Technical Note: Treatment of Sacroiliac Joint Pain with Peripheral Nerve Stimulation

2014 ◽  
Vol 18 (5) ◽  
pp. 392-396 ◽  
Author(s):  
Marin Guentchev ◽  
Christian Preuss ◽  
Rainer Rink ◽  
Levente Peter ◽  
Ernst-Ludwig Wocker ◽  
...  
Keyword(s):  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Sacroiliac Joint ◽  
Joint Pain ◽  
Technical Note ◽  
Peripheral Nerve Stimulation ◽  
Sacroiliac Joint Pain

Patient selection and instruments used for peripheral nerve stimulation of the sacroiliac joint

2021 ◽  
pp. 123-128
Author(s):  
Jessica Jameson
Keyword(s):  
Peripheral Nerve ◽  
Patient Selection ◽  
Nerve Stimulation ◽  
Sacroiliac Joint ◽  
Joint Pain ◽  
Selection Process ◽  
Case Reports ◽  
Peripheral Nerve Stimulation ◽  
Sacroiliac Joint Pain ◽  
Previous Decade

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.

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.

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.

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.

scholarly journals Sciatic, Femoral, and Lateral Femoral Cutaneous Nerve Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation

Pain Medicine ◽  
2020 ◽  
Vol 21 (Supplement_1) ◽  
pp. S47-S50
Author(s):  
Harmandeep Singh ◽  
Akshat Gargya ◽  
Tiffany Lin ◽  
Amitabh Gulati
Keyword(s):  
Chronic Pain ◽  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Technical Note ◽  
Peripheral Nerve Stimulation ◽  
Percutaneous Technique ◽  
Ultrasound Guided ◽  
Lead Placement ◽  
Needle Trajectory ◽  
Invasive Techniques

Abstract Objective With advances in peripheral nerve stimulation technology, there has been an emergence of new minimally invasive techniques to provide neurostimulation therapies for chronic pain. This technical note describes the utilization of ultrasonography for percutaneous placement of peripheral nerve stimulation leads at the sciatic, femoral, and lateral femoral cutaneous nerves. Methods Ultrasound can be utilized to localize a specific nerve, view neighboring soft tissue anatomy, and plan a needle trajectory. Various ultrasound techniques and transducer orientations allow for multiple options for lead placement relative to the targeted nerve. Conclusions The option of ultrasound-guided percutaneous technique for neurostimulation lead placement allows this treatment modality to be made available to more patients with chronic pain in specific nerve distributions.

scholarly journals Techniques for Peripheral Nerve Stimulator Implantation of the Upper Extremity

Pain Medicine ◽  
2020 ◽  
Vol 21 (Supplement_1) ◽  
pp. S27-S31
Author(s):  
Vinita Singh ◽  
Diya Sandhu ◽  
Nan Xiang
Keyword(s):  
Peripheral Nerve ◽  
Upper Extremity ◽  
Nerve Stimulation ◽  
Pulse Generator ◽  
Technical Note ◽  
Peripheral Nerve Stimulation ◽  
Nerve Stimulator ◽  
Peripheral Nerve Stimulator ◽  
Academic Center ◽  
Technical Details

Abstract Objective To present a technical note on how to perform upper extremity peripheral nerve stimulators for three major nerves: median, ulnar, and radial. Design Literature review and expert opinion. Setting Single academic center. Results Peripheral nerve stimulation has recently become popular with the development and availability of peripheral nerve stimulators with an external pulse generator. Here, we describe ultrasound anatomy and technical details for peripheral nerve stimulation in the upper extremity for three major nerves: median, ulnar, and radial. Conclusions Upper extremity peripheral nerve stimulation can be considered as an option for refractory neuropathic upper extremity pain.

Peripheral nerve stimulation trial and implantation

2021 ◽  
pp. 135-146
Author(s):  
Kris Ferguson ◽  
Alaa Abd-Elsayed
Keyword(s):  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Joint Pain ◽  
Peripheral Nerve Stimulation ◽  
Target Point ◽  
Percutaneous Approach ◽  
Simulation Procedure ◽  
Trial Simulation ◽  
History Of ◽  
Stimulation Period

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.

Sign in / Sign up

Export Citation Format

Share Document