Peripheral Nerve Stimulation: Establishing Appropriateness Paradigms in an Unclear Neuromodulation Spectrum-Peripheral Nerve Stimulation: Establishing Appropriateness Paradigms in an Unclear Neuromodulation Spectrum

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Video Summary

The panel discussion at the NANS annual meeting centered on peripheral nerve stimulation (PNS), its effectiveness, and its comparison with dorsal column and dorsal root ganglion stimulation. Moderated by Jay Carey and Nasser Hussain, the panelists included experts like Dr. Saba Javed from MD Anderson Cancer Center and Dr. David Dickerson from Endeavor Health.<br /><br />Key insights included:<br />1. <strong>Complex Regional Pain Syndrome (CRPS) and PNS</strong>: Dr. Javed presented compelling evidence favoring PNS for CRPS, highlighting its ability to reduce pain scores and opioid use. Though there is a need for more high-quality studies, PNS offers a focal, less invasive option compared to dorsal column stimulation (DCS).<br />2. <strong>Dorsal Root Ganglion Stimulation (DRGS)</strong>: Dr. Dickerson argued for DRGS as a superior option for CRPS due to its profound response rate and potential for better outcomes. He emphasized the need for continued advancements and studies comparing these therapies.<br />3. <strong>Spinal Cord Stimulation (SCS) and Non-Surgical Low Back Pain</strong>: Dr. Gurtej Singh presented robust evidence supporting SCS for chronic low back pain, noting its wide applicability and long-term effectiveness, while highlighting the need for further evidence for systems like Reactivate.<br />4. <strong>Patients' Perspectives and PNS</strong>: Studies presented by Jay Carey and others highlighted patient preferences for PNS over other therapies due to its non-invasive nature and precise targeting ability.<br /><br />The panel concluded there is a need for further studies to explore the long-term efficacy and integration of PNS with other therapies, considering patient preferences and real-world data to support broader adoption and insurance coverage.

Keywords

Peripheral Nerve Stimulation

Complex Regional Pain Syndrome

Dorsal Column Stimulation

Dorsal Root Ganglion Stimulation

Spinal Cord Stimulation

Chronic Low Back Pain

Pain Management

Opioid Reduction

Patient Preferences

Non-Invasive Therapies

NANS Annual Meeting

Jay Carey