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The future of peripheral nerve neurostimulation
1University of Texas Southwestern Medical School, Presbyterian Hospital of Dallas, TX, USA.
Neurological Research
|April 19, 2000
Summary
Peripheral nerve stimulation offers a minimally invasive option for intractable pain. Advances in electrode technology enable new approaches for treating conditions like complex regional pain syndrome (CRPS).
Area of Science:
- Neurology
- Pain Management
- Biomedical Engineering
Background:
- Electrical stimulation of peripheral nerves for intractable pain has faced inconsistent application over 30 years.
- Challenges include defining indications, using approved device technology, and standardizing surgical techniques.
Purpose of the Study:
- To review the evolution of peripheral nerve stimulation techniques.
- To highlight advancements enabling minimally invasive approaches for specific painful conditions.
Main Methods:
- Review of historical and recent developments in peripheral nerve stimulation electrode technology.
- Focus on the transition from circumferential to paddle and percutaneous wire electrodes.
Main Results:
- Evolution from circumferential electrodes to paddle and percutaneous wire electrodes.
- Percutaneous wire electrodes facilitate minimally invasive peripheral nerve stimulation.
Conclusions:
- Minimally invasive peripheral nerve stimulation using percutaneous wire electrodes is now feasible for specific intractable neuropathic pain conditions.
- This advancement addresses limitations of previous techniques and broadens treatment options for conditions like CRPS.