The Effect of Peripheral Neuromodulation on Pain From the Sacroiliac Joint: A Retrospective Cohort Study

Goroszeniuk, Teodor

doi:10.1111/ner.12803

Cited by 4 publications

(2 citation statements)

References 50 publications

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“…PNS leads were placed along the SIJ bilaterally ( n = 10) and unilaterally ( n = 2). VAS reduction 8.7 ± 1.1 pre‐intervention and 1.1 ± 1.9 post‐intervention decreased percentage impact on daily function, decreased analgesic requirements, and high patient satisfaction scores 33 . Chapman et al 34 primarily studied the use of DRG for treatment of low back pain ( n = 17); however, three patients had concomitant SIJ pain and a L1 lead was placed.…”

Section: Resultsmentioning

confidence: 99%

“…VAS reduction 8.7 ± 1.1 pre-intervention and 1.1 ± 1.9 post-intervention decreased percentage impact on daily function, decreased analgesic requirements, and high patient satisfaction scores. 33 Chapman et al 34 primarily studied the use of DRG for treatment of low back pain (n = 17); however, three patients had concomitant SIJ pain and a L1 lead was placed. The total cohort, including low back pain patients, had VAS reduction from 92.5 ± 8.0 to 19.3 ± 16.4, but the SIJ patient data were not specifically noted and thus it is difficult to make strong judgments on this data.…”

Section: Sacroiliac Joint Painmentioning

confidence: 99%

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Neuromodulation for the management of chronic pelvic pain syndromes: A systematic review

Gish,

Langford,

Sobey

et al. 2023

Pain Practice

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BackgroundChronic pelvic pain is a burdensome condition that involves multiple medical sub‐specialties and is often difficult to treat. Sacral stimulation for functional bladder disease has been well established, but little large‐scale evidence exists regarding utilization of other neuromodulation techniques to treat chronic pelvic pain. Emerging evidence does suggest that neuromodulation is a promising treatment, and we aim to characterize the use and efficacy of such techniques for treating chronic pelvic pain syndromes.Materials and MethodsA systematic review of the literature demonstrating the treatment of chronic pelvic pain syndromes with neuromodulation. Abstracts were reviewed and selected for inclusion, including case series, prospective studies, and randomized controlled trials (RCTs). Case studies and publications in abstract only were not included. The reporting for this systematic review follows Preferred Reporting Items for Systematic Reviews and Meta‐Analysis (PRISMA). The literature search was performed using MEDLINE, Embase, Cochrane Library, PubMed, CINAHL, and Scopus.ResultsA total of 50 studies were included in this review, three of which were randomized controlled trials, and the remaining were prospective and retrospective case series. The range of pelvic pain conditions treated included interstitial cystitis, peripheral neuralgia, pudendal neuralgia, gastrointestinal pain, urogenital pain, sacroiliac joint pain, and visceral chronic pelvic pain. We reported on outcomes involving pain, functionality, psychosocial improvement, and medication reduction.ConclusionsNeuromodulation is a growing treatment for various chronic pain syndromes. Peripheral nerve stimulation was the least studied form of stimulation. Posterior tibial nerve stimulation appears to offer short‐term benefit, but long‐term results are challenging. Sacral nerve stimulation is established for use in functional bladder syndromes and appears to offer pain improvement in these patients as well. Dorsal root ganglion stimulation and spinal cord stimulation have been used for a variety of conditions with promising results. Further studies of homogeneous patient populations are necessary before strong recommendations can be made at this time, although pooled analysis may also be impactful.

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Section: Resultsmentioning

confidence: 99%

Section: Sacroiliac Joint Painmentioning

confidence: 99%

Neuromodulation for the management of chronic pelvic pain syndromes: A systematic review

Gish,

Langford,

Sobey

et al. 2023

Pain Practice

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Peripheral Nerve Stimulation for Chronic Pain: A Systematic Review of Effectiveness and Safety

et al. 2021

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Peripherally Induced Reconditioning of the Central Nervous System: A Proposed Mechanistic Theory for Sustained Relief of Chronic Pain with Percutaneous Peripheral Nerve Stimulation

Deer¹,

Eldabe²,

Falowski³

et al. 2021

JPR

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Peripheral nerve stimulation (PNS) is an effective tool for the treatment of chronic pain, although its efficacy and utilization have previously been significantly limited by technology. In recent years, purpose-built percutaneous PNS devices have been developed to overcome the limitations of conventional permanently implanted neurostimulation devices. Recent clinical evidence suggests clinically significant and sustained reductions in pain can persist well beyond the PNS treatment period, outcomes that have not previously been observed with conventional permanently implanted neurostimulation devices. This narrative review summarizes mechanistic processes that contribute to chronic pain, and the potential mechanisms by which selective large diameter afferent fiber activation may reverse these changes to induce a prolonged reduction in pain. The interplay of these mechanisms, supported by data in chronic pain states that have been effectively treated with percutaneous PNS, will also be discussed in support of a new theory of pain management in neuromodulation: Peripherally Induced Reconditioning of the Central Nervous System (CNS).

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The Effect of Peripheral Neuromodulation on Pain From the Sacroiliac Joint: A Retrospective Cohort Study

Cited by 4 publications

References 50 publications

Neuromodulation for the management of chronic pelvic pain syndromes: A systematic review

Neuromodulation for the management of chronic pelvic pain syndromes: A systematic review

Peripheral Nerve Stimulation for Chronic Pain: A Systematic Review of Effectiveness and Safety

Peripherally Induced Reconditioning of the Central Nervous System: A Proposed Mechanistic Theory for Sustained Relief of Chronic Pain with Percutaneous Peripheral Nerve Stimulation

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