Neuromodulation in Practice: Peripheral Nerve Stimulation-Genicular Nerve Targets

Video Transcription

Video Summary

Jonathan Goree (UAMS) describes peripheral nerve stimulation targeting the genicular nerves for severe anterior knee pain, including post–total knee replacement pain and advanced arthritis in patients not eligible for surgery. Candidates typically show improvement from superior medial and superior lateral genicular nerve blocks. Leads are placed along the femur to “roll” around the condyle for optimal nerve capture; neuromodulation targets deeper positioning (about 90–100% femur depth) than typical RFA. Inferior medial genicular placement may be used for lower pain (about 50% bone depth). He emphasizes strict infection control, perioperative antibiotics, secure anchoring, and avoiding crossing the joint line when placing the battery.

Keywords

peripheral nerve stimulation

genicular nerves

anterior knee pain

post-total knee replacement pain

infection control