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An innovative case report detailing the successful treatment of post-thoracotomy syndrome with peripheral nerve field
Tory L McJunkin1, Nicole Berardoni, Paul J Lynch
1Arizona Pain Specialists, Scottsdale, AZ, USA.
Introduction:
The detrimental effects of post-thoracotomy pain syndrome is experienced worldwide; however, an effective treatment regimen remains elusive.
Methods:
We report a case of post-thoracotomy pain syndrome effectively treated with peripheral nerve field stimulation (PNfS).
Results:
In the presented case, the patient underwent permanent placement of the PSfS device after a successful trial period. Upon follow-up the patient has reported even better coverage over her painful areas and admits to 80% and higher reductions in her painful symptoms.
Conclusion:
Although the data are limited, in the aforesaid case report, post-thoracotomy syndrome was effectively treated with the use of PNfS. This resulted in a significant pain perception reduction, increased quality of life and mobility, as well as decreased usage of oral pain medications. This adds to the accumulating case report and case series data that suggest PNfS is showing great promise as a pain reduction modality. Further, it is minimally invasive, can be trialled prior to implantation, and is reversible. Large prospective studies will be required in the future to further evaluate its efficacy before it can be widely accepted and adopted.
