Skip to main content

Peripheral Nerve Stimulation—Cervical Syndromes

  • Chapter
  • First Online:
Integrating Pain Treatment into Your Spine Practice

Abstract

Peripheral nerve stimulation is a minimally invasive technique that has gained popularity for the treatment of a variety of pain syndromes. Cervical pain syndromes such as chronic cervical pain, cervicogenic headache, and occipital neuralgia all may be good substrates for this therapy. Techniques for performing a trial of peripheral cervical neurostimulation are relatively straightforward but adherence to good surgical practices is important to minimize device-related complications. The extant scientific literature on the outcomes of this technique for these pain syndromes is limited due to the quality of the studies and small patient populations.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 79.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 99.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Sweet JA, Mitchell LS, Narouze S, Sharan AD, Falowski SM, Schwalb JM, et al. Occipital nerve stimulation for the treatment of patients with medically refractory occipital neuralgia: congress of neurological surgeons systematic review and evidence-based guideline. Neurosurgery. 2015;77(3):332–41. PubMed.

    Article  PubMed  Google Scholar 

  2. Melvin Jr EA, Jordan FR, Weiner RL, Primm D. Using peripheral stimulation to reduce the pain of C2-mediated occipital headaches: a preliminary report. Pain Physician. 2007;10(3):453–60. PubMed.

    PubMed  Google Scholar 

  3. Magown P, Garcia R, Beauprie I, Mendez IM. Occipital nerve stimulation for intractable occipital neuralgia: an open surgical technique. Clin Neurosurg. 2009;56:119–24. PubMed.

    PubMed  Google Scholar 

  4. Kapural L, Mekhail N, Hayek SM, Stanton-Hicks M, Malak O. Occipital nerve electrical stimulation via the midline approach and subcutaneous surgical leads for treatment of severe occipital neuralgia: a pilot study. Anesth Analg. 2005;101(1):171–4, table of contents. PubMed.

    Article  PubMed  Google Scholar 

  5. Weiner RL, Reed KL. Peripheral neurostimulation for control of intractable occipital neuralgia. Neuromodulation. 1999;2(3):217–21. PubMed.

    Article  CAS  PubMed  Google Scholar 

  6. Slavin KV, Nersesyan H, Wess C. Peripheral neurostimulation for treatment of intractable occipital neuralgia. Neurosurgery. 2006;58(1):112–9. discussion 112–9. PubMed.

    Article  PubMed  Google Scholar 

  7. Abhinav K, Park ND, Prakash SK, Love-Jones S, Patel NK. Novel use of narrow paddle electrodes for occipital nerve stimulation—technical note. Neuromodulation. 2013;16(6):607–9. PubMed.

    Article  PubMed  Google Scholar 

  8. Oh MY, Ortega J, Bellotte JB, Whiting DM, Alo K. Peripheral nerve stimulation for the treatment of occipital neuralgia and transformed migraine using a c1-2-3 subcutaneous paddle style electrode: a technical report. Neuromodulation. 2004;7(2):103–12. PubMed.

    Article  PubMed  Google Scholar 

  9. Falowski S, Wang D, Sabesan A, Sharan A. Occipital nerve stimulator systems: review of complications and surgical techniques. Neuromodulation. 2010;13(2):121–5.

    Article  PubMed  Google Scholar 

  10. Burgher AH, Huntoon MA, Turley TW, Doust MW, Stearns LJ. Subcutaneous peripheral nerve stimulation with inter-lead stimulation for axial neck and low back pain: case series and review of the literature. Neuromodulation. 2012;15(2):100–6. discussion 6–7. PubMed.

    Article  PubMed  Google Scholar 

  11. Lipov EG, Joshi JR, Sanders S, Slavin KV. Use of peripheral subcutaneous field stimulation for the treatment of axial neck pain: a case report. Neuromodulation. 2009;12(4):292–5. PubMed.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joshua M. Rosenow M.D., F.A.A.N.S., F.A.C.S. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Rosenow, J.M. (2016). Peripheral Nerve Stimulation—Cervical Syndromes. In: Falowski, S., Pope, J. (eds) Integrating Pain Treatment into Your Spine Practice. Springer, Cham. https://doi.org/10.1007/978-3-319-27796-7_17

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-27796-7_17

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-27794-3

  • Online ISBN: 978-3-319-27796-7

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics