Peripheral nerve stimulator placement for neuropathic pain due to brachial plexus invasion by lung cancer: Case report

Muenchrath, Mark; Gilani, Sadia; Christiansen, Sandy; Landreth, Scott P.; Ricelli, L.P.

doi:10.1016/j.inpm.2022.100070

Cited by 1 publication

(1 citation statement)

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“…Here, leads are placed on spinal nerve roots (or other peripheral nerves) rather than on the dorsal column or DRG. Three case reports have been published regarding the use of PNS in PMPS, where the leads were placed on spinal nerve roots corresponding to the levels at which the pain was most predominant [43][44][45]. Two of the cases had the leads at the T2 and T4 roots, and the third had the leads at the C8 and T1 roots.…”

Section: Neuromodulationmentioning

confidence: 99%

Post-mastectomy Pain Syndrome: A Review Article and Emerging Treatment Modalities

Shah,

Kirkpatrick,

Shah

2024

Cureus

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Post-mastectomy pain syndrome (PMPS) is a syndrome broadly applied to the development of chronic pain after surgical breast intervention (i.e., lumpectomy and mastectomy). The incidence of PMPS is likely underreported, and this has contributed to a paucity of high-level evidence related to the treatment of the aforementioned condition. A drive to reduce the burden of opioid use has led to pain management physicians trialing a variety of strategies to help patients manage PMPS. This review discusses the latest evidence behind treatment options for PMPS, exploring medications as well as interventional techniques (e.g., nerve blocks, radiofrequency ablation, neuromodulation, and intrathecal drug delivery systems). Recent advances in neuromodulation technology are of particular interest here due to the well-localized nature of PMPS-related pain and the specificity with which modern neuromodulation techniques can generate an effect. Finally, the review proposes a framework with which to approach the care of patients with PMPS, with a specific emphasis on the early consideration of neuromodulation techniques along with functional and physical therapy to reduce patient medication burden and improve overall quality of life.

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Section: Neuromodulationmentioning

confidence: 99%