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Peripheral Nerve Stimulation for Pain Management: A Review.
Robert M Chow1, Ryan Yesung Lee2, Kanishka Rajput3
1Department of Anesthesiology, Yale University School of Medicine, 333 Cedar St, New Haven, CT, TMP306510, USA.
Current Pain and Headache Reports
|July 31, 2023
Summary
Peripheral nerve stimulation (PNS) shows promise for chronic pain, but evidence is mixed. Temporary percutaneous PNS may offer lasting relief and improved function without permanent implants.
Area of Science:
- Neurology
- Pain Management
- Medical Devices
Background:
- Peripheral nerve stimulation (PNS) is increasingly used for chronic pain, particularly neuropathic pain.
- Indications for PNS have broadened beyond specific nerve injuries to include conditions like chronic low back pain.
Purpose of the Study:
- To review current evidence on PNS for chronic pain syndromes.
- To explore emerging evidence for PNS in the immediate postoperative setting.
Main Methods:
- Systematic review of existing literature on PNS efficacy and outcomes.
- Analysis of studies investigating short-term percutaneous PNS applications.
Main Results:
- Conflicting evidence exists regarding the efficacy and long-term outcomes of PNS, often due to small study sizes.
- Percutaneous PNS over 60 days may yield significant carry-over pain relief and functional improvement.
- This approach may negate the need for permanently implanted systems.
Conclusions:
- PNS is a developing field with expanding applications in chronic pain management.
- Temporary percutaneous PNS presents a viable option for pain relief and functional enhancement, potentially avoiding permanent hardware.
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