A review of the bioelectronic implications of stimulation of the peripheral nervous system for chronic pain conditions.
Chronic pain
Neurostimulation
Peripheral nerve
Review
Ultrasound guidance
Journal
Bioelectronic medicine
ISSN: 2332-8886
Titre abrégé: Bioelectron Med
Pays: England
ID NLM: 101660849
Informations de publication
Date de publication:
2020
2020
Historique:
received:
23
12
2019
accepted:
24
03
2020
entrez:
30
4
2020
pubmed:
30
4
2020
medline:
30
4
2020
Statut:
epublish
Résumé
Peripheral Nerve Stimulation has been used to treat human disease including pain for several decades. Innovation has made it a more viable option for treatment of common chronic pain processes, and interest in the therapy is increasing. While clinical data is forthcoming, understanding factors that influence successful outcomes in the use of PNS still needs to be delineated. This article reviews the evolution and bioelectronic principles of peripheral nerve stimulation including patient selection, nerve targets, techniques and guidance of target delivery. We collate the current evidence for outcomes and provide recommendations for salient topics in PNS. Peripheral nerve stimulation has evolved from a surgically invasive procedure to a minimally invasive technique that can be used early in the treatment of peripheral nerve pain. This review identifies and addresses many of the variables which influence the success of PNS in the clinical setting.
Sections du résumé
BACKGROUND
BACKGROUND
Peripheral Nerve Stimulation has been used to treat human disease including pain for several decades. Innovation has made it a more viable option for treatment of common chronic pain processes, and interest in the therapy is increasing.
MAIN BODY
METHODS
While clinical data is forthcoming, understanding factors that influence successful outcomes in the use of PNS still needs to be delineated. This article reviews the evolution and bioelectronic principles of peripheral nerve stimulation including patient selection, nerve targets, techniques and guidance of target delivery. We collate the current evidence for outcomes and provide recommendations for salient topics in PNS.
CONCLUSION
CONCLUSIONS
Peripheral nerve stimulation has evolved from a surgically invasive procedure to a minimally invasive technique that can be used early in the treatment of peripheral nerve pain. This review identifies and addresses many of the variables which influence the success of PNS in the clinical setting.
Identifiants
pubmed: 32346553
doi: 10.1186/s42234-020-00045-5
pii: 45
pmc: PMC7181529
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
9Informations de copyright
© The Author(s) 2020.
Déclaration de conflit d'intérêts
Competing interestsTRD: consultant for Axonics, Abbott, Nalu, Saluda, Medtronic, Nevro, Boston Scientific (Vertiflex), Vertos, Cornerloc, SPR Therapeutics, Flowonix. Stimgenics. RKN: Consultant for Abbott, Avanos, Bicycle Health, Boston Scientific, CereVu, ExerAI, KarunaVR, Nalu, Omnia Medical, Sonosite, SPR Therapeutics, Vertiflex, Vertos. NHS: nothing to declare. DS: nothing to declare. AA: consultant for Medtronic, StimWave, Avanos and Sollis. JMH: Nothing to declare. HK: nothing to declare. PM: Consultant for Abbott, CornerLoc SPR Therapeutics, Vertiflex, Ethos Labs. DS: Abbott, Flowonix, Medtronic, Nevro, PainTeq, SPR, Stimgenics, Vertos, Vertiflex. AG: Consultant for Medtronic, Flowonix, AIS, SPR Therapeutics, Nalu, EnsoRelief.
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