Peripheral Nerve Stimulation in Treatment of Intractable Postherpetic Neuralgia

Yakovlev, Alexander E.; Peterson, Andrea T.

doi:10.1111/j.1525-1403.2007.00126.x

“…36 -61 The procedure was not limited to the upper neck and face area, and reports have detailed use of PNS in other parts of the body. For example, percutaneously inserted PNS electrodes were used for control on inguinal pain after herniorrhaphy, 62 and paraspinal electrodes have been used for treatment of low back pain and sacroiliac pain, 63 thoracic postherpetic pain, 64 and coccygodynia. 65 …”

Section: Introductionmentioning

confidence: 99%

Peripheral Nerve Stimulation for Neuropathic Pain

Slavin

¹

2008

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Summary: Peripheral nerve stimulation (PNS) has been used for treatment of neuropathic pain for more than 40 years. Recent resurgence of interest to this elegant surgical modality came from the introduction of less invasive implantation techniques and the wider acceptance of neuromodulation as a treatment of medically refractory cases. This article reviews the literature on the use of PNS for neuropathic pain and describes current indications and hardware choices in frequent use. Published experience indicates that neuropathic pain responds to PNS in many patients. PNS works well in both established indications, such as post-traumatic and postsurgical neuropathy, occipital neuralgia, and complex regional pain syndromes, and in relatively new indications for neuromodulation, such as migraines and daily headaches, cluster headaches, and fibromyalgia. Future research and growing clinical experience will help in identifying the best candidates for PNS, choosing the best procedure and best hardware for each individual patient, and defining adequate expectations for patients and pain specialists.

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“…In terms of specific indications, there are at least 10 distinct pain conditions for which PNS have been reported: 1) postherpetic neuralgia 40,45,64 ; 2) post-traumatic or postsurgical neuropathic pain that is related to underlying dysfunction of particular nerves, including the infraorbital, supraorbital, or occipital nerves 45,48,52 ; 3) classic migraine, transformed migraine presenting with occipital pain and discomfort, and hemicrania continua 39 65 ; and 10) fibromyalgia. 57,70 Due to the relatively simple and nontraumatic nature of PNS, the list of contraindications is short and is based predominantly on commonsense considerations.…”

Section: Indicationsmentioning

confidence: 99%

Peripheral Nerve Stimulation for Neuropathic Pain

Slavin¹,

Eboli²,

Aydın³

2011

Youmans Neurological Surgery

0

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Summary: Peripheral nerve stimulation (PNS) has been used for treatment of neuropathic pain for more than 40 years. Recent resurgence of interest to this elegant surgical modality came from the introduction of less invasive implantation techniques and the wider acceptance of neuromodulation as a treatment of medically refractory cases. This article reviews the literature on the use of PNS for neuropathic pain and describes current indications and hardware choices in frequent use. Published experience indicates that neuropathic pain responds to PNS in many patients. PNS works well in both established indications, such as post-traumatic and postsurgical neuropathy, occipital neuralgia, and complex regional pain syndromes, and in relatively new indications for neuromodulation, such as migraines and daily headaches, cluster headaches, and fibromyalgia. Future research and growing clinical experience will help in identifying the best candidates for PNS, choosing the best procedure and best hardware for each individual patient, and defining adequate expectations for patients and pain specialists.

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“…Subcutaneously placed peripheral nerve stimulation leads have been used to successfully treat a wide range of conditions, including postherpetic trigeminal neuralgia (4). Published cases detailing the use of peripheral nerve stimulation(PNS) in the treatment of postherpetic radicular pain have been sparse (5,6). We present a case of the successful use of PNS in the treatment of PHN.…”

Section: Introductionmentioning

confidence: 99%

Peripheral nerve stimulation for treatment of postherpetic neuralgia: A Case report

Palmer

¹

,

Jimenez

²

2011

AMA

0

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Neuromodulation techniques have been successfully used for a variety of neuropathic pain conditions. Th e aim of this paper is to present a case of the successful use of a subcutaneously placed peripheral nerve stimulator for treatment of intractable postherpetic neuralgia (PHN). A 57-year old man presented with a two-year history of left thoracic pain that developed aft er a vesicular rash. Focal neuropathic pain had not responded to treatment with multiple analgesic medications and steroid injections. Th e patient had signifi cant relief following implantation of a peripheral nerve stimulator. Th is case represents a contribution to the small but growing body of evidence indicating that peripheral nerve stimulation may be an eff ective option for treatment of PHN not responsive to less invasive modalities.

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Peripheral Nerve Stimulation in Treatment of Intractable Postherpetic Neuralgia

Cited by 56 publications

References 30 publications

Peripheral Nerve Stimulation for Neuropathic Pain

Peripheral Nerve Stimulation for Neuropathic Pain

Peripheral Nerve Stimulation for Neuropathic Pain

Peripheral nerve stimulation for treatment of postherpetic neuralgia: A Case report

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