Peripheral Nerve Stimulation

Lateral Femoral Cutaneous Nerve

Introduction Compression of the lateral femoral cutaneous nerve (LFCN), referred to clinically as meralgia paresthetica, is a clinical syndrome in which patients report experiencing pain, discomfort, and dysesthesia throughout the distribution of sensory innervation of the nerve. The clinical syndrome…

Inferior Cluneal Nerve

Introduction The inferior cluneal nerve (ICN) is a branch of posterior femoral cutaneous nerve, which innervates the perineum ( Fig. 21.1 ). Although chronic neuropathic perineal pain is often attributed to pudendal neuropathy, there may be some cases where the…

Middle Cluneal Nerves

Introduction The middle cluneal nerve (MCN) has long been overlooked as a cause of low back pain. As the understanding of the role of the MCN becomes more clear, the range of treatment options, including peripheral nerve stimulation (PNS), has…

Superior Cluneal Nerves

Clinical Presentation The superior cluneal nerve (SCN) is a group of nerves that originate from the cutaneous branches of the dorsal rami of T11-L4 ( Fig. 19.1 ). Iwnaga et al.’s cadaveric dissection found that the nerve can arise from…

Genitofemoral Nerve

Introduction Genitofemoral neuralgia is a syndrome characterized by chronic neuropathic pain along the distribution of the genitofemoral nerve (GFN). The pain and subsequent impairment to quality of life can be quite debilitating for patients suffering from this condition. Genitofemoral neuralgia…

Ilioinguinal and Iliohypogastric Nerve

Introduction Ilioinguinal nerve (IIN) or iliohypogastric nerve (IHN) neuralgia is a frequent source of pain in the lower abdomen and upper thigh. It is common after lower abdominal surgery, particularly hernia surgery, or after injury to the abdominal wall. It…

Intercostal Nerves

Introduction Rib nerve pain, called intercostal neuralgia, causes a wide variety of clinical presentations. Although there are multiple causal mechanisms of the disease, the pain transmission pathways remain the same, leading to similarities in treatment approaches. Because intercostal neuralgia is…

Radial Nerve

Introduction Radial nerve pathology (such as radial tunnel [RT], posterior interosseous nerve entrapment, and superficial radial neuralgia) results in pain, with a reduced quality of life and function. Radial neuralgia is the third most common neuralgia of the upper extremity…

Median Nerve

Introduction With approximately 3,000 reported injuries per year in the United States, median nerve injuries are the primary cause of emergency room visitation for all peripheral nerve injuries. They can occur by multiple mechanisms, including (1) arm, elbow, and wrist…