carolina workers’ compensation cases, especially when supported by medical evidence.

When Is a Spinal Cord Stimulator Covered by Workers’ Compensation?

In North Carolina, a spinal cord stimulator may be covered under workers’ compensation if it is deemed medically necessary and directly related to a workplace injury. Approval typically requires a thorough evaluation by medical professionals who can establish that other treatments have failed to manage the pain effectively.

Workers’ compensation insurers often request additional documentation, such as medical records, diagnostic test results, and evidence of unsuccessful alternative treatments, to justify the cost of an SCS. Securing approval may also involve undergoing a psychological evaluation to confirm suitability for the procedure. Legal guidance can help ensure that your claim is properly documented and that all necessary steps are taken to prove eligibility for coverage.

Challenges in Getting a Spinal Cord Stimulator Approved

Obtaining approval for a spinal cord stimulator through workers’ compensation can be a complex and frustrating process. Insurers may challenge the necessity of the procedure, arguing that other treatments should be tried first or questioning the connection between the injury and CRPS. These delays can lead to prolonged suffering, financial strain, and uncertainty for injured workers, further complicating their recovery journey.

It’s critical to provide thorough medical documentation and seek second opinions from professionals to overcome these challenges. Legal representation can also be invaluable, ensuring that insurance company tactics are effectively countered while advocating for your rights.

Advocating for your medical needs often requires persistence, comprehensive evidence, and legal support to secure the treatment you deserve under North Carolina’s workers’ compensation system.

How a Spinal Cord Stimulator Impacts Workers’ Compensation Settlements

The inclusion of a spinal cord stimulator in your workers’ compensation claim can significantly influence your settlement. The high cost of the device, along with surgical implantation and follow-up care, often increases the overall value of the claim. The stimulator’s impact on your pain management and functionality can affect your impairment rating, which directly influences the compensation you receive for permanent disability.

By demonstrating the long-term benefits and necessity of the procedure, your settlement may account for ongoing medical needs and potential future complications. Legal guidance is essential to ensure that these factors are fully considered in negotiations, helping you secure the resources needed for your recovery and future well-being.

FAQs

What Is the Average Settlement for a Spinal Cord Stimulator?

Settlements involving spinal cord stimulators vary significantly based on factors like the cost of the procedure, ongoing medical care, and the impact on earning capacity. These settlements often account for surgery, device implantation, follow-up treatments, and rehabilitation. Evaluating the specifics of your case, including medical records and work restrictions, is essential to estimate a fair settlement amount.

Does a Spinal Cord Stimulator Work With CRPS?

A spinal cord stimulator can provide relief for some individuals with complex regional pain syndrome, particularly when other treatments fail. By delivering mild electrical impulses, the device may reduce pain signals sent to the brain. Effectiveness varies, and candidates typically undergo a trial period to determine if the stimulator improves their symptoms before permanent implantation.

Will Workers’ Compensation Cover a Spinal Cord Stimulator for CRPS?

Workers’ compensation may cover a spinal cord stimulator if it is medically necessary and directly related to your workplace injury. Approval typically requires extensive documentation, including medical records, diagnostic results, and evidence that other treatments have failed.

In North Carolina, a spinal cord stimulator may also require a psychological evaluation to confirm its suitability for pain management. If coverage is denied, your workers’ compensation attorney can appeal the decision and ensure your rights are protected.

How Does a Spinal Cord Stimulator Affect My Workers’ Compensation Settlement?

A spinal cord stimulator can significantly impact your workers’ compensation settlement due to its high cost and the potential for long-term care needs. The settlement may include expenses for the procedure, follow-up care, and any complications. Additionally, the device’s ability to improve or stabilize your condition may influence your impairment rating and future wage-loss benefits. Legal guidance can help ensure your settlement fully accounts for these factors.

Schedule Your Spinal Cord Stimulator Consultation Today

If you are considering a spinal cord stimulator for CRPS in a North Carolina workers’ compensation case, the process can be daunting, but you don’t have to face it alone. At the Law Office of Lyndon R. Helton, PLLC, we are committed to helping injured workers navigate the complexities of workers’ compensation claims.

From securing approval for medical treatments to negotiating fair settlements, we can ensure your rights are protected every step of the way. Contact our office today to schedule a consultation and learn how we can assist you in seeking the compensation and care you deserve.