Post-Stroke Shoulder Pain Reduced with Peripheral Nerve Stimulator

Nerve Pain, Peripheral Neuropathy, Spinal Cord Stimulation
Clinical results reported at the 2017 North American Neuromodulation Society meeting show that peripheral nerve stimulation provides meaningful relief for people suffering from post-stroke shoulder pain (PSSP).   Post stroke shoulder pain is experienced by anywhere between 30 and 70 percent of stroke sufferers. Dr. Porter McRoberts, a trained Physiatrist and Interventional Spine and Pain Management Specialist in Fort Lauderdale, Florida, shared data indicating that peripheral nerve stimulation is a promising treatment for post-stroke shoulder pain (PSSP) patients when compared to the alternative options for pain management. “Post-stroke shoulder pain is a condition that occurs in approximately 30 to 70 percent of stroke patients.  This condition contributes to a loss of upper limb use and results in an inability to perform basic daily tasks such as getting dressed or tooth brushing,”…
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Sacral Neuromodulation for Sacrectomy Patients

Chronic Pain Conditions, Spinal Cord Stimulation, Therapies & Treatments
Sacral chordoma is a rare malignant tumor arising from remnants of the notochord. Due to its propensity for recurrence, the treatment of choice is surgical resection. Orthopedic and neurosurgical literature describe bladder dysfunction as prevalent in these patients, specifically urinary incontinence, however urologic literature is lacking in the exact nature of this dysfunction. Thus far, Sacral Nerve Stimulation (SNS) has not been described as a treatment option for these patients. We describe a 36-year-old female who underwent midsacral resection (S3 and below) for a sacrococcygeal chordoma. She suffered from postoperative urinary incontinence and incomplete emptying requiring intermittent catheterization. Urodynamic evaluation showed detrusor hyporeflexia with nonobstructive urinary retention. She underwent InterStim(®) (Minneapolis, MN) placement resulting in return of spontaneous voiding and resolution of retention. Sacral Nerve Stimulation has been FDA approved…
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Peripheral Nerve Stimulation Reduces Chronic Headaches

Peripheral Neuropathy, Spinal Cord Stimulation, Therapies & Treatments
Peripheral nerve stimulation (PNS) is an effective long-term treatment for managing chronic intractable headaches, suggests research published in Pain Physician. In this retrospective study, peripheral nerve stimulation reduced mean headache severity on the 11-point Numeric Rating Schedule (NRS) by nearly 50% within one-month post implantation. After 12 months, headache severity scores decreased by at least 50% in 87% (40 of 46) of the patients, with pain decreasing even more substantially the longer the device was in place. Pain intensity scores on the NRS had decreased by 68% as many as 98 months post-implantation. These findings were consistent with previous studies; however, this study looked for a response rate of ≥ 50% rather than any improvement. This difference in study design may account for higher responses in previous studies. “Despite long histories…
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Electrical Nerve Stimulation Device Prevents Migraine

Chronic Pain News, Nerve Pain, Spinal Cord Stimulation
Study shows 81% reduction in number of migraine days per month with electrical nerve stimulation In a new study, Cefaly, the first FDA-approved transcutaneous electrical nerve-stimulation device for use before the onset of migraine pain, provided relief for 81% of migraine patients who used it. The study, conducted in Italy, enrolled 24 patients with migraine without aura who were experiencing a low number of attacks per month and who had taken migraine-preventive drugs. The primary outcome measures were the reductions in migraine attacks and in the number of migraine days per month. The investigators also analyzed the percentage of patients with at least a 50% reduction in the rate of monthly migraine attacks and in the number of migraine days. Secondary outcome measures included the reduction of headache severity during…
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