Preoperative considerations for peripheral nerve stimulation of the sacroiliac joint

2021 ◽  
pp. 129-134
Author(s):  
Ajay B. Antony
Keyword(s):  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Sacroiliac Joint ◽  
Infection Risk ◽  
Peripheral Nerve Stimulation ◽  
Anticoagulation Management ◽  
Perioperative Antibiotics ◽  
Planning Strategies ◽  
Preoperative Plan ◽  
Stimulation Of

This chapter reviews preoperative factors to be considered before performing peripheral nerve stimulation of the sacroiliac joint. When designing a preoperative plan, it is important to consider the type of anesthesia to be administered, anticoagulation management, infection risk, and other relevant medical comorbidities that may complicate the procedure. These factors vary depending on the patient, and in many cases coordination with other specialists is required. Optimization of patient comorbidities, appropriate management of anticoagulation, and planning strategies to minimize infection risk (including the use of perioperative antibiotics) are paramount to ensure the best possible outcomes for the patient undergoing this procedure.

Outcome measures and outcomes of peripheral nerve stimulation of the sacroiliac joint

2021 ◽  
pp. 147-160
Author(s):  
Hunter Hoopes ◽  
Mayank Gupta
Keyword(s):  
Peripheral Nerve ◽  
Outcome Measures ◽  
Nerve Stimulation ◽  
Sacroiliac Joint ◽  
Adverse Outcomes ◽  
Peripheral Nerve Stimulation ◽  
Advantages And Disadvantages ◽  
Pain Assessment Scales ◽  
Patient’S Perception ◽  
Stimulation Of

This chapter focuses on the most commonly used questionnaires and pain assessment scales that are used both clinically and in the research setting, and it compares and contrasts their validity and accuracy. Reliable outcome measures are essential to translate the complex perception of pain into measurable data. Several questionnaires and grading scales have been developed, each with their own inherent advantages and disadvantages. In addition to quantitative measures of pain, this chapter explores what other qualitative measures are useful to understand a patient’s perception of pain, their functional ability, and even potential adverse outcomes. Finally, this chapter demonstrates how some of these measures have already been used in the literature specifically in the context of peripheral nerve stimulation of the sacroiliac joint.

Long-Term Reduction of Sacroiliac Joint Pain With Peripheral Nerve Stimulation

2017 ◽  
Vol 13 (5) ◽  
pp. 634-639 ◽  
Author(s):  
Marin Guentchev ◽  
Christian Preuss ◽  
Rainer Rink ◽  
Levente Peter ◽  
Martin H. M. Sailer ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Sacroiliac Joint ◽  
Peripheral Nerve Stimulation ◽  
Term Therapy ◽  
Treatment Results ◽  
Satisfaction Index ◽  
Average Pain

Abstract BACKGROUND: We recently demonstrated that 86% of the patients treated with peripheral nerve stimulation (PNS) for therapy-refractory sacroiliac joint (SIJ) pain were satisfied with the result after 1 year of treatment. OBJECTIVE: To investigate the long-term (up to 4 years) response rate of this novel treatment. METHODS: Sixteen consecutive patients with therapy-refractory SIJ pain were treated with PNS and followed for 4 years in 3 patients, 3 years in 6 patients, and 2 years in 1 patient. Quality of life, pain, and patient satisfaction were assessed using the Oswestry Disability Index 2.0, Visual Analog Scale (VAS), and International Patient Satisfaction Index. RESULTS: Patients reported a pain reduction from 8.8 to 1.6 (VAS) at 1 year (P < .001), and 13 of 14 patients (92.9%) rated the therapy as effective (International Patient Satisfaction Index score ≤ 2). At 2 years, average pain score was 1.9 (P < .001), and 9 of 10 patients (90.0%) considered the treatment a success. At 3 years, 8 of 9 patients (88.9%) were satisfied with the treatment results, reporting an average VAS of 2.0 (P < .005). At 4 years, 2 of 3 patients were satisfied with the treatment results. CONCLUSION: We have shown for the first time that PNS is a successful long-term therapy for SIJ pain.

Design and Simulation of a Parylene-Based Three-Dimensional Cuff Electrode for Peripheral Nerve Stimulation

2014 ◽  
Vol 609-610 ◽  
pp. 1459-1463
Author(s):  
Wen Jie Xiong ◽  
Huai Qiang Yu ◽  
Zhi Hong Li
Keyword(s):  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Power Efficiency ◽  
Three Dimensional ◽  
Element Model ◽  
Peripheral Nerve Stimulation ◽  
Cuff Electrode ◽  
Higher Power ◽  
Simulation Results ◽  
Stimulation Of

In this paper, a parylene-based three-dimensional cuff electrode for peripheral nerve stimulation was proposed and simulated. The three-dimensional (3D) finite element model was built for simulation study of the electrode. The simulation results show this design has higher power efficiency than conventional planar electrode and it can realize selective stimulation of different fascicles in the target nerve. Moreover, the tripolar configuration has better control of the stimulation electric field than monopolar.

Peripheral Stimulation for Treatment of Trigeminal Postherpetic Neuralgia and Trigeminal Posttraumatic Neuropathic Pain: A Pilot Study

Neurosurgery ◽  
2004 ◽  
Vol 55 (1) ◽  
pp. 135-142 ◽  
Author(s):  
Mark D. Johnson ◽  
Kim J. Burchiel
Keyword(s):  
Pain Relief ◽  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Postherpetic Neuralgia ◽  
Medication Use ◽  
Peripheral Nerve Stimulation ◽  
Facial Trauma ◽  
Herpetic Infection ◽  
Peripheral Stimulation ◽  
Stimulation Of

Abstract OBJECTIVE: Trigeminal neuropathic pain (TNP) after facial trauma or herpes zoster infection is often refractory to treatment. Peripheral nerve stimulation has been used to treat occipital neuralgia; however, efficacy in controlling facial TNP or postherpetic neuralgia is unknown. A retrospective case series of patients who underwent subcutaneous placement of stimulating electrodes for treatment of V1 or V2 TNP secondary to herpetic infection or facial trauma is presented. METHODS: Ten patients received implanted subcutaneous pulse generators and quadripolar electrodes for peripheral stimulation of the trigeminal nerve supraorbital or infraorbital branches. Long-term treatment results were determined by retrospective review of medical records (1998–2003) and by independent observers interviewing patients using a standard questionnaire. Surgical complication rate, preoperative symptom duration, degree of pain relief, preoperative and postoperative work status, postoperative changes in medication usage, and overall degree of therapy satisfaction were assessed. Mean follow-up was 26.6 ± 4.7 months. RESULTS: Peripheral nerve stimulation provided at least 50% pain relief in 70% of patients with TNP or postherpetic neuralgia. Medication use declined in 70% of patients, and 80% indicated that they were mostly or completely satisfied with treatment overall. There were no treatment failures (< 50% pain relief and a lack of decrease in medication use) in the posttraumatic group, and two failures (50%) occurred in the postherpetic group. The complication rate requiring reoperation was 30%. CONCLUSION: Peripheral nerve stimulation of the supraorbital or infraorbital branches of the trigeminal nerve is an effective method for relief of TNP after facial trauma or herpetic infection. A prospective trial using this novel approach to treat these disorders is thus warranted.

Sign in / Sign up

Export Citation Format

Share Document