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Wireless Peripheral Nerve Stimulation for The Upper Limb: A Case Report

Author

Listed:
  • Valentina Bellini

    (Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, 43126 Parma, Italy)

  • Marco Baciarello

    (Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, 43126 Parma, Italy)

  • Marco Cascella

    (Department of Anesthesia and Critical Care, Istituto Nazionale Tumori–IRCCS, Fondazione Pascale, Via Mariano Semmola, 53, 80131 Naples, Italy)

  • Francesco Saturno

    (Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, 43126 Parma, Italy)

  • Christian Compagnone

    (Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, 43126 Parma, Italy)

  • Alessandro Vittori

    (Departement of Anesthesia and Critical Care, ARCO ROMA, Ospedale Pediatrico Bambino Gesù IRCCS, Piazza S. Onofrio 4, 00165 Rome, Italy)

  • Elena Giovanna Bignami

    (Anesthesiology, Critical Care and Pain Medicine Division, Department of Medicine and Surgery, University of Parma, Viale Gramsci 14, 43126 Parma, Italy)

Abstract

Peripheral neuro-stimulation (PNS) has been proved to be effective for the treatment of neuropathic pain as well as other painful conditions. We discuss two approaches to PNS placement in the upper extremity. The first case describes a neuropathic syndrome after the traumatic amputation of the distal phalanx of the fifth digit secondary to a work accident with lack of responsiveness to a triple conservative therapy. An upper arm region approach for the PNS was chosen. The procedure had a favorable outcome; in fact, after one month the pain symptoms were absent (VAS 0) and the pharmacological therapy was suspended. The second case presented a patient affected by progressive CRPS type II in the sensory regions of the ulnar and median nerve in the hand, unresponsive to drug therapy. For this procedure, the PNS device was implanted in the forearm. Unfortunately, in this second case the migration of the catheter affected the effectiveness of the treatment. After examining the two cases in this paper, we changed our practice and suggest the implantation of PNS for radial, median and/or ulnar nerve stimulation in the upper arm region, which has significant advantages over the forearm region.

Suggested Citation

  • Valentina Bellini & Marco Baciarello & Marco Cascella & Francesco Saturno & Christian Compagnone & Alessandro Vittori & Elena Giovanna Bignami, 2023. "Wireless Peripheral Nerve Stimulation for The Upper Limb: A Case Report," IJERPH, MDPI, vol. 20(5), pages 1-6, March.
    • Handle: RePEc:gam:jijerp:v:20:y:2023:i:5:p:4488-:d:1086450
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    References listed on IDEAS

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    1. Ana Lúcia Carneiro Sarmento & Bruno Silva Sá & Andreanne Gomes Vasconcelos & Daniel Dias Rufino Arcanjo & Alessandra Durazzo & Massimo Lucarini & José Roberto de Souza de Almeida Leite & Hugo Alves So, 2022. "Perspectives on the Therapeutic Effects of Pelvic Floor Electrical Stimulation: A Systematic Review," IJERPH, MDPI, vol. 19(21), pages 1-12, October.
    2. Liraz Cohen-Biton & Dan Buskila & Rachel Nissanholtz-Gannot, 2022. "Review of Fibromyalgia (FM) Syndrome Treatments," IJERPH, MDPI, vol. 19(19), pages 1-9, September.
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