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Percutaneous Peripheral Nerve Stimulation to Control Postoperative Pain, Decrease Opioid Use, and Accelerate

Brian M Ilfeld1, Scott T Ball1, Steven P Cohen2

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Summary
This summary is machine-generated.

Percutaneous peripheral nerve stimulation (PNS) offers a non-opioid solution for orthopedic trauma pain. This therapy shows potential for reducing opioid use and improving function after surgery.

Keywords:
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Area of Science:

  • Orthopedics
  • Pain Management
  • Neuromodulation

Background:

  • Orthopedic trauma presents a significant challenge in military healthcare, leading to disability and reduced readiness.
  • Current pain management often involves opioids, contributing to prolonged use and potential complications.
  • Effective non-opioid analgesia is crucial for recovery and functional restoration in Service members.

Purpose of the Study:

  • To evaluate percutaneous peripheral nerve stimulation (PNS) as a non-opioid therapy for orthopedic trauma.
  • To assess the potential of PNS for postoperative pain management, opioid cessation, and functional improvement.
  • To summarize findings from case series investigating PNS in orthopedic pain contexts.

Main Methods:

  • Review of case series data on percutaneous peripheral nerve stimulation (PNS).
  • Analysis of PNS application in postoperative pain following total knee replacement (TKR).
  • Evaluation of PNS for postamputation pain management.

Main Results:

  • Percutaneous PNS demonstrated substantial pain relief in multiple case series.
  • The therapy facilitated early cessation of opioid use postoperatively.
  • Improved functional outcomes were observed in patients treated with PNS.

Conclusions:

  • Percutaneous PNS shows significant potential as a non-opioid analgesic for orthopedic trauma.
  • This neuromodulation technique may enhance recovery and reduce reliance on opioids.
  • Further investigation into PNS for military orthopedic trauma is warranted.