Abstract：
Conventionally, peripheral nerve stimulation (PNS) for treatment of chronic pain has involved a two-stage process: a short-term (e.g., 7 days) trial and, if significant pain relief is achieved, a permanent PNS system is implanted. A percutaneous PNS treatment is now available where a coiled lead may be implanted for up to 60 days with the goal of producing sustained relief. In the present review, published prospective trials using percutaneous PNS treatment were identified and synthesized. The collected evidence indicates that percutaneous PNS treatment for up to 60 days provides durable clinically significant improvements in pain and pain interference. Similar efficacy across diverse targets and etiologies supports the broad applicability for use within the chronic pain population using this nonopioid technology.
What is this review about? This review looks at a drug-free way to treat chronic pain called percutaneous peripheral nerve stimulation (PNS). Percutaneous means it is placed through the skin. PNS applies small amounts of electricity to the nerves to reduce chronic pain. Most PNS systems involve a two-step process. A short trial is first performed to see if a patient has pain relief. A permanent system is then placed if the person had pain relief. Percutaneous PNS treatments are different. They use a thin wire called a lead placed in the body for up to 60 days. The lead is taken out at the end of the treatment period. Studies have shown that this type of PNS treatment can reduce chronic pain even after the treatment is over. No previous article has collected all these studies of percutaneous PNS in one place.What evidence was gathered? This review found evidence from studies on treatment of chronic pain. Pain types included shoulder pain, neuropathic pain and low back pain. It found that percutaneous PNS treatment for up to 60 days can reduce pain and how pain interferes with daily life.How can these data lead to better care for patients? These findings mean that percutaneous PNS treatments could be a useful, non-drug option for many types of chronic pain.
What is this review about? This review looks at a drug-free way to treat chronic pain called percutaneous peripheral nerve stimulation (PNS). Percutaneous means it is placed through the skin. PNS applies small amounts of electricity to the nerves to reduce chronic pain. Most PNS systems involve a two-step process. A short trial is first performed to see if a patient has pain relief. A permanent system is then placed if the person had pain relief. Percutaneous PNS treatments are different. They use a thin wire called a lead placed in the body for up to 60 days. The lead is taken out at the end of the treatment period. Studies have shown that this type of PNS treatment can reduce chronic pain even after the treatment is over. No previous article has collected all these studies of percutaneous PNS in one place.What evidence was gathered? This review found evidence from studies on treatment of chronic pain. Pain types included shoulder pain, neuropathic pain and low back pain. It found that percutaneous PNS treatment for up to 60 days can reduce pain and how pain interferes with daily life.How can these data lead to better care for patients? These findings mean that percutaneous PNS treatments could be a useful, non-drug option for many types of chronic pain.
摘要：
传统上,用于治疗慢性疼痛的周围神经刺激（PNS）涉及两个阶段的过程：短期（例如，7天)审判和，如果疼痛得到显著缓解，植入永久性PNS系统。现在可以使用经皮PNS治疗，其中可以植入线圈导线长达60天，目的是产生持续的缓解。在本次审查中，确定并合成了已发表的使用经皮PNS治疗的前瞻性试验.收集的证据表明，经皮PNS治疗长达60天，可在疼痛和疼痛干扰方面提供持久的临床显着改善。不同目标和病因的相似功效支持使用这种非阿片类技术在慢性疼痛人群中使用的广泛适用性。
这篇综述是关于什么的？这篇综述着眼于一种治疗慢性疼痛的无药物方法，称为经皮周围神经刺激（PNS）。经皮意味着它穿过皮肤放置。PNS向神经施加少量电以减轻慢性疼痛。大多数PNS系统涉及两步过程。首先进行一个简短的试验，看看患者是否有疼痛缓解。然后，如果该人减轻了疼痛，则放置永久性系统。经皮PNS治疗是不同的。他们使用称为铅的细线放置在体内长达60天。在治疗期结束时取出导线。研究表明，即使在治疗结束后，这种类型的PNS治疗也可以减轻慢性疼痛。以前的文章没有在一个地方收集所有这些经皮PNS的研究。收集了什么证据？这篇综述发现了慢性疼痛治疗研究的证据。疼痛类型包括肩痛，神经性疼痛和腰痛。研究发现，经皮PNS治疗长达60天可以减轻疼痛以及疼痛如何干扰日常生活。这些数据如何为患者带来更好的护理？这些发现意味着经皮PNS治疗可能是有用的，许多类型的慢性疼痛的非药物选择。
这篇综述是关于什么的？这篇综述着眼于一种治疗慢性疼痛的无药物方法，称为经皮周围神经刺激（PNS）。经皮意味着它穿过皮肤放置。PNS向神经施加少量电以减轻慢性疼痛。大多数PNS系统涉及两步过程。首先进行一个简短的试验，看看患者是否有疼痛缓解。然后，如果该人减轻了疼痛，则放置永久性系统。经皮PNS治疗是不同的。他们使用称为铅的细线放置在体内长达60天。在治疗期结束时取出导线。研究表明，即使在治疗结束后，这种类型的PNS治疗也可以减轻慢性疼痛。以前的文章没有在一个地方收集所有这些经皮PNS的研究。收集了什么证据？这篇综述发现了慢性疼痛治疗研究的证据。疼痛类型包括肩痛，神经性疼痛和腰痛。研究发现，经皮PNS治疗长达60天可以减轻疼痛以及疼痛如何干扰日常生活。这些数据如何为患者带来更好的护理？这些发现意味着经皮PNS治疗可能是有用的，许多类型的慢性疼痛的非药物选择。
