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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
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Peripheral nerve stimulation for neuropathic pain.

Konstantin V Slavin1

  • 1Department of Neurosurgery, University of Illinois at Chicago, Chicago, Illinois 60612, USA. kslavin@uic.edu

Neurotherapeutics : the Journal of the American Society for Experimental Neurotherapeutics
|January 1, 2008
PubMed
Summary

Peripheral nerve stimulation (PNS) offers an effective neuromodulation treatment for neuropathic pain. This review covers current PNS applications and hardware for conditions like neuropathy, neuralgia, and headaches.

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Area of Science:

  • Neurology
  • Pain Management
  • Neurosurgery

Background:

  • Peripheral nerve stimulation (PNS) has a long history in treating neuropathic pain.
  • Renewed interest in PNS is driven by less invasive techniques and broader acceptance of neuromodulation for refractory pain.

Purpose of the Study:

  • To review the existing literature on PNS for neuropathic pain.
  • To outline current indications and commonly used hardware for PNS.

Main Methods:

  • Literature review of published studies on PNS for neuropathic pain.
  • Analysis of established and emerging clinical applications of PNS.

Main Results:

  • Published data indicate that many patients with neuropathic pain benefit from PNS.
  • PNS is effective for established indications (e.g., post-traumatic neuropathy, occipital neuralgia, CRPS) and newer ones (e.g., migraines, cluster headaches, fibromyalgia).

Conclusions:

  • PNS is a viable treatment option for a range of neuropathic pain conditions.
  • Future research and clinical experience are needed to optimize patient selection, procedural choices, and hardware selection for PNS.