AOCPMR 2024 Mid-Year Meeting-Peripheral Nerve Stimulation

Video Transcription

Video Summary

This lecture reviews peripheral nerve stimulation (PNS) as a treatment for chronic pain, discussing indications, mechanisms, and patient selection criteria. PNS works by modulating nerve signals to reduce pain perception, with origins tracing back to Roman use of electric eels for pain relief. Indications include pain localized to a single peripheral nerve, such as occipital neuralgia, chronic migraine, post-stroke shoulder pain, chronic pelvic pain, chronic low back pain, and post-amputee pain. Various clinical trials provide evidence for PNS efficacy, especially for migraine (level 1 evidence) and chronic low back pain (targeting clunial nerves). Two PNS types exist: traditional implanted systems with a trial period and newer short-term 60-day wearable leads. Complications can include infection, nerve damage, or device failure. Patient selection excludes those with coagulopathy, infection, or diffuse neuropathy. Studies show PNS can reduce pain, improve quality of life, and decrease medication use. Ongoing research explores perioperative use to reduce post-surgical pain and phantom limb pain.

Keywords

non-surgical shoulder treatment

shoulder overuse injuries

scapular rehabilitation

posture correction

kinesio taping

Peripheral Nerve Stimulation

Chronic Pain Treatment

Migraine

Low Back Pain

Patient Selection Criteria

PNS Complications