Peripheral Nerve Stimulation Trials and Implants

Pain Management Services

Pain can be debilitating, impacting the quality of life for many individuals. Peripheral Nerve Stimulation (PNS) has emerged as a promising solution for those seeking alternatives to traditional pain management.

What is Peripheral Nerve Stimulation (PNS)?

PNS involves the use of electrical impulses to modulate pain signals along peripheral nerves, offering relief to individuals with chronic pain. Scientific studies have shown that PNS can be effective in managing various types of pain, including acute postoperative pain and chronic pain conditions.

How Does PNS Work?

Peripheral nerve stimulation comprises helically coiled electrical leads that guide an applied current toward afferent neurons responsible for sensory innervation in the affected region. The underlying principle involves modifying nerve fibers with the applied current. This modification disrupts the central processing of pain signals at the spinal cord level by reshaping the perception and processing of pain and providing relief in the targeted area.

Peripheral Nerve Stimulation Trials and Implants

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Who is a Good Candidate for PNS?

Generally, the ideal candidates for PNS are:

  • Individuals with chronic pain, especially those for whom conventional treatments, such as medications or physical therapy, have not provided adequate relief.
  • Specific types of pain, such as neuropathic pain, which is caused by nerve damage. This includes conditions like nerve injuries, sciatica, and some types of chronic back pain.
  • No pain relief from other treatments
  • A successful trial stimulation period with a temporary PNS system indicates that a permanent implant may be beneficial. This trial helps to assess how the body responds to the stimulation.
  • Good overall health. This reduces the risk of complications during and after the procedure.

What is the Recovery Time for a Peripheral Nerve Stimulator Implant?

The recovery time for a peripheral nerve stimulator implant varies from individual to individual. However, studies suggest that most patients resume normal activities within a few weeks post-implantation, gradually improving comfort and mobility.

Do Implanted Nerve Stimulators Work?

Scientific evidence supports the effectiveness of implanted nerve stimulators in managing chronic pain. Studies on peripheral nerve stimulation have demonstrated positive outcomes, providing sustained relief for conditions such as chronic pain following amputation and in managing chronic pain.

Peripheral Nerve Stimulation Trials and Implants
Peripheral Nerve Stimulation Trials and Implants

What are the Steps for Getting a PNS?

  1. Consultation: Dr. Etelzon will assess the patient’s medical history and pain condition. This stage is crucial in determining whether PNS is a suitable option. Dr. Ilana Etelzon, a board-certified Physical Medicine and Rehab/Interventional Pain Management Specialist, is the finest choice for pain management in New York City. She relies on her knowledge and experience to analyze your condition, diagnose the source of your pain, and determine a treatment plan tailored to your needs.
  2. Trial Period: Following a successful consultation, a temporary PNS device is implanted during a trial period. This allows patients to experience the therapy and evaluate its efficacy in managing pain. A typical trial period for a peripheral nerve stimulator usually spans 3 to 5 days. During this time, the patient is encouraged to engage in activities previously hindered by pain under certain physical activity limitations to prevent dislodging the trial leads. The effectiveness of the trial may become apparent immediately or over a few days. After the trial, Dr. Etelzon can easily remove the stimulator leads in a simple office procedure.
  3. Stimulator Implantation: If the trial proves successful, the next step involves permanently implanting the PNS device. It is a minimally invasive surgery, typically performed under local anesthesia with possible mild sedation. The process involves making small incisions to insert leads, guided to target nerves using fluoroscopy. The leads are tested for correct placement, often with patient feedback, to ensure efficacy in targeting pain areas. The pulse generator, responsible for electrical impulses, is then implanted under the skin, commonly in the abdominal region or upper buttock. The surgery usually lasts 1 to 2 hours, followed by a brief monitoring period and home care instructions. Postoperative programming of the stimulator is adjusted for optimal pain relief during follow-up visits.

Patient Testimonials

Patient Doctor Relationships Based on Trust

  • Dr. Etelzon always makes sure you are comfortable and leave her office with less pain you came in. She gets to the root of the problem. She's friendly. Clean office environment. No long waits, efficient visit. Highly satisfied with my treatment plan.
    Jacqueline Rodriguez Patient
  • Doctor Etelzon is very knowledgeable and really cares about her patients. She will take her time to discuss patients problem, answer questions and use her expertise to help. Dr. Etelzon maintains a friendly , clean , and efficient office environment.
    Narik Fuzailov Patient
  • Helped me with my pain! Great bedside manner. Highly recommend this doctor.
    Anonymous Patient
  • Dr.Etelzon is very knowledgeable and caring and has hands of hold! She was so thorough in her examination and really sees and hears the patient and determines a customized treatment. Thank you, Dr.Etelzon!
    Anonymous Patient
  • Dr. Ilana Etelzon thank you for your help, you have golden hands. Very attentive and knowledgeable doctor. The office staff is friendly and kind, you girls are beautiful.
    Valeriy Shek Patient (Google Review)
  • Dear Doctor Etelzon, Thank you again. I am starting to feel more like myself again...I couldn't say the problem is totally gone, but a big weight has been lifted...Today...I decided to go and do my nails which I did not do for a long time after the incident. I also asked my daughter if we could go to the park. These are things I normally enjoy but forgot about them for a few months now.
    Anonymous Patient
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