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How DBS Works

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During DBS Therapy, a small, pacemaker-like device sends electronic signals to an area in the brain that controls movement. These signals block some of the brain messages that cause annoying and disabling motor symptoms. The device is placed under the skin in the chest (not in the brain). Very thin wires connect the device to your brain to enable the signals to reach the source of your symptoms.

What to Expect During Therapy

After the system is placed in your body, your doctor will adjust the settings to optimize the therapy for you. Getting the initial settings right may take several programming sessions. Later, your settings can be adjusted if your symptoms change. Most people don’t feel the stimulation. Some people may feel a brief tingling when the stimulation is first turned on. A few weeks after the procedure, you can go back to your normal daily activities. Always following your doctor’s instructions, you can gradually try activities that had become difficult for you.

So that you can receive DBS Therapy, a device similar to a pacemaker is placed under the skin in your chest. Very thin wires connect the device to your brain to enable the signals to reach the source of your symptoms. Here’s what to expect during and after the procedure that makes therapy possible.

Having the Procedure

The duration and steps of the implant procedure can vary, and the procedure typically lasts several hours. The hospital stay is usually a few days for the preoperative tests, planning, implant procedure, and initial recovery before home care. Your surgical team will include:

  • A neurologist
  • A neurosurgeon specialized in DBS Therapy
  • Other healthcare professionals

People who have had the procedure usually describe it as demanding and exhausting rather than painful. Afterwards, you may have some discomfort and soreness that can be managed with pain medication.

Implanting the Leads

In the first part of the procedure, your neurosurgeon places the leads in a precise part of your brain. Your brain is mapped with an MRI or CT scan. You will be awake so you can help your surgeon determine the best place for the lead. You will be lightly sedated and will not experience pain. Your surgeon may test stimulate areas of your brain while you move your arms or legs, tap your fingers, move your hands, or pretend to drink from a cup. This helps your surgeon find the best lead position to control symptoms like tremor, rigidity, or slowness of movement.

Implanting the Neurostimulator

The neurostimulator may be implanted the same day or later. You will be sedated and asleep for this part of the procedure. The surgeon begins by checking to see that the leads are properly positioned. The neurostimulator is placed under the skin of your chest just below the collar bone. The surgeon will also connect the lead to the neurostimulator with extensions that are placed under the skin, leading up from the chest to your neck and head.

Healing

People usually go home a few days after the surgery. Healing can take several weeks. Discomfort or pain at the incision sites can be managed with medication. When you are sent home to heal, typically your device will not be turned on until your first programming session. For several weeks you will avoid strenuous activity, arm movements over your shoulder, and excessive stretching of your neck. You may gradually want to try activities that were difficult before your surgery. Talk about this with your doctor first, and be sure to follow all of your doctor’s instructions.

Programming Sessions

After you have healed from the procedure, your doctor will program the device to best control your individual symptoms while minimizing side effects. You will return for follow-up sessions to further adjust the settings. Periodic adjustments are a routine part of DBS Therapy. After the initial programming, people with tremor may feel a brief tingling sensation, and usually experience relief from symptoms almost immediately. However, results vary. People with other symptoms of Parkinson’s disease often do not feel any sensation, and the full effect of the therapy may not be immediate. You will see the best results after the system has been fine-tuned for your specific symptom control needs. It may take several months to reach maximum effect. Depending on the system and your therapy needs, you may have a controller that will allow you to turn the system on and off, adjust the stimulation, and check the battery.

What Are the Risks of the DBS Therapy Implant Procedure?

DBS Therapy requires brain surgery. Risks of brain surgery may include serious complications such as coma, bleeding inside the brain, seizures and infection. Some of these may be fatal. Once implanted, the system may become infected, parts may wear through your skin, and the lead or lead/extension connector may move. Medtronic DBS Therapy could stop suddenly because of mechanical or electrical problems. Any of these situations may require additional surgery or cause your symptoms to return. Talk to your doctor about the risks that may be applicable to your specific situation.

Accepted Insurances

Note: Health plans that are currently contracted with UHealth are listed below. However, please check with your insurance provider to verify that UHealth is part of your provider network.

  • Aetna WC
  • Aetna Affiliates/Signature Adm (ASA)
  • Aetna Behavioral Health
  • Aetna Elect Choice (EPO)
  • Aetna Florida Healthy Kids
  • Aetna HMO
  • Aetna Medicaid HMO
  • Aetna Medicare HMO
  • Aetna Medicare PPO
  • Aetna POS
  • Aetna PPO
  • Aetna UM Employee HMO 1
  • Aetna UM Employee HMO 2
  • Aetna UM Employee POS HRA
  • Aetna/Coventry Institutes of Excellence (IOE)
  • Amerigroup Florida Healthy Kids
  • Amerigroup Medicaid HMO
  • Argus Vision
  • AvMed Choice
  • AvMed HMO/POS
  • AvMed MDC and JHS Groups
  • AvMed Medicare HMO
  • AXIS
  • BCBS Blue Options Network Blue PPO
  • BCBS BlueCare HealthOptions HMO
  • BCBS BlueChoice PPC/PPO
  • BCBS Miami Dade Blue PPO Limited Benefits Plan
  • BCBS of Florida (All products except "SELECT" Plans)
  • BCBS of Florida (Commercial plans exclude HIX Select)
  • BCBS Traditional PHS/PPO
  • Beacon Health (ValueOption)
  • Beech Street PPO
  • Broward Health Medical Center
  • CarePlus Medicare HMO
  • Catholic Hospice
  • CCP/CMS Title XIX (Medicaid Enrolled in South Florida)
  • CCP/CMS Title XXI (Non Medicaid Enrolled in South Florida)
  • CCP/MMA (Broward County residents)
  • Charlotte County Sheriffs Office PPO
  • Cigna Affiliates
  • Cigna Behavioral Health
  • Cigna Dental HMO/PPO
  • Cigna EPO
  • Cigna HMO
  • Cigna Life Source (Intracorp is part of Cigna Lifesource)
  • Cigna MDCPS Jackson Sr. High
  • Cigna POS
  • Cigna PPO
  • Cigna Shared Administration
  • Clear Health Alliance SNP Medicaid HMO
  • CompCare (Comprehensive Behavioral Care)
  • Concordia Behavioral Health
  • CorVel WC
  • Coventry First Health WC
  • Coventry Health Care of Florida (HIP) HMO/POS
  • Coventry Health Care of Florida (HIP) PPO
  • Coventry Health Plan of Florida (Foundation) HMO
  • Coventry Health Plan of Florida (Foundation) POS
  • Coventry National PPO
  • Coventry Summit Medicare HMO
  • Coventry Vista Medicare HMO
  • Coventry Vista Medicare HMO
  • Delta Dental PPO
  • DentaQuest (ADI)
  • DIKLA
  • Dimension WC
  • Dimension Plus PPO
  • EHN PPO
  • EQUIAN (Health Systems International)
  • Europe Assistance/Global Corporate Solutions (Care Management Network)
  • eyeQuest
  • FCCI WC
  • Florida Healthcare Plan (Affiliate of BCBSFL)
  • Florida PACE (FPC)
  • Freedom Health Medicaid HMO
  • Freedom Health Medicare HMO
  • Gallagher Bassett WC (MDCPS & FCSRMC)
  • Global Excel Mgt PPO
  • Global Health Claims Services
  • Great West (Cigna) HMO/POS
  • Guardian Life PPO
  • HAA Preferred Partners
  • Health First Health HMO/POS
  • Health First Health Medicare HMO
  • Health First Health PPO
  • Health Net Veterans Choice HMO
  • Heritage Summit Healthcare WC
  • Humana Behavioral Health (LifeSynch)
  • Humana Dental/CompBenefits/OHS
  • Humana EPO
  • Humana HMO
  • Humana HUMx
  • Humana Medicaid HMO
  • Humana Medicare HMO
  • Humana National Transplant
  • Humana PPO
  • Humana Premier
  • iCare Health Solutions
  • Interlink Health Services
  • International Kids Fund (IKF)
  • League Medical Concepts Federal Inmates
  • Life Trac
  • Magellan Behavioral Health
  • Magellan Complete Care SNP Medicaid HMO
  • MDAbroad
  • Medica Medicare HMO
  • Medical Development In't (MDI)-Federal Inmates
  • Medicus
  • Metlife Dental PPO
  • MHNet Behavioral Network (MHNet)
  • Molina
  • Molina Market Place
  • Molina Medicaid HMO
  • Molina Medicare HMO
  • Morgan White International
  • MultiPlan PPO
  • Naphcare (Federal Prisoners)
  • National Healthcare Solutions Inc.
  • Neighborhood HealthPlan HMO/POS
  • Neighborhood HealthPlan PPO
  • North Broward Hospital District PPO
  • Olympus Managed Healthcare
  • Optum
  • Positive Healthcare SNP Medicaid HMO
  • Positive Healthcare SNP Medicare HMO
  • Prestige Health Choice Medicaid HMO
  • Prime Health Services WC
  • Quality Health Management
  • Religious Order of Jehovah's Witnesses PPO
  • Rockport Healthcare Group WC
  • Royal Caribbean Cruises PPO
  • Sanus Health Corporation
  • Simply Healthcare Medicaid HMO
  • Solstice Dental HMO/PPO
  • Start Healthcare Network
  • Sunshine
  • Sunshine AMBETTER
  • Sunshine Healthy Kids HMO
  • Sunshine Medicaid HMO
  • Sunshine Medicare HMO
  • Tricare South Prime HMO
  • Tricare South Standard PPO
  • United Behavioral Health (UBH)
  • UnitedHealthcare Affiliates
  • UnitedHealthcare Healthy Kids HMO
  • UnitedHealthcare HMO/POS
  • UnitedHealthcare Medicaid HMO
  • UnitedHealthcare Medicare Nursing Home Plan
  • UnitedHealthcare PPO
  • University of Miami Athletic Dept PPO
  • VUMI
  • Wellcare/Staywell Healthy Kids HMO
  • Wellcare/Staywell Medicaid HMO
  • Wexford Health State Inmates
  • Worldwide Managed Care