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Peripheral Subcutaneous Electrostimulation for Control of Intractable Post-operative Inguinal Pain: A Case Report
L W Stinson1, G T Roderer, N E Cross
1Advanced Pain Center of Alaska, Anchorage, Alaska and Department of Anesthesiology, University of Arizona, Tucson, Arizona.
Neuromodulation : Journal of the International Neuromodulation Society
|December 14, 2011
Summary
Percutaneous peripheral electrostimulation offers a novel, effective treatment for intractable inguinal neuralgia. This approach provided significant pain relief and improved function in post-herniorrhaphy patients.
Area of Science:
- Neurology
- Pain Management
- Surgical Innovation
Background:
- Intractable inguinal neuralgia can significantly impair function.
- Pain is often refractory to conventional medical management post-herniorrhaphy.
Purpose of the Study:
- To present a novel treatment for intractable inguinal neuralgia.
- To evaluate percutaneous peripheral electrostimulation for post-herniorrhaphy pain.
Main Methods:
- Peripheral electrostimulation was trialed and implanted in three patients.
- Dual octipolar peripheral nerve stimulators were placed near the injured nerve.
Main Results:
- All patients achieved 75-100% pain relief at 3, 10, and 12 months.
- No complications were reported.
- Patients reduced medication, increased activity, and returned to employment.
Conclusions:
- Percutaneous peripheral electrostimulation appears effective and safe for intractable inguinal neuralgia.
- The technique may offer a cost-effective solution for post-surgical pain.
