The Impact of Peripheral Nerve Stimulation on Disability and Depression

Ramineni, Tina; Prusik, Julia; Cruz, Priscilla De La; Gee, Lucy; Kumar, Vignessh; Wilock, Meghan; Haller, Jessica; Patel, Samik; Pilitsis, Julie G.

doi:10.1111/ner.12363

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…A number of retrospective case studies and small case series have been published reporting clinical benefit of PNS in the lower extremity, including many conducted within larger, heterogenous patient cohorts. 2,[65][66][67][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82]…”

Section: Dovepressmentioning

confidence: 99%

Evidence-Based Clinical Guidelines from the American Society of Pain and Neuroscience for the Use of Implantable Peripheral Nerve Stimulation in the Treatment of Chronic Pain

Strand¹,

D’Souza²,

Hagedorn³

et al. 2022

JPR

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The objective of this peripheral nerve stimulation consensus guideline is to add to the current family of consensus practice guidelines and incorporate a systematic review process. The published literature was searched from relevant electronic databases, including PubMed, Scopus, Cochrane Central Register of Controlled Trials, and Web of Science from database inception to March 29, 2021. Inclusion criteria encompassed studies that described peripheral nerve stimulation in patients in terms of clinical outcomes for various pain conditions, physiological mechanism of action, surgical technique, technique of placement, and adverse events. Twenty randomized controlled trials and 33 prospective observational studies were included in the systematic review process. There is Level I evidence supporting the efficacy of PNS for treatment of chronic migraine headaches via occipital nerve stimulation; chronic hemiplegic shoulder pain via stimulation of nerves innervating the trapezius, supraspinatus, and deltoid muscles; failed back surgery syndrome via subcutaneous peripheral field stimulation; and lower extremity neuropathic and lower extremity post-amputation pain. Evidence from current Level I studies combined with newer technologies facilitating less invasive and easier electrode placement make peripheral nerve stimulation an attractive alternative for managing patients with complex pain disorders. Peripheral nerve stimulation should be used judiciously as an adjunct for chronic and acute postoperative pain following adequate patient screening and positive diagnostic nerve block or stimulation trial.

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Section: Dovepressmentioning

confidence: 99%

Evidence-Based Clinical Guidelines from the American Society of Pain and Neuroscience for the Use of Implantable Peripheral Nerve Stimulation in the Treatment of Chronic Pain

Strand¹,

D’Souza²,

Hagedorn³

et al. 2022

JPR

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show abstract

“…Given the lack of standardized practices for treating NP across institutions and countries, we sought to gain insight into their perceptions regarding IPM and PNS from an international sample of physicians and researchers. We focused on the role of PNS for NP as it exemplifies a fast evolving novel treatment for NP 14–18. Even among the NP experts in this survey, a commonly noted barrier to PNS implementation was a lack of higher quality of evidence supporting the use of PNS.…”

Section: Discussionmentioning

confidence: 99%

Role of peripheral nerve stimulation in treating chronic neuropathic pain: an international focused survey of pain medicine experts

Bhatia

Gulati

et al. 2023

Reg Anesth Pain Med

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Interventional pain management (IPM) options for refractory neuropathic pain (NP) have recently increased with availability of peripheral nerve stimulation (PNS) equipment and expertise. Given a lack of high-quality evidence and guidelines on this topic, we sought to understand the perception of physicians with expertise in treating NP regarding IPM and the role of PNS. We emailed a survey in March 2022 to international NP experts including pain medicine physicians, researchers, and leaders of 11 professional pain societies. No representatives from vendors of PNS systems were included in the design of the survey nor as respondents. Among 24 respondents (67% of those contacted), the distal common peroneal, tibial, and sural nerves were most frequently targeted (60%) with PNS. Persistent postsurgical pain of more than 3 months was the most common indication for PNS (84%). The aggregate NP treatment algorithm in order of median rank was non-opioid medications as first line, IPM including epidural/perineural steroid injections tied with transcutaneous electrical nerve stimulation as second line, pulsed radiofrequency (RF) tied with RF ablation/denervation as third line, temporary then permanent PNS as fourth line, followed by spinal cord stimulation, opioids, cryoablation, botulinum, peripheral nerve field stimulation, intrathecal targeted drug delivery, and others. Before offering PNS, 12 respondents (50%) indicated their preference for trialing non-neuromodulation treatments for 1–3 months. Twenty-two respondents (92%) agreed PNS should be offered early in the treatment of neuropathic pain. The most common barriers to PNS use were cost, lack of high-quality evidence in support of its use, lack of exposure to PNS in training programs, and lack of familiarity with the use of ultrasound guidance. PNS appears to have an increasing role in the treatment of NP but more research is needed on the outcomes of PNS to elucidate its role.

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The Association Between Bodily Functions and Cognitive/Emotional Factors in Patients With Chronic Pain Treated With Neuromodulation: A Systematic Review and Meta-Analyses

Goudman¹,

Vets²,

Jansen³

et al. 2023

Neuromodulation: Technology at the Neural Interface

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The Impact of Peripheral Nerve Stimulation on Disability and Depression

Cited by 3 publications

References 20 publications

Evidence-Based Clinical Guidelines from the American Society of Pain and Neuroscience for the Use of Implantable Peripheral Nerve Stimulation in the Treatment of Chronic Pain

Evidence-Based Clinical Guidelines from the American Society of Pain and Neuroscience for the Use of Implantable Peripheral Nerve Stimulation in the Treatment of Chronic Pain

Role of peripheral nerve stimulation in treating chronic neuropathic pain: an international focused survey of pain medicine experts

The Association Between Bodily Functions and Cognitive/Emotional Factors in Patients With Chronic Pain Treated With Neuromodulation: A Systematic Review and Meta-Analyses

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