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Suprascapular nerve peripheral nerve stimulation for malignancy-related pain: A case series
Cole Cheney1, Jason Dauffenbach1
1Department of Pain Medicine, Mayo Clinic Health Systems, Mankato, MN, USA.
Interventional Pain Medicine
|September 6, 2024
Summary
Peripheral nerve stimulation effectively treated chronic oncologic shoulder pain in two cases. This approach provided significant pain relief and reduced the need for oral analgesics, suggesting a promising new option for cancer pain management.
Area of Science:
- Pain Management
- Neurology
- Oncology
Background:
- Suprascapular nerve blockade is a recognized diagnostic and therapeutic tool for shoulder pain.
- Peripheral nerve stimulation (PNS) offers sustained pain relief for chronic pain conditions.
- PNS has not been previously explored for managing shoulder pain in cancer patients.
Observation:
- Two patients with chronic, cancer-related shoulder pain were treated with ultrasound-guided PNS targeting the suprascapular nerve.
- The PNS device was placed posteriorly at the suprascapular nerve.
Findings:
- Both patients reported over 50% pain reduction on the numerical rating scale (NRS) at 30 and 98 days post-procedure.
- Patients experienced a decrease in oral pain medication use and associated side effects.
Implications:
- Posterior suprascapular nerve PNS is a feasible technique for treating oncologic shoulder pain.
- This method offers significant pain relief and reduces reliance on analgesics.
- Further large-scale, prospective studies are needed to confirm efficacy and safety.
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