This case underscores the significance of vigilance in monitoring patients with spinal cord stimulators (SCS) for potential complications, even in the absence of symptoms.

Epidural abscess formation, although rare, can occur after SCS implantation and may go undetected if routine follow-ups do not include imaging studies.

Asymptomatic cases like this one illustrate the importance of considering incidental findings during imaging evaluations. Despite the absence of clinical symptoms, the presence of an epidural abscess requires careful management to prevent potential progression to neurological deficits or systemic infection.

Clinicians should maintain a high index of suspicion for complications associated with spinal interventions, particularly in patients with persistent or new pain complaints.

The conservative management approach taken in this case, involving close monitoring and serial imaging, is appropriate given the patient’s asymptomatic status and the absence of neurological compromise.

Ongoing surveillance allows for timely intervention if any changes occur, minimizing unnecessary invasive procedures while ensuring patient safety.

This case also emphasizes the need for clear communication with patients regarding the potential for complications associated with SCS and the importance of follow-up care.

Clinicians must balance the need for intervention against the risks of unnecessary procedures, advocating for patient-centered care that prioritizes both safety and quality of life.