Peripheral nerve stimulation trial and implantation

2021 ◽  
pp. 135-146
Author(s):  
Kris Ferguson ◽  
Alaa Abd-Elsayed

This chapter will detail the surgical recommendations and step-by-step approaches for both trial stimulation and permanent implantation of peripheral nerve stimulation to treat sacroiliac joint pain. It also provides a brief history of this procedure, which has evolved from being a procedure that required careful, open dissection of the target nerve to a sleek treatment requiring only image guidance and a minimally invasive percutaneous approach. A trial stimulation period typically ranges from 7 to 14 days; steps for the trial simulation procedure include preparation, target point identification, and lead insertion. Additional topics for the permanent implantation procedure include tunneling and pocket dissection.

Pain Medicine ◽  
2020 ◽  
Vol 21 (Supplement_1) ◽  
pp. S3-S5
Author(s):  
Einar Ottestad ◽  
Daniel S Orlovich

Abstract Objective To present a history of the development of peripheral nerve stimulation. Methods Narrative literature review. Results Peripheral nerve stimulation has a history stretching from Scribonius Largus and eels in Mesopotamia to Michael Farady’s discovery in London, the German-English physician Julius Althaus’s application of electricity to a peripheral nerve, the sensational “Electreat” in the United States, to the application by Wall and Sweet of the gate theory proposed by Melzack and Wall to specialized neurosurgeons. Conclusions This is now a modern field in clinical neuroscience and medicine with improved technology, renewed interest by a diverse range of specialties, and accessibility with ultrasound.


2014 ◽  
Vol 18 (5) ◽  
pp. 392-396 ◽  
Author(s):  
Marin Guentchev ◽  
Christian Preuss ◽  
Rainer Rink ◽  
Levente Peter ◽  
Ernst-Ludwig Wocker ◽  
...  

2021 ◽  
pp. 123-128
Author(s):  
Jessica Jameson

Sacroiliac joint pain is a very common cause of low back pain. Treatments such as physical therapy, medications, transcutaneous electrical nerve stimulation, and nerve blocks or injections can often improve symptoms. However, when these techniques are unsuccessful, consideration should be given to peripheral nerve stimulation as a long-term solution for chronic sacroiliac joint pain. Case reports over the previous decade have indicated that peripheral nerve stimulation can be useful in treating sacroiliac joint pain. This chapter provides an overview of this technique. The topics include the patient selection process (including the importance of obtaining a psychological evaluation), contraindications, and instruments used during the procedure.


Author(s):  
John A. Dilger ◽  
Carlos B. Mantilla ◽  
Douglas R. Bacon

Chapter 1 provides a brief outline of the history of regional anesthesia, from ancient Egypt to its modern origins in the late 19th century. Nerve localization techniques are also reviewed, covering the progression from the paresthesia technique to peripheral nerve stimulation to ultrasound guidance. The importance and implications of peripheral nerve blockade are covered as well.


2021 ◽  
pp. 2004033
Author(s):  
Estelle A. Cuttaz ◽  
Christopher A. R. Chapman ◽  
Omaer Syed ◽  
Josef A. Goding ◽  
Rylie A. Green

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