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Updated: Apr 23, 2026

Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
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Peripheral nerve/field stimulation for chronic pain.

Erika A Petersen1, Konstantin V Slavin2

  • 1Department of Neurosurgery, University of Arkansas for Medical Sciences, 4301 West Markham, Slot 507, Little Rock, AR 72205, USA.

Neurosurgery Clinics of North America
|September 22, 2014
PubMed
Summary
This summary is machine-generated.

Peripheral nerve stimulation (PNS) and peripheral nerve field stimulation (PNFS) offer options for neuropathic pain. Candidate selection involves screening and a trial, with risks including device failure and infection.

Keywords:
NeuromodulationNeuropathic painPeripheral nerve field stimulationPeripheral nerve stimulation

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Area of Science:

  • Neuromodulation
  • Pain Management
  • Neurosurgery

Background:

  • Neuropathic pain is a debilitating condition.
  • Current treatments have limitations.
  • Electrical stimulation offers a potential therapeutic avenue.

Purpose of the Study:

  • To describe the principles of peripheral nerve stimulation (PNS) and peripheral nerve field stimulation (PNFS).
  • To outline the patient selection process for these neuromodulation therapies.
  • To highlight potential risks associated with implanted systems.

Main Methods:

  • Utilizes implanted electrodes for electrical stimulation.
  • Involves careful application of inclusion/exclusion criteria.
  • Requires psychological screening and an invasive screening trial.

Main Results:

  • Successful screening trials identify candidates for permanent systems.
  • Improvement in pain severity and disability is a key outcome.
  • Permanent systems aim for long-term neuropathic pain modulation.

Conclusions:

  • PNS and PNFS are viable options for select neuropathic pain patients.
  • Rigorous patient selection is crucial for successful outcomes.
  • Potential risks of implanted neuromodulation devices must be considered.