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Published on: January 10, 2013
Peripheral Nerve Stimulation for the Treatment of Chronic Neuropathic Lower Extremity Pain: A Case Report
Christian Roehmer1, Dianne Lou2, Christopher Sobey2
1Department of Physical Medicine and Rehabilitation, Vanderbilt University Medical Center, Nashville, TN.
Background:
Peripheral nerve stimulation (PNS) may be an effective treatment for neuropathic pain syndromes of the extremities, even after conventional neuromodulation techniques have failed.
Case Report:
A 71-year-old man with a history of postlaminectomy syndrome presented with chronic left-sided leg pain after receiving no relief after undergoing multiple neuromodulation modalities. The patient subsequently underwent a successful sciatic nerve PNS trial, followed by implantation, achieving 90% pain relief after 6 weeks.
Conclusion:
We describe a case where PNS was successful in treating chronic neuropathic extremity pain after traditional neuromodulation therapies had failed. Further studies are warranted to assess the role of PNS within the treatment paradigm for refractory neuropathic pain.
