title: Peripheral nerve stimulation in intractable neuropathic pain.
abstract: Peripheral nerve stimulation (PNS) is a neurostimulation analgesic technique. PNS is utilized to treat peripheral neuropathic pain. It is highly sophisticated and a specialized technique used where other forms of treatment have failed. This paper describes the PNS procedure, its therapeutic principles, indications, and the comprehensive care for patients after the PNS implant. First, we summarize our experience using this type of invasive treatment. In the second part, a case of intractable neuropathic pain following repeated surgery to the ulnar nerve is reported. Prior to PNS, the patient underwent multiple types of antineuralgic treatment with no significant result. Only after the PNS application, was a significant analgesic effect achieved.
authors.affiliation: Pain Management Center and Department of Rehabilitation and Sports Medicine, Second Medical Faculty, Charles University and University Hospital Motol, Prague, Czech Republic.
authors.forename: Jiri
authors.initials: J
authors.lastname: Kozak
authors.forename: Alena
authors.initials: A
authors.lastname: Kobesova
authors.forename: Ivan
authors.initials: I
authors.lastname: Vrba
authors.forename: Jiri
authors.initials: J
authors.lastname: Steindler
authors.forename: Pavel
authors.initials: P
authors.lastname: Kolar
mesh_terms: D000279:Administration, Cutaneous; D000328:Adult; D002211:Capsaicin / Q000008:administration & dosage / Q000627:therapeutic use; D004599:Electric Stimulation Therapy; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D009437:Neuralgia / Q000523:psychology / Q000628:therapy*; D009460:Neurologic Examination; D009493:Neurosurgery; D010525:Peripheral Nerves / Q000502:physiology*; D014459:Ulnar Nerve / Q000502:physiology; D020424:Ulnar Neuropathies / Q000628:therapy
chemical_list: D002211:Capsaicin