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  4. Percutaneous peripheral nerve stimulation for treatment of shoulder pain after spinal cord injury: A case report

Percutaneous peripheral nerve stimulation for treatment of shoulder pain after spinal cord injury: A case report

The Journal of Spinal Cord Medicine, 2018 · DOI: 10.1080/10790268.2017.1293329 · Published: January 1, 2018

Spinal Cord InjuryNeurologyPain Management

Simple Explanation

This case report describes the use of percutaneous peripheral nerve stimulation (PNS) to treat chronic shoulder pain in a man with spinal cord injury (SCI). PNS involves placing a small electrode near a nerve to deliver electrical stimulation. The man had experienced shoulder pain for two years, and it had not responded to other treatments. After PNS treatment, his pain decreased, and his quality of life improved. This report suggests that PNS may be a feasible treatment for shoulder pain in people with SCI, but further studies are needed to confirm these findings.

Study Duration
12 weeks follow up
Participants
One 45-year-old man with C4 ASIA D tetraplegia
Evidence Level
Level 4: Case Report

Key Findings

  • 1
    The subject experienced a 44% reduction in worst pain one week after the end of treatment, as measured by the BPI-SF3 scale.
  • 2
    Pain interference decreased by 47.1% from the start of stimulation to the end of treatment, and was 52.9% lower at 12 weeks follow up than at start of stimulation.
  • 3
    The mental health component of quality of life improved and remained higher than baseline at 12 weeks after treatment, as measured by the SF-36v2.

Research Summary

This case report demonstrates the feasibility and potential benefits of using percutaneous PNS to treat chronic shoulder pain in an individual with SCI. The subject experienced a reduction in pain and improvements in quality of life and pain interference following the 3-week PNS treatment. Further studies are needed to confirm these findings and determine the efficacy, optimal dosage, and long-term effects of PNS for shoulder pain in individuals with SCI.

Practical Implications

Potential New Treatment Option

PNS could offer a new treatment avenue for individuals with SCI experiencing chronic shoulder pain, especially when other treatments have failed.

Improved Quality of Life

Reduction in pain and improved mental health component of quality of life highlight the potential for PNS to enhance overall well-being.

Further Research Needed

The findings warrant further investigation through larger, controlled studies to establish the effectiveness and safety of PNS for this population.

Study Limitations

  • 1
    Single case study limits generalizability.
  • 2
    Potential for placebo effect or natural recovery.
  • 3
    Need for studies to define optimal treatment parameters and long-term effects.

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