Subcutaneous electrical nerve stimulation for neuropathic foot pain

Khan, EI; O’Keefe, D; Eller, Markus; McFarland, J; Walsh, Richard A.; Gallagher, H. W.; Goroszeniuk, T

doi:10.1016/j.rapm.2004.07.186

Cited by 6 publications

(6 citation statements)

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“…The peripheral subcutaneous electrode is placed at the epicenter of pain, bypassing the spinal cord and peripheral nerves and allowing coverage of areas that are difficult to reach with SCS or peripheral nerve stimulation (PNS). The number of implanted devices has grown substantially since the inception of the technique with expanding indications, including forms of neuropathic pain, pelvic, facial, and back pain 28–40 . A new terminology, peripheral subcutaneous field stimulation (PSFS), has been proposed recently by Krames, 41 but the term subcutaneous target stimulation was used in the largest Austrian study including 111 cases and in other reports 42,43 .…”

Section: Introductionmentioning

confidence: 99%

Subcutaneous Target Stimulation–Peripheral Subcutaneous Field Stimulation in the Treatment of Refractory Angina: Preliminary Case Reports

et al. 2011

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Spinal cord stimulation is now established as an effective treatment for refractory angina. We present the use of an alternative approach to neuromodulation of anginal pain using subcutaneous leads placed at the site of pain. In this case series, five patients with refractory angina received successful treatment with subcutaneous target stimulation-peripheral subcutaneous field stimulation. This technique was able to provide good analgesia in two patients that had had poor pain relief from existing spinal cord stimulators. All five patients achieved significant pain relief with a reduction in symptoms and a decrease in the use of pain medication.

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Section: Introductionmentioning

confidence: 99%

Subcutaneous Target Stimulation–Peripheral Subcutaneous Field Stimulation in the Treatment of Refractory Angina: Preliminary Case Reports

et al. 2011

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“…Peripheral nerve stimulation often referred to as either targeted stimulation (20) or subcutaneous electrical nerve stimulation (21) is a distinct form of stimulation that does not involve the specific technical dissection of a major peripheral nerve (2,22,23). Patients receiving PNS are implanted with either octrode or quattrode, percutaneous leads placed subcutaneously to stimulate nerves in maximum pain regions (1,23).…”

Section: Introductionmentioning

confidence: 99%

Peripheral Nerve Stimulation: A Treatment for Chronic Low Back Pain and Failed Back Surgery Syndrome?

Verrills

Mitchell

Vivian

et al. 2009

Neuromodulation: Technology at the Neural Interface

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Objective. This study aims to evaluate the usefulness of peripheral nerve stimulation as a treatment option for patients with chronic low back pain. Materials and Methods. More than 12 months, we collected data on consecutive patients who had successful trials and were subsequently implanted with octrode percutaneous leads placed subcutaneously within the major area of pain. Eleven patients met diagnostic criteria for failed back surgery syndrome. A questionnaire assessed outcomes including: pain, analgesic use, and patient satisfaction. The response rate was 93% (13/14): average follow-up time was seven months. Results. There was a significant decrease in pain levels: an average reduction of 3.77 visual analog scale points. Eleven patients (85%) reported successful outcomes and an average pain reduction of 4.18 points but two reported a poor response. Pain relief was highly correlated with reduced analgesia and patient satisfaction. No complications were reported. Conclusion. This study demonstrates a treatment option that is safe, nonpharmacologic, reversible, and effective for patients with chronic low back pain that have exhausted other treatment options. KEY WORDS:Chronic pain, failed back surgery syndrome, low back pain, neuromodulation, neuropathic pain, peripheral nerve stimulation.

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“…An unresolved issue is, of course, terminology for this very promising modality. Various terms are in use, ranging from subcutaneous target stimulation (6, 8), subcutaneous peripheral field stimulation (9), and subcutaneous electrical nerve stimulation (10).…”

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confidence: 99%