Neurostimulation for Postsurgical Analgesia: A Novel System Enabling Ultrasound-Guided Percutaneous Peripheral Nerve Stimulation.


Journal Article

While neurostimulation-stimulation of the nervous system using electrical current-has been used to treat chronic pain, its use treating postsurgical pain has been limited. Here, we report on the clinical application of a novel investigational lead to provide analgesia following total knee arthroplasty. In 5 subjects, leads were inserted percutaneously using ultrasound guidance within 0.5 to 3.0 cm of the femoral and/or sciatic nerve(s). With the delivery of current, pain decreased an average of 63% at rest, with 4 of 5 subjects having relief of > 50%. During passive and active knee flexion, pain decreased an average of 14% and 50%, with 0/3 and 1/2 subjects attaining > 50% relief, respectively. Ultrasound-guided percutaneous peripheral nerve stimulation may be a practical modality for the treatment of postsurgical pain.

Full Text

Cited Authors

  • Ilfeld, BM; Grant, SA; Gilmore, CA; Chae, J; Wilson, RD; Wongsarnpigoon, A; Boggs, JW

Published Date

  • September 2017

Published In

Volume / Issue

  • 17 / 7

Start / End Page

  • 892 - 901

PubMed ID

  • 27910257

Pubmed Central ID

  • 27910257

Electronic International Standard Serial Number (EISSN)

  • 1533-2500

International Standard Serial Number (ISSN)

  • 1530-7085

Digital Object Identifier (DOI)

  • 10.1111/papr.12539


  • eng