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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
Temporary Peripheral Nerve Stimulation as Treatment for Chronic Pain
Alaa Abd-Elsayed1, Mitchell K Keith2, Nancy N Cao2
1Department of Anesthesiology, Division of Chronic Pain Medicine, University of Wisconsin-Madison School of Medicine and Public Health, 600 Highland Avenue, B6/319 CSC, Madison, WI, 53792-3272, USA. alaaawny@hotmail.com.
Peripheral nerve stimulation (PNS) therapy significantly reduced chronic pain scores in patients refractory to conventional treatments. This therapy offers a promising alternative for pain management, showing a mean pain reduction of approximately 49%.
Area of Science:
- Neurology
- Pain Management
- Medical Devices
Background:
- Chronic pain affects millions globally, with limited relief from conventional treatments.
- The opioid epidemic necessitates exploring alternative pain management strategies.
- Peripheral Nerve Stimulation (PNS) therapy is an emerging option for refractory chronic pain.
Purpose of the Study:
- To evaluate the efficacy of PNS therapy in adult patients with chronic pain.
- To assess pain reduction in patients unresponsive to traditional treatments.
- To analyze PNS therapy's effectiveness across various anatomical locations.
Main Methods:
- Retrospective analysis of electronic health records from 89 patients undergoing PNS therapy.
- Collected data included demographics, diagnoses, targeted nerves, and pain scores (pre- and post-therapy).
- Statistical analysis utilized paired t-tests to determine significance (p ≤ 0.05).
Main Results:
- Mean pre-operative pain score was 6.36, decreasing to 4.19 post-PNS therapy.
- A statistically significant reduction in pain scores was observed (p < .001).
- Patients reported an average pain improvement of 49.04%, with a mean duration of improvement of 123 days.
Conclusions:
- PNS therapy shows potential for improving patient-reported pain in various neuropathies.
- Further research is needed to confirm efficacy and assess complications of PNS device placement.
- PNS therapy represents a viable alternative for chronic pain management.
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