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Percutaneous and Implanted Peripheral Nerve Stimulation for the Management of Pain: Current Evidence and Future Directions

  • Richard D. WilsonEmail author
  • Chong H. Kim
Rehabilitation Technology (R Harvey, Section Editor)
  • 5 Downloads
Part of the following topical collections:
  1. Topical Collection on Rehabilitation Technology
  2. Topical Collection on Rehabilitation Technology

Abstract

Purpose of Review

The goal of this review is to summarize the current state of percutaneous and implanted peripheral nerve stimulation for the relief of pain. This article provides an overview of commercially available devices, the evidence supporting their use, and novel treatments being considered for the future.

Recent Findings

There are four peripheral nerve stimulators commercially available in multiple countries around the world. The stimulation may be used temporarily, with percutaneous placement of leads, or indefinitely with permanent implantation of the leads. Two stimulation paradigms are described in the literature for treatment of pain—stimulation of motor (efferent) nerve fibers to create muscle contraction and stimulation of sensory (afferent) nerve fibers to create paresthesia.

Summary

Peripheral nerve stimulation has been studied in musculoskeletal pain syndromes, neuropathic pain syndromes, craniofacial pain, and in acute post-operative pain. This pain-relieving treatment is a promising treatment though many applications have not yet been well studied.

Keywords

Pain Electrical stimulation Chronic pain Neuromodulation Peripheral nerve Rehabilitation 

Notes

Compliance with Ethical Standards

Conflict of Interest

Richard Wilson reports grants from and working on the advisory board for SPR Therapeutics, Inc. outside the submitted work. Chong Kim reports working as a consultant for SPR outside the submitted work.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2020

Authors and Affiliations

  1. 1.MetroHealth Rehabilitation Institute, Case Western Reserve University, Cleveland FES CenterClevelandUSA

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