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Peripheral Nerve Stimulation in Painful Conditions of the Upper Extremity—An Overview

Our objective is to present a brief history of the evolution of peripheral nerve stimulation, the current understanding of peripheral nerve stimulation mechanisms in chronic pain, peripheral nerve stimulation applications in upper extremity chronic pain conditions, and complications of peripheral ne...

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Autores principales: Yaccarino, Vincent, Jin, Max Y., Abd-Elsayed, Alaa, Kraemer, Jacob M., Sehgal, Nalini
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9687108/
https://www.ncbi.nlm.nih.gov/pubmed/36359295
http://dx.doi.org/10.3390/biomedicines10112776
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author Yaccarino, Vincent
Jin, Max Y.
Abd-Elsayed, Alaa
Kraemer, Jacob M.
Sehgal, Nalini
author_facet Yaccarino, Vincent
Jin, Max Y.
Abd-Elsayed, Alaa
Kraemer, Jacob M.
Sehgal, Nalini
author_sort Yaccarino, Vincent
collection PubMed
description Our objective is to present a brief history of the evolution of peripheral nerve stimulation, the current understanding of peripheral nerve stimulation mechanisms in chronic pain, peripheral nerve stimulation applications in upper extremity chronic pain conditions, and complications of peripheral nerve stimulation. The evolution of peripheral nerve stimulation from the early ages to the current status has been facilitated by discoveries in neurobehavioral mechanisms of pain, advances in technology and percutaneous lead development, and the availability of high-quality portable ultrasound units. Peripheral nerve stimulation application in managing upper extremity pain of amputated limbs, post-stroke shoulder pain, complex regional pain syndrome (CRPS), and median, ulnar, and radial neuropathies are discussed. Finally, we describe complications of peripheral nerve stimulation. The availability of ultrasound-guided peripheral nerve stimulation techniques and superior peripheral nerve stimulation technology have opened up new and minimally invasive treatment options for chronic intractable neuropathic pain of the upper extremity. Additionally, the ability to place peripheral nerve stimulation leads percutaneously without open peripheral nerve surgery expands the pool of implanting physicians, while simultaneously decreasing the risks and complications that are associated with open surgery.
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spelling pubmed-96871082022-11-25 Peripheral Nerve Stimulation in Painful Conditions of the Upper Extremity—An Overview Yaccarino, Vincent Jin, Max Y. Abd-Elsayed, Alaa Kraemer, Jacob M. Sehgal, Nalini Biomedicines Review Our objective is to present a brief history of the evolution of peripheral nerve stimulation, the current understanding of peripheral nerve stimulation mechanisms in chronic pain, peripheral nerve stimulation applications in upper extremity chronic pain conditions, and complications of peripheral nerve stimulation. The evolution of peripheral nerve stimulation from the early ages to the current status has been facilitated by discoveries in neurobehavioral mechanisms of pain, advances in technology and percutaneous lead development, and the availability of high-quality portable ultrasound units. Peripheral nerve stimulation application in managing upper extremity pain of amputated limbs, post-stroke shoulder pain, complex regional pain syndrome (CRPS), and median, ulnar, and radial neuropathies are discussed. Finally, we describe complications of peripheral nerve stimulation. The availability of ultrasound-guided peripheral nerve stimulation techniques and superior peripheral nerve stimulation technology have opened up new and minimally invasive treatment options for chronic intractable neuropathic pain of the upper extremity. Additionally, the ability to place peripheral nerve stimulation leads percutaneously without open peripheral nerve surgery expands the pool of implanting physicians, while simultaneously decreasing the risks and complications that are associated with open surgery. MDPI 2022-11-01 /pmc/articles/PMC9687108/ /pubmed/36359295 http://dx.doi.org/10.3390/biomedicines10112776 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Yaccarino, Vincent
Jin, Max Y.
Abd-Elsayed, Alaa
Kraemer, Jacob M.
Sehgal, Nalini
Peripheral Nerve Stimulation in Painful Conditions of the Upper Extremity—An Overview
title Peripheral Nerve Stimulation in Painful Conditions of the Upper Extremity—An Overview
title_full Peripheral Nerve Stimulation in Painful Conditions of the Upper Extremity—An Overview
title_fullStr Peripheral Nerve Stimulation in Painful Conditions of the Upper Extremity—An Overview
title_full_unstemmed Peripheral Nerve Stimulation in Painful Conditions of the Upper Extremity—An Overview
title_short Peripheral Nerve Stimulation in Painful Conditions of the Upper Extremity—An Overview
title_sort peripheral nerve stimulation in painful conditions of the upper extremity—an overview
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9687108/
https://www.ncbi.nlm.nih.gov/pubmed/36359295
http://dx.doi.org/10.3390/biomedicines10112776
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