Introduction Peripheral nerve stimulation (PNS) is an evolving neuromodulation modality that is used to treat chronic neuropathic pain in the distribution of a specific named nerve or branch of a named nerve. PNS continues to evolve, with the addition of…
Clinical Presentation The peroneal nerves described in this chapter, which are also known as fibular nerves, are comprised of the common peroneal nerve (CPN), superficial peroneal nerve (SPN), and deep peroneal nerve (DPN) ( Fig. 27.1 ). The CPN (also…
Introduction Peripheral nerve stimulation (PNS) is an effective neuromodulation modality for the treatment of chronic neuropathic pain in the distribution of specific peripheral nerves. Saphenous and genicular nerves play an important role in the treatment algorithm for chronic knee pain.…
Clinical Presentation The sciatic nerve is the largest nerve in the body, measuring 0.8 cm to 1.5 cm in width. Disturbances along the sciatic nerve may lead to sciatic neuropathy. Among neuropathies of the lower extremity, sciatic neuropathy is the…
Introduction The femoral nerve is the largest branch of the lumbar plexus and is comprised of branches from the L2 to L4 nerve roots. It is a mixed nerve with motor branches innervating hip flexors and knee extenders, as well…
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…
Introduction Pudendal neuralgia (PN) is a painful condition resulting from inflammation, compression, or entrapment of the pudendal nerve. PN is one of the most disabling forms of genital pain, affecting approximately 4% of patients complaining of chronic pain. It has…
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…
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…
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…