Axillary Peripheral Nerve Stimulation for Chronic Shoulder Pain: A Retrospective Case Series

Peripheral Nerve Stimulation for Chronic Shoulder Pain Due to Rotator Cuff Pathology

“…In the study, patients had shoulder pain greater than 6 months from a range of conditions such as subacromial impingement, rotator cuff injury, glenohumeral arthritis, and biceps tendinopathy. 15 In the study, eight patients who did not respond to conservative measures and did not qualify for surgical intervention were recruited. In the study, the primary outcome measured was the percent in pain reduction on the NPRS scale and secondary outcome measures included opioid consumption and patient satisfaction.…”

“…Results showed that seven out of the eight patients reported a greater than 50% in pain reduction and all eight patients reported decreased opioid use after PNS, and a 100% satisfaction rate. 15 A case report by Mehech et. al discussed the use of PNS for shoulder pain in a patient after spinal cord injury (SCI), one of the few reported cases of the use of PNS for such a case in literature.…”

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

“…However, these findings are supported by several other reports of simulation of other nerves which are of interest even though they did not meet the inclusion criteria. Elahi and Reddy, along with Wilson et al, Kurt et al, Manzi et al and Mansfield and Desai, found PNS to be effective in treating shoulder pain [ 68 , 72 , 76 , 109 , 110 ]. These multiple studies suggest that there is a neuropathic component to back or joint pain which is responsive to PNS.…”

A review of the bioelectronic implications of stimulation of the peripheral nervous system for chronic pain conditions

“…The differentiating feature was a small implantable tined lead, with a pickup contact that would be used with an external peripheral nerve generator (Pereira & Aziz, 2014). In the past decade, additional innovation has led to miniaturization of technology, education, improvement in placement based on imaging, and additional studies on efficacy and safety (Mansfield & Desai, 2020;Tubbs et al, 2015;Shaw et al, 2016).…”

“…Similarly, the axillary nerve can be modulated by placing a PNS electrode near the nerve either at the quadrangular space or at the surgical neck of the where the nerve and circumflex humeral artery are visualized (Wilson et al, 2018). Research in shoulder pain is a topic of critical interest, and data is improving for both post stroke and degenerative shoulder disease (Mansfield & Desai, 2020).…”