During this procedure, anesthesia will be administered, and the temporary external wires will be removed.This step will be performed a few days or weeks after a successful trial. The trial also helps your doctor determine the right amount of stimulation for ideal pain relief. The trial lasts for about a week, and if you have significant pain relief and are happy with the results, the second step is performed.Following insertion of the electrodes, you will be kept under observation in the recovery room and can return home the same day.The electrode wires are connected to an external stimulator which you can control to produce the impulses.Through the incision, one or two electrodes (wires) are inserted and fixed along the targeted nerves.You will be instructed to lie down on the procedure table and anesthesia will be injected to numb the site of insertion.It involves placement of a stimulating electrode in close proximity to peripheral nerves in order to control pain. This first step is a trial period to determine if the therapy is effective in treating your chronic pain prior to implanting the device permanently. The procedure for peripheral nerve stimulation is performed in 2 steps that include the following: Arrange for someone to drive you home after the procedure.Do not stop taking your regular medications until instructed by your doctor.You should inform your doctor if you are or might be pregnant, have had any previous health conditions, are taking any blood-thinning medications such as aspirin, or are allergic to any medications or anesthesia.The charts include a pain diary which should be filled out over a week. Your doctor will perform a neuropsychological examination and provide you with some pain charts to get a better understanding of your pain and to plan the procedure.In general, preparation for peripheral nerve stimulation may involve the following: Occipital neuralgia (a rare type of chronic headache disorder).Ilioinguinal neuralgia (pain in the lower abdomen and upper thigh).Intercostal neuralgia (pain in the chest wall and upper trunk).Trigeminal neuralgia (pain in the face).Peripheral nerve stimulation can be used to treat a number of painful conditions, such as: Your physician may recommend peripheral nerve stimulation when pain becomes chronic, and medications and therapy are not helping in easing the pain. There are three types of nerves that are included in the PNS: Autonomic nerves that control blood pressure, bladder functions and sweat levels motor nerves that control the muscles and sensory nerves that transfer sensations like cold, heat or pain to the brain. The CNS comprises the brain and spinal cord, while the PNS is made up of nerves that carry information to and from the brain to the rest of the body. The nervous system consists of the central nervous system (CNS) and the peripheral nervous system (PNS). This interrupts the transmission of pain signals so that, instead of pain, you experience a mild tingling. Peripheral nerve stimulation involves stimulation of the affected nerves using electrical impulses generated by a small electrical device (a wire-like electrode) implanted in your body. Pain arises from the signals produced by a nerve when it is stimulated by tissue damage or when the nerve itself is damaged (neuropathic pain). The peripheral nerves connect your brain and spinal cord with the rest of the body. Peripheral nerve stimulation is a minimally invasive treatment for chronic pain caused by peripheral nerve damage.
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