Lumbar Spinal Cord Neuro-stimulation paddle electrode pain management animations. You will be lying on your front. Your skin will be cleaned. If you are not given a general anesthetic and put to sleep, then local anesthetic will be injected to numb the skin. This may sting for a couple of seconds. A mid-line incision will be made. Muscles will be moved to the side, and some ligament and bone will be removed to make a space large enough to pass the paddle electrode up along the epidural space, next to the spinal cord. If you are awake, some tests will be done using a temporary screener to check the position of the electrode and the pain relief achieved. Then the electrode will be sutured in place. Next a subcutaneous pouch for the impulse generator is prepared over the buttock or lower abdomen. An extension lead is tunneled to the pouch and connected to the electrode at the upper end and the generator. Lumbar Spinal Cord Neuro-stimulation paddle electrode pain management animations.