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Electrical Nerve Stimulation for Chronic Median Nerve Pain

  • Takashi NoguchiEmail author
  • Scott F. M. Duncan
Chapter

Abstract

In this chapter, we describe the use of peripheral nerve stimulation (PNS) for the treatment of chronic neuropathic pain. Occasionally, median nerve injury is associated with hand trauma or other injury, including iatrogenic. The intractable pain or allodynia can negatively impact the quality of life, even in patients having undergone surgery repair and/or decompression. PNS can provide effective pain relief in patients for whom standard nonoperative therapies have not worked. However, careful selection of the appropriate nerve is important for successful PNS. In this chapter, we aim to help surgeons acquire the necessary knowledge on the indications, contraindications, approach, and clinical outcomes of PNS.

Keywords

Electric nerve stimulation Chronic pain Electrode Neuropathic pain Pain relief 

Abbreviations

PNS

peripheral nerve stimulation

SG

substantia gelatinosa

TENS

transcutaneous electrical nerve stimulation

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryBoston Medical Center, Boston University School of MedicineBostonUSA
  2. 2.Department of Orthopedic SurgeryBoston University/Boston Medical CenterBostonUSA

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