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Neurosurg Clin N Am. 2019 Apr;30(2):265-273. doi: 10.1016/j.nec.2018.12.011.

Evolving Techniques and Indications in Peripheral Nerve Stimulation for Pain.

Author information

1
Department of Neurosurgery, Columbia University, 710 West 168 Street, 4th Floor, New York, NY 10032, USA. Electronic address: gpb2111@cumc.columbia.edu.
2
Department of Neurosurgery, Columbia University, 710 West 168 Street, 4th Floor, New York, NY 10032, USA.

Abstract

Peripheral nerve stimulation is the direct electrical stimulation of named nerves outside the central neuraxis to alleviate pain in the distribution of the targeted peripheral nerve. These treatments have shown efficacy in treating a variety of neuropathic, musculoskeletal, and visceral refractory pain pathologies; although not first line, these therapies are an important part of the treatment repertoire for chronic pain. With careful patient selection and judicious choice of stimulation technique, excellent results can be achieved for a variety of pain etiologies and distributions. This article reviews current and past practices of peripheral nerve stimulation and upcoming advancements in the field.

KEYWORDS:

Chronic pain; Neurosurgery; Pain; Peripheral nerve stimulation

PMID:
30898277
DOI:
10.1016/j.nec.2018.12.011
[Indexed for MEDLINE]

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