Ferreira-Silva Nuno, Ferreira-Dos-Santos Guilherme, Gupta Sahil, Hunt Christine L, Eldrige Jason S, Pingree Matthew J, Clendenen Steven R, Hurdle Mark Friedrich B
Department of Physical Medicine & Rehabilitation, Hospital Professor Doutor Fernando Fonseca. Amadora, 2720-276, Portugal.
Department of Anesthesiology & Pain Medicine, Toronto Western Hospital, University Health Network, University of Toronto. Toronto, ON, M5T 2S8, Canada.
Pain Manag. 2023 Jan;13(1):15-24. doi: 10.2217/pmt-2022-0070. Epub 2022 Nov 21.
During the last two decades, with the advent of recent technology, peripheral nerve stimulation has become an appealing modality at the forefront of pain management. In this case series, we document the clinical rationale and technical considerations on three of the most challenging cases, refractory to previous interventions, that were treated by our team with an ultrasound-guided percutaneous peripheral nerve stimulator targeting the musculocutaneous, bilateral greater occipital and subcostal nerves. At the 6-month follow-up, all patients experienced greater than 50% relief of baseline pain, with a near-complete resolution of pain exacerbations. Furthermore, to our knowledge, this is the first report of an ultrasound-guided percutaneous technique of a peripheral nerve stimulator targeting the musculocutaneous and subcostal nerves.
在过去二十年中，随着现代技术的出现，周围神经刺激已成为疼痛管理前沿一种有吸引力的治疗方式。在本病例系列中，我们记录了三个最具挑战性病例的临床原理和技术考量，这些病例对先前的干预措施无效，我们团队采用超声引导下经皮周围神经刺激器分别针对肌皮神经、双侧枕大神经和肋间神经进行了治疗。在6个月的随访中，所有患者的基线疼痛缓解均超过50%，疼痛加剧情况几乎完全缓解。此外，据我们所知，这是关于超声引导下经皮周围神经刺激器针对肌皮神经和肋间神经的技术的首次报告。
