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Chapter-140 Peripheral Nerve Stimulation

BOOK TITLE: Ramamurthy's Decision Making in Pain Management: An Algorithmic Approach

Author
1. SS Pangarkar
ISBN
9789386261458
DOI
10.5005/jp/books/14128_141
Edition
3/e
Publishing Year
2018
Pages
3
Author Affiliations
1. University of California, Los Angeles, CA, USA
Chapter keywords
Peripheral nerve stimulation, PNS, postherpetic neuralgia, PHN, peripheral nerve field stimulation, PNFS, electrical stimulation, trigeminal neuropathic pain, TNP

Abstract

Peripheral nerve stimulation (PNS) has evolved from technology associated with spinal cord stimulation (SCS). The concept of PNS is similar to utilization of SCS; however, the electrical leads are placed near the peripheral nerve as opposed to inside the epidural space. If a specific peripheral nerve is targeted, the term PNS applies. However, if an area of pain is targeted, such as treatment of axial back pain, the reference term peripheral nerve field stimulation (PNFS) is used. There are two basic types of electrical stimulation leads a cylindrical lead, which can be placed percutaneously and a relatively large paddle lead, which requires an incision to be made in the skin. Peripheral nerve field stimulation has been used as a treatment for postherpetic neuralgia (PHN).

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