Abstract
Axial spinal pain is particularly difficult to treat for the surgeon and pain interventionist alike. Significant advances loom on the neuromodulatory horizon with possibly excellent capacity to provide pain relief; however, the science surrounding their usage is young and the data may be too early to fully translate into a robust argument for these new therapies, some of which are not yet FDA approved. Tonic, spinal cord stimulation (SCS) has been traditionally feeble in rising to the task of ameliorating axial spinal pain. The addition of either peripheral nerve stimulation (PNS) or peripheral nerve field stimulation (PNfS) to SCS has provided additional clinical results that are difficult to obtain with SCS alone. Typically the meaningfully stimulated neural target, the innervation of the posterior axial anatomy from the lumbar spine and especially more cranially, is a furtive and frustratingly hunted quarry. Discussed in this chapter are the science, data, and techniques surrounding the uses of peripheral nerve stimulation for axial pain syndromes.
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McRoberts, W.P. (2016). Peripheral Nerve Stimulation for Axial Pain 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_18
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DOI: https://doi.org/10.1007/978-3-319-27796-7_18
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