Journal
SURGICAL NEUROLOGY
Volume 72, Issue 4, Pages 330-335Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.surneu.2009.03.006
Keywords
Pain; Peripheral nerve stimulation; Chronic neuropathic pain; Quantitative Sensory Testing
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Funding
- Medtronic
- Svend Andersen Foundation
- Lunbeck Foundation
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Background: Chronic neuropathic pain after injury to a peripheral nerve is known to be resistant to treatment. Peripheral nerve stimulation is one of the possible treatment options, which is, however, not performed frequently. In recent years we have witnessed a renewed interest for PNS. The aim of the present study was to evaluate the long-term clinical efficacy of PNS in a group of patients with peripheral neuropathic pain treated with PNS since the 1980s. Methods: Of an original series of 11 patients, 5 patients could be invited for clinical examination, detailed assessment of clinical pain and QST examination. The assessments were done both during habitual use of PNS and with the stimulator off. Results: Average pain intensity and pain unpleasantness ratings as assessed with visual analog and verbal rating scales showed significant beneficial effects of PNS. Quality of life measures (sleep and daily functioning) also showed positive effects. Quantitative Sensory Testing results did not show significant differences in cold pain and heat pain thresholds between the ON and OFF conditions. Conclusion: In selected patients with peripheral neuropathic pain PNS remains effective even after more than 20 years. (C) 2009 Elsevier Inc. All rights reserved.
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