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Peripheral nerve stimulation (PNS) is similar to spinal cord stimulation in that there is a lead placed on a peripheral nerve or nerve root with implantable programmable generator (IPG) placement under the skin and attached to the lead. The stimulation is provided as a means of reducing pain or stimulation for another specific purpose such as bladder dysfunction. Uses of PNS include: 1. interstitial cystitis pain 2. urinary incontinence unresponsive to conservative measures or surgery 3. occipital neuralgia 4. facial pain 5. specific peripheral nerve entrapment or neuropathy 6. nerve root stimulation
Just as with SCS, a trial period is used prior to implantation of the IPG, however if the nerve is well defined and there are specific pain characteristics which make this technique amenable to the specific patient, then a permanent lead surgically implanted onto the nerve is used during the trial period. Complications: bleeding, infection, nerve injury, failure to provide sufficient relief
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