scholarly journals Extraforaminal Thoracic and Lumbar Spinal Nerve Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation

Pain Medicine ◽  
2020 ◽  
Vol 21 (Supplement_1) ◽  
pp. S38-S40
Author(s):  
Akshat Gargya ◽  
Harmandeep Singh ◽  
Tiffany Lin ◽  
Amitabh Gulati
Keyword(s):  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Spinal Nerve ◽  
Peripheral Nerve Stimulation ◽  
Ultrasound Guided ◽  
Spinal Nerves ◽  
Lead Placement ◽  
Needle Trajectory ◽  
Lumbar Spinal ◽  
Stimulation Of

Abstract Objective Peripheral nerve stimulation provides targeted stimulation and pain relief within a specific nerve distribution. This technical case report provides a method to perform selective nerve root stimulation of thoracic and lumbar spinal nerves using ultrasonography. Methods Ultrasound-guided peripheral nerve stimulation of thoracic and lumbar spinal nerves allows better visualization of soft tissue anatomy and planning of needle trajectory. Conclusions Ultrasound-guided peripheral nerve stimulation procedures may provide a safer method for neurostimulation lead placement when compared with fluoroscopic-guided techniques.

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.

Combined epidural and peripheral nerve stimulation for relief of pain

1982 ◽  
Vol 57 (3) ◽  
pp. 365-369 ◽  
Author(s):  
Bruno J. Urban ◽  
Blaine S. Nashold
Keyword(s):  
Lower Extremity ◽  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Spinal Nerve ◽  
Late Complications ◽  
Peripheral Nerve Stimulation ◽  
Leg Pain ◽  
Content Type ◽  
Vertebral Bodies ◽  
Anterior Division

✓ A technique is described that combines percutaneous epidural with peripheral nerve stimulation to provide limited paresthesia to a lower extremity. The peripheral electrode is placed percutaneously and positioned along the course of the anterior division of the spinal nerve anterolateral to the vertebral bodies. This is accomplished by a modified epidural tap. Combined stimulation was carried out in 23 patients with intractable leg pain. Sixteen patients proceeded to chronic autostimulation; follow-up time extended to 18 months. The procedure proved simple; there were no perioperative and only few minor late complications. Results were similar to those from conventional epidural stimulator implantation. It is concluded that combined epidural-peripheral nerve stimulation constitutes a valid therapeutic alternative for patients with unilateral lower extremity pain.

Feasibility of Ultrasound-Guided Percutaneous Placement of Peripheral Nerve Stimulation Electrodes and Anchoring During Simulated Movement

2008 ◽  
Vol 33 (6) ◽  
pp. 558-565 ◽  
Author(s):  
Marc A. Huntoon ◽  
Bryan C. Hoelzer ◽  
Abram H. Burgher ◽  
Mark Friedrich B. Hurdle ◽  
Elizabeth A. Huntoon
Keyword(s):  
Peripheral Nerve ◽  
Nerve Stimulation ◽  
Peripheral Nerve Stimulation ◽  
Ultrasound Guided
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