Peripheral nerve stimulation and peripheral nerve neuromodulation is a novel and advanced therapy utilized for a variety of medical conditions ranging from complex regional pain syndrome, chronic nerve pain from injury, diabetic peripheral neuropathy, headaches, chronic joint pain, and chronic neck/back pain. Peripheral neuromodulation allows electrical treatment to be targeted to the problematic nerves leading to symptoms.
Peripheral nerve stimulation has the ability to treat multiple conditions including chronic nerve injury, chronic neck/back pain, occipital neuralgia, and chronic shoulder/knee pain in patients who are not surgical candidates, or who suffer from chronic post-operative pain.
1. Shoulder pain
a. Chronic postoperative
b. Nonsurgical patients
2. Knee pain
a. Chronic postoperative
b. Nonsurgical patients
3. Headaches/occipital neuralgia
4. Neck pain
5. Back pain
6. Nerve injury
7. Complex Regional Pain Syndrome
8. Phantom limb pain
9. Chronic post-amputation pain
10. Hemiplegic shoulder pain
Peripheral nerve stimulation treatment requires a thorough history and physical examination to be conducted first. If you are a candidate for this procedure, Dr. Masri will discuss initially targeting the chronic injured nerves/areas of pain with diagnostic blocks. This will help Dr. Masri to determine the appropriate technical approach as well as the probability of a successful treatment utilizing a peripheral neuromodulation device. If successful, options for temporary or permanent implantation of the device systems will be discussed.
Medical literature has demonstrated that patients who undergo neuromodulation, such as peripheral nerve stimulation, have multiple variable outcomes including:
1. Reduced need for acute pain medication after surgery
2. Earlier return to physical therapy/function after surgery
3. Reduced need for chronic pain medication.
4. Decrease in disability (ODI) index