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Electrical stimulation for treating chronic poststroke shoulder pain using a fully implanted microstimulator with

David T Yu¹, Andrew S Friedman, Evan L Rosenfeld

¹Physical Medicine and Rehabilitation, Virginia Mason Medical Center, Seattle, Washington, USA.

American Journal of Physical Medicine & Rehabilitation

|April 22, 2010

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This study shows implanted peripheral nerve stimulation effectively reduced chronic shoulder pain in a stroke survivor. This innovative treatment offers a new option for managing poststroke pain and improving function.

Area of Science:

Neurology
Biomedical Engineering

Background:

Chronic poststroke shoulder pain is a common and debilitating condition.
Existing electrical stimulation devices for pain management have limitations.

Observation:

A novel, fully implanted microstimulator with a rechargeable battery was used.
The device was percutaneously implanted near the axillary nerve in an outpatient procedure.
A 58-year-old male stroke survivor with chronic hemiparesis received 12 weeks of daily stimulation.

Findings:

Shoulder pain significantly decreased from 8/10 to 4/10 after 12 weeks, and further to 3/10 at 3-month follow-up.
Improvements were noted in passive range of motion and motor function.
The procedure was well-tolerated with no adverse events.

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Implications:

Implanted peripheral nerve stimulation shows promise as a feasible and safe treatment for poststroke shoulder pain.
Further clinical trials are warranted to confirm these findings.
This technology could offer a long-term solution for refractory neuropathic pain.