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The Journal of Spinal Cord Medicine Volume 41, 2018 - Issue 1
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Case Reports

Percutaneous peripheral nerve stimulation for treatment of shoulder pain after spinal cord injury: A case report

Daniela MehechMetroHealth Rehabilitation Institute of Ohio, MetroHealth System, Cleveland, OH, USA;Department of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH, USAView further author information
,
Melvin MejiaMetroHealth Rehabilitation Institute of Ohio, MetroHealth System, Cleveland, OH, USA;Department of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH, USA;Cleveland FES Center, Cleveland, OH, USAView further author information
,
Gregory A. NemunaitisMetroHealth Rehabilitation Institute of Ohio, MetroHealth System, Cleveland, OH, USA;Department of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH, USA;Cleveland FES Center, Cleveland, OH, USAView further author information
,
John ChaeMetroHealth Rehabilitation Institute of Ohio, MetroHealth System, Cleveland, OH, USA;Department of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH, USA;Cleveland FES Center, Cleveland, OH, USA;Department of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, USAView further author information
&
Richard D. WilsonMetroHealth Rehabilitation Institute of Ohio, MetroHealth System, Cleveland, OH, USA;Department of Physical Medicine and Rehabilitation, Case Western Reserve University, Cleveland, OH, USA;Cleveland FES Center, Cleveland, OH, USACorrespondence[email protected]
View further author information
Pages 119-124 | Published online: 17 Mar 2017
 
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Abstract

Context: This describes the first person with spinal cord injury (SCI) treated with percutaneous peripheral nerve stimulation for chronic shoulder pain.

Findings: From baseline to one-week after treatment, the subject's worst pain in the last week, rated on a 0–10 numerical rating scale (BPI-SF3), decreased by 44%. Pain interference decreased and remained below baseline 12 weeks after the end of treatment. There was an associated improvement in the mental component of quality of life.

Conclusion: This case demonstrates the feasibility of treating shoulder pain in patients with SCI with percutaneous PNS. To demonstrate efficacy further studies are required.

Additional information

Funding

This work was supported by National Center for Advancing Translational Sciences [grant number UL1TR000439].

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