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Gutierrez 2024: PNS for CRPS Case Reports
Summary
SPRINT PNS was used to treat complex regional pain syndrome (CRPS).
Three cases of CRPS in the lower extremity with significant and sustained relief of pain.
These three cases suggest that 60-day PNS can be a safe and efficacious treatment for CRPS.
Kelly 2023: PNS Retrospective Case Series in Chronic Knee Pain
Summary
Retrospective case series (n=14): PNS targeting femoral and saphenous nerves for chronic knee pain
75% reported ≥50% pain reduction; 52% average pain relief at six months post-implantation
Demonstrated safety and efficacy with no adverse events
Mach 2023: Case series of lumbar PNS for cancer-related back pain
Summary
PNS for pain secondary to myeloma-related spinal lesions enabled pain relief for radiation therapy
Lumbar medial branch PNS is a promising option for back pain from primary or metastatic tumors
Four patients successfully used lumbar PNS for pain relief, allowing them to complete radiation
Tate 2023: Technical Case Report on PNS of Musculocutaneous Nerve
Summary
Completed ultrasound-guided placement of short-term PNS lead targeting musculocutaneous nerve (MCN)
Patient had total pain resolution & coverage in antecubital & radial forearm areas during 60-Day PNS
Ultrasound-guided placement of PNS is feasible for targeting the MCN in refractory elbow pain
Moman 2021: PNS for Refractory Occipital Neuralgia (Case Report)
Summary
Single patient case report of temporary PNS (GON) followed by permanent PNS for occipital neuralgia
Temporary PNS provided resolution of pain and discontinuation of opioids during treatment of ON
Pain returned after removal. A permanent lead was implanted and provided relief for 12 months
Fiala 2022: Case Series of Lumbar Level PNS for Low Back Pain
Summary
Six reports of PNS targeting the lumbar medial branches for low back pain.
Patients reported an average 65% pain reduction with PNS.
Medial branch PNS may provide pain relief and functional improvements to those with refractory CLBP.
Chitneni 2022: Case Reports of PNS in Rotator Cuff Pathology
Summary
Two reports of suprascapular & axillary nerve PNS for chronic shoulder pain after rotator cuff tear
Reported 80-90% pain relief and 50%-75% opioid reduction 3-months after completing 60-day PNS
60-day PNS may provide sustained relief of rotator cuff pain recalcitrant to conservative treatments
Woodbury 2021: Cervical PNS for Occipital Neuralgia Case Report
Summary
Novel percutaneous PNS approach targeting C2-3 medial branches for occipital neuralgia
Case report of patient with 80% headache pain reduction after 8 weeks of PNS treatment
Longitudinal C2-3 approach is less technically challenging than the traditional C1 transverse method
Shaw 2021: PNS for Post-thoracotomy Intercostal Pain Case Reports
Summary
Two reports of durable relief (13-14 months) following 60-day PNS of intercostal nerves.
60-Day PNS of intercostal nerves for chronic post-thoractomy intercostal neuralgia.
PNS may reduce opioid and nonopioid medication usage in intercostal neuralgia pain.
Mainkar 2020: Pilot Study in Termporary PNS in Oncologic Pain
Summary
Case series (n=12) demonstrates promising peripheral targets for the treatment of oncologic pain
Successful PNS targeting spinal nerves, brachial plexus, and peripheral nerves for oncological pain
Successful relief in 7 of 12 cases, with several reporting relief beyond lead removal
Haider 2023: Case Report of Cervical PNS in Arthritic Neck Pain
Summary
Patient experienced 2 years of severe chronic pain following a work-related neck injury.
Physical therapy and over-the-counter pain medications did not provide sufficient relief.
PNS targeting the nerves of the cervical spine produced 50% reduction in pain at 2 months.