IJERPH, Vol. 20, Pages 4488: Wireless Peripheral Nerve Stimulation for The Upper Limb: A Case Report

IJERPH, Vol. 20, Pages 4488: Wireless Peripheral Nerve Stimulation for The Upper Limb: A Case Report International Journal of Environmental Research and Public Health doi: 10.3390/ijerph20054488 Authors: Valentina Bellini Marco Baciarello Marco Cascella Francesco Saturno Christian Compagnone Alessandro Vittori Elena Giovanna Bignami Peripheral neuro-stimulation (PNS) has been proved to be effective for the treatment of neuropathic pain as well as other painful conditions. We discuss two approaches to PNS placement in the upper extremity. The first case describes a neuropathic syndrome after the traumatic amputation of the distal phalanx of the fifth digit secondary to a work accident with lack of responsiveness to a triple conservative therapy. An upper arm region approach for the PNS was chosen. The procedure had a favorable outcome; in fact, after one month the pain symptoms were absent (VAS 0) and the pharmacological therapy was suspended. The second case presented a patient affected by progressive CRPS type II in the sensory regions of the ulnar and median nerve in the hand, unresponsive to drug therapy. For this procedure, the PNS device was implanted in the forearm. Unfortunately, in this second case the migration of the catheter affected the effectiveness of the treatment. After examining the two cases in this paper, we changed our practice and suggest the implantation of PNS for radial, median and/or ulnar nerve stimulation in the upper arm region,...
Source: International Journal of Environmental Research and Public Health - Category: Environmental Health Authors: Tags: Case Report Source Type: research