A Case Report of Three Patients Who Underwent Temporary Peripheral Nerve Stimulation for Treatment of Knee Pain Secondary to Osteoarthritis

Zhu, Chengcheng; Gargya, Akshat; Haider, Naeem

doi:10.7759/cureus.40473

Cited by 4 publications

(5 citation statements)

References 17 publications

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“…PNS is currently being used for various conditions including radicular spinal and peripheral neuropathy, post-quadriceps tendon rupture, Complex regional pain syndrome, and chronic scrotal pain [5][6][7][8][9][10]. PNS has also been described to manage pain from osteoarthritis originating from facet joints in the lumbar area and knee [11,12]. Stimulation of the multifidus through a PNS device has been shown to be effective in providing pain relief in patients who have failed other treatments for low back/lumbar facetogenic pain, and data are currently available for long-term relief (up to 12 months) in these patient populations [13].…”

Section: Discussionmentioning

confidence: 99%

Management of Osteoarthritic Axial Neck Pain With Cervical Neuromodulation

Haider,

Gargya

2023

Cureus

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Chronic refractory facetogenic axial neck pain is a challenging diagnosis to manage long-term. With limited options available for patients who have failed cervical medial branch blocks, patients often have to endure a poor quality of life. Although neuromodulation devices such as peripheral nerve stimulators are currently available for the management of various chronic conditions, their role in the treatment of axial neck pain has not been studied. We present a case of successful management of facetogenic axial neck pain with cervical medial branch peripheral nerve stimulation.

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Section: Discussionmentioning

confidence: 99%

Management of Osteoarthritic Axial Neck Pain With Cervical Neuromodulation

Haider,

Gargya

2023

Cureus

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“…PNS currently has various applications in adults, including complex regional pain syndrome (CRPS), peripheral neuropathy from post-herpetic neuralgia, chronic knee osteoarthritis, quadriceps tendon rupture, or neuropathic pain originating from ulnar, sciatic, or femoral nerves [9][10][11][12][13][14]. There are various mechanisms through which PNS may play a role in the reduction of pain.…”

Section: Discussionmentioning

confidence: 99%

Fluoroscopy-Guided Lumbar Spinal Nerve Stimulation to Treat Chronic Scrotal Pain

Haider¹,

Gargya²

2023

Cureus

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Chronic scrotal pain (CSP) is a challenging problem for both pain physicians and urologists. Depending on the cause, treatment options may include pharmacological management, spermatic cord blocks, microsurgical denervation of the spermatic cord, botulinum toxin injections, and ultrasound-guided peripheral nerve stimulation (PNS) of ilioinguinal and iliohypogastric nerves. We describe a new target for the treatment of CSP by PNS of the L2 spinal nerve and a novel technical approach of using fluoroscopic guidance to stimulate lumbar spinal nerves, which can potentially be used for different indications.

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“…Eight case series examined the application of PNS in the context of knee pain [16,[22][23][24][25][26][27][28]. One study focused on patients with a patellar tendon autograft anterior cruciate ligament (ACL) reconstruction and seven studies investigated PNS for the management of pain due to osteoarthritis of the knee or postoperative pain after total knee arthroplasty (TKA) or total hip arthroplasty (THA) [11].…”

Section: Hip and Kneementioning

confidence: 99%

“…In two studies, PNS was used to address osteoarthritic knee pain in four patients with contraindications to surgery due to young age and/or an elevated BMI (Table 1a) [27,28]. Patients rated their knee pain on a scale from 0 to 10 before and after the intervention; however, not all post intervention responses were documented.…”

Section: Hip and Kneementioning

confidence: 99%

“…However, two weeks after the procedure this patient reported uncomfortable cramping and inadequate coverage of the pain area and the lead was eventually removed [10]. The lack of discussion regarding the selection process by Zhu et al could potentially introduce selection bias [28]. Additionally, the patient described by Hasoon et al opted for PNS instead of surgery, which might contribute to response bias [27].…”

Section: Hip and Kneementioning

confidence: 99%

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The Relevance of Implanted Percutaneous Electrical Nerve Stimulation in Orthopedics Surgery: A Systematic Review

Parikh,

Echevarria,

Cemenski

et al. 2024

JCM

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Background: Percutaneous peripheral nerve stimulation (PNS) is a form of neuromodulation that involves the transmission of electrical energy via metal contacts known as leads or electrodes. PNS has gained popularity in orthopedic surgery as several studies have supported its use as a pain control device for patients suffering from pain due to orthopedic pathologies involving the knee, shoulder, and foot. The purpose of this systematic review is to summarize the literature involving peripheral nerve stimulation in orthopedic surgery. The existing body of literature provides support for further research regarding the use of PNS in the management of knee pain, hip pain, shoulder pain, foot pain, and orthopedic trauma. Notably, the evidence for its efficacy in addressing knee and shoulder pain is present. Methods: This study was conducted following PRISMA guidelines. Seven hundred and forty-five unique entries were identified. Two blinded reviewers assessed each article by title and abstract to determine its relevance and categorized them as “include”, “exclude”, and “maybe”. After a preliminary review was completed, reviewers were unblinded and a third reviewer retrieved articles labeled as “maybe” and those with conflicting labels to determine their relevance. Twenty-eight articles were included, and seven hundred and seventeen articles were excluded. Articles discussing the use of PNS in the field of orthopedic surgery in patients > 18 years of age after 2010 were included. Exclusion criteria included neuropathic pain, phantom limb pain, amputation, non-musculoskeletal related pathology, non-orthopedic surgery related pathology, spinal cord stimulator, no reported outcomes, review articles, abstracts only, non-human subjects. Results: A total of 16 studies analyzing 69 patients were included. All studies were either case series or case reports. Most articles involved the application of PNS in the knee (8) and shoulder (6) joint. Few articles discussed its application in the foot and orthopedic trauma. All studies demonstrated that PNS was effective in reducing pain. Discussion: Peripheral nerve stimulation can be effective in managing postoperative or chronic pain in patients suffering from orthopedic pathology. This systematic review is limited by the scarcity of robust studies with substantial sample sizes and extended follow up periods in the existing literature.

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A Case Report of Three Patients Who Underwent Temporary Peripheral Nerve Stimulation for Treatment of Knee Pain Secondary to Osteoarthritis

Cited by 4 publications

References 17 publications

Management of Osteoarthritic Axial Neck Pain With Cervical Neuromodulation

Management of Osteoarthritic Axial Neck Pain With Cervical Neuromodulation

Fluoroscopy-Guided Lumbar Spinal Nerve Stimulation to Treat Chronic Scrotal Pain

The Relevance of Implanted Percutaneous Electrical Nerve Stimulation in Orthopedics Surgery: A Systematic Review

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