Successful Peripheral Nerve Field Stimulation for Thoracic Radiculitis Following Brown-Sequard Syndrome

Peripheral Nerve Field Stimulation (PNFS) in Chronic Low Back Pain: A Prospective Multicenter Study

“…Since 1967, the use of electrical neuromodulation as a reversible and nondestructive method in pain therapy has been expanded to include a number of central and peripheral targets . Its neurophysiological mechanism of action is partly understood and described .…”

“…In literature, there are several case series describing the use of a percutaneously placed subcutaneous leads to provide significant relief from well‐localized chronic pain in the low back and one randomized controlled study . The stimulating electrode was introduced directly at the site of maximum pain.…”

Peripheral Nerve Field Stimulation Therapy for Patients With Thoracic Pain: A Prospective Study

“…A case of scapular neuropathic pain reported >95% relief following treatment with targeted neuromodulation . The treatment of a case of thoracic radiculitis with PNfS, reported a >90% improvement of original pain . A case of intractable thoracic neuralgia reported complete resolution of pain with PNS and a post‐thoracotomy scar pain treated with PNfS resulted in a drop from pre‐treatment VAS 6–8 to 2–3 post‐treatment .…”

“…The trialling of neuromodulation techniques in treating thoracic pain has been limited to the presentation of various novel individual case reports and small series trials: eight thoracic cases within a larger case study reviewing the efficacy of Peripheral Nerve Field Stimulation (PNfS) and four thoracic back pain cases within a larger study of Subcutaneous Target Stimulation treating chronic pain .…”

Differentiating the Leaves From the Branches in the Tree of Neuromodulation: The State of Peripheral Nerve Field Stimulation

“…Within this issue of Neuromodulation , two articles focus on the subcutaneous placement of stimulating electrodes to activate unnamed peripheral nervous system targets for the treatment of intractable pain (1,2); two such articles appeared in our last issue as well (3,4). While the practice of what has become known by some as subcutaneous or peripheral field stimulation has grown tremendously over the past decade, there exists significant controversy concerning the taxonomy, anatomic rationale, techniques, long‐term efficacy, and proper reimbursement strategies for these procedures.…”