Peripheral Nerve Stimulation: Definition

Abejón, David; Pérez-Cajaraville, J.

doi:10.1159/000323052

Cited by 14 publications

(4 citation statements)

References 27 publications

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“…The additional concern is the lack of basic research on peripheral or subcutaneous stimulation. This is a controversial technique as the terminology/monikers peripheral nerve stimulation versus subcutaneous field stimulation brings discussion as noted by Dr. Abejon and Krames in a previous editorial in Neuromodulation (3, 4). In this editorial, peripheral subcutaneous field stimulation (PSFS) is that which “produce(s) a field paresthesia within the peripheral distribution of pain by creating an electrical field around the activated bipoles”.…”

Section: Commentsmentioning

confidence: 99%

Subcutaneous Peripheral Nerve Stimulation with Inter-lead Stimulation for Axial Neck and Low Back Pain: Case Series and Review of the Literature

Burgher¹,

Huntoon

Turley³

et al. 2012

Neuromodulation: Technology at the Neural Interface

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Section: Commentsmentioning

confidence: 99%

Subcutaneous Peripheral Nerve Stimulation with Inter-lead Stimulation for Axial Neck and Low Back Pain: Case Series and Review of the Literature

Burgher¹,

Huntoon

Turley³

et al. 2012

Neuromodulation: Technology at the Neural Interface

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“… 343 , 344 Rather than providing electrical stimulation to a specific sensory nerve, which is the goal of PNS, PNFS targets more distal and smaller sensory branches as well as subcutaneous nerve endings. 345 …”

Section: Neuromodulationmentioning

confidence: 99%

The American Society of Pain and Neuroscience (ASPN) Evidence-Based Clinical Guideline of Interventional Treatments for Low Back Pain

Sayed¹,

Grider²,

Strand³

et al. 2022

JPR

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Introduction Painful lumbar spinal disorders represent a leading cause of disability in the US and worldwide. Interventional treatments for lumbar disorders are an effective treatment for the pain and disability from low back pain. Although many established and emerging interventional procedures are currently available, there exists a need for a defined guideline for their appropriateness, effectiveness, and safety. Objective The ASPN Back Guideline was developed to provide clinicians the most comprehensive review of interventional treatments for lower back disorders. Clinicians should utilize the ASPN Back Guideline to evaluate the quality of the literature, safety, and efficacy of interventional treatments for lower back disorders. Methods The American Society of Pain and Neuroscience (ASPN) identified an educational need for a comprehensive clinical guideline to provide evidence-based recommendations. Experts from the fields of Anesthesiology, Physiatry, Neurology, Neurosurgery, Radiology, and Pain Psychology developed the ASPN Back Guideline. The world literature in English was searched using Medline, EMBASE, Cochrane CENTRAL, BioMed Central, Web of Science, Google Scholar, PubMed, Current Contents Connect, Scopus, and meeting abstracts to identify and compile the evidence (per section) for back-related pain. Search words were selected based upon the section represented. Identified peer-reviewed literature was critiqued using United States Preventive Services Task Force (USPSTF) criteria and consensus points are presented. Results After a comprehensive review and analysis of the available evidence, the ASPN Back Guideline group was able to rate the literature and provide therapy grades to each of the most commonly available interventional treatments for low back pain. Conclusion The ASPN Back Guideline represents the first comprehensive analysis and grading of the existing and emerging interventional treatments available for low back pain. This will be a living document which will be periodically updated to the current standard of care based on the available evidence within peer-reviewed literature.

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“…PNS is the application of an electric field to a nerve or group of nerves including and/or distal to the dorsal root or trigeminal ganglion (Abejon & Perez-Cajaraville, 2011). Known as the gate control theory, peripheral nerve fibers, including A-alpha, A-beta, A-gamma, Adelta, various B and C fibers, are modulated when an electric field is applied (Melzack & Wall, 1965).…”

Section: Potential Mechanisms Of Peripheral Nerve Stimulationmentioning

confidence: 99%

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

et al. 2020

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Background: Peripheral Nerve Stimulation has been used to treat human disease including pain for several decades. Innovation has made it a more viable option for treatment of common chronic pain processes, and interest in the therapy is increasing. Main body: While clinical data is forthcoming, understanding factors that influence successful outcomes in the use of PNS still needs to be delineated. This article reviews the evolution and bioelectronic principles of peripheral nerve stimulation including patient selection, nerve targets, techniques and guidance of target delivery. We collate the current evidence for outcomes and provide recommendations for salient topics in PNS. Conclusion: Peripheral nerve stimulation has evolved from a surgically invasive procedure to a minimally invasive technique that can be used early in the treatment of peripheral nerve pain. This review identifies and addresses many of the variables which influence the success of PNS in the clinical setting.

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Peripheral Nerve Stimulation: Definition

Cited by 14 publications

References 27 publications

Subcutaneous Peripheral Nerve Stimulation with Inter-lead Stimulation for Axial Neck and Low Back Pain: Case Series and Review of the Literature

Subcutaneous Peripheral Nerve Stimulation with Inter-lead Stimulation for Axial Neck and Low Back Pain: Case Series and Review of the Literature

The American Society of Pain and Neuroscience (ASPN) Evidence-Based Clinical Guideline of Interventional Treatments for Low Back Pain

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

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