Spinal Cord Stimulation for Post-Herniorrhaphy Pain

Spinal-Peripheral Neurostimulation (SPN) for Bilateral Postherniorrhaphy Pain: A Case Report

“…Our personal experience was not completely satisfactory with either SCS or PNFS related in part to the issues shown in other studies, such as problems with complete area coverage (14), the need for double peripheral leads and high energy consumption (5), muscle cramps with SCS (4), and so on. After reviewing the results of our prospective study of patients with low back pain (6) that showed the superiority of SPN over SCS and PNFS separately, or even in concomitant use, and based on the results of more than 300 cases of SPN, we decided to apply this method to treatment of neuropathic inguinal pain.…”

“…in 1999 showed successful use of T12 and L1 nerve root stimulation in one patient with inguinal neuropathic pain (13). In 2000, Elias presented first use of spinal cord stimulation, positioning the lead at T8 (4). The next year, Stinson et al.…”

Management of Postherniorrhaphy Chronic Neuropathic Groin Pain: A Role for Dorsal Root Ganglion Stimulation

“…A number of reports applying spinal cord stimulation (SCS) at the T7‐T9 levels have indicated some applicability to chronic neuropathic groin pain, in some cases relieving 75% or more . However, a limitation of SCS with groin pain as with all axial pain distributions is that it is extremely difficult to achieve selective coverage of the painful regions; patients may find it necessary to tolerate “a pair of pants” of extraneous paresthesia in order to also capture the relatively discrete painful region.…”

“On the Shoulders of Giants”: A History of the Understandings of Pain, Leading to the Understandings of Neuromodulation

“…Electrical neuromodulation for pain has expanded from the spinal cord to the sensory nucleus of the thalamus by Hosobuchi (45), the peri‐aquedutal gray matter by Richardson (46), and the cerebral motor cortex by Tsubokawa (47). Novel areas that are being explored for therapeutic applications of electricity beyond pain control include ischemic peripheral vascular disease (48), interstitial cystitis (49), occipital neuralgia (50), ilioinguinal neuralgia (51), among others.…”