Peripheral Nerve Stimulation: A New Paradigm for Treatment of Neuropathic Pain (210)

3:45–4:45 pm Friday, March 8

Historically, the options for treating peripheral neuropathic pain mainly focused on targeting the central nervous system. Peripheral nerve stimulation (PNS) was limited in its availability and usefulness. High-resolution ultrasound and new technology have transformed PNS from an open surgery to a minor percutaneous procedure. This session aims to identify the most common nerve targets, pitfalls, and the ultrasound considerations for PNS implants.

Peripheral Nerve Stimulation: History and Basic Principles

Amitabh Gulati, MD

Peripheral Nerve Stimulation: Patient Selection and Nerve Targets

Scott Pritzlaff, MD

Lessons from the Experienced Implanter: PNS Pitfalls and Pearls

Einar Ottestad, MD FIPP CIPS

Learning Objectives:

  • Identify appropriate conditions and nerve targets that would best respond to peripheral nerve stimulation.
  • Develop a simple PNS algorithm to successfully treat peripheral neuropathic pain and minimize complications.
  • Review the evidence-based literature for the current, commercially-available percutaneous PNS systems.