Peripheral Nerve Stimulation of the Dorsal Scapular Nerve for Atypical Shoulder Pain Treatment: A Case Report.

Pain medicine case reports Pub Date : 2026-07-01
Breanna Lauinger, Ahmed Elnahla, Chineze Mbanugo, Narjis Mumtaz, Roger Haddad
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Abstract

Background: Meralgia paresthetica (MP) is a neuropathic pain syndrome resulting from lateral femoral cutaneous nerve irritation or injury. Patients who fail to respond to conservative therapies can find relief after interventions, including nerve blocks and decompression surgery, but some continue to experience pain. Temporary percutaneous peripheral nerve stimulation (PNS) is a minimally invasive option for targeted neuropathic pain management, though there is limited evidence of its efficacy in the management of MP.

Case report: A 63-year-old man with MP unresponsive to conservative and surgical management underwent a 60-day percutaneous PNS trial. He experienced immediate and sustained pain relief (80%) with marked improvement in ambulation and sleep, which persisted at > 60% pain reduction 12 months after implantation.

Conclusions: Temporary percutaneous PNS may be an effective option for patients with MP refractory to conservative and surgical management.

外周神经刺激肩胛背神经治疗非典型肩痛1例。
背景:感觉异常痛(MP)是一种由股外侧皮神经刺激或损伤引起的神经性疼痛综合征。对保守疗法无效的患者可以在干预后得到缓解,包括神经阻滞和减压手术,但有些人仍然会感到疼痛。暂时经皮周围神经刺激(PNS)是靶向神经性疼痛管理的微创选择,尽管其在MP管理中的有效性证据有限。病例报告:一名63岁男性MP对保守和手术治疗无反应,接受了为期60天的经皮PNS试验。患者疼痛立即持续缓解(80%),行走和睡眠明显改善,植入后12个月疼痛持续减轻60%。结论:临时经皮PNS可能是对保守和手术治疗难治性MP患者的有效选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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