Peripheral Nerve Stimulation & Scrambler Therapy for Pain Management

Learning Objectives

As a result of participating in this activity, learners will be able/better able to:

Identify patients who may benefit from treatment with peripheral nerve stimulation
Mitigate potential complications and adverse events

Outline

A review of peripheral nerve stimulation (PNS) for acute and chronic pain, including:

Knowledge Gaps in PNS
Preclinical Studies
Mechanisms of Action
Select Uses/Conditions
- Migraine & cluster headache
- Amputation pain
- CRPS
- Post-stroke shoulder pain
- Inguinal/Genital/Pelvic Pain
- Posterior tibial nerve stimulation
- Thoracic postherpetic neuralgia
Complications and Safety
- Diabetes
- Obesity and lead placement
- Anticoagulation
Emerging Applications
- Peripheral nerve field stimulation
- Craniofacial pain
Scrambler Therapy

Desirable Physician Attributes

Patient Care [ACGME/ABMS & IOM] Provide care that is compassionate, appropriate and effective for the treatment of health problems and the promotion of health
Medical Knowledge [ACGME/ABMS] about established and evolving biomedical, clinical, and cognate (e.g. epidemiological and social-behavioral) sciences and the application of this knowledge to patient care
Employ Evidence-based Practice [IOM] Integrate best research with clinical expertise and patient values for optimum care and participate in learning and research activities to the extent feasible.

Accreditation & Designation

Release date: This activity was released 8/27/2021.

Termination date: The content of this activity was eligible for CME Credit until 8/26/2024.

Neurovations Education is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Neurovations Education designates this other activity (blended learning) for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity includes discussions of unlabeled or investigational uses of commercial and/or developmental products.

This activity includes discussions and explorations of new and evolving topics. Such inclusion includes adequate justifications of statements based upon current science, evidence and clinical reasoning.

Disclosure of Financial Relationships & Measures to Resolve of Conflicts of Interest

[Presenter] Paul Christo discloses the following financial relationships within the past 24 months: Consulting: Eli Lilly, Y mAbs, GlaxoSmithKline

No other person with control of, or responsibility for, the planning, delivery, or evaluation of accredited continuing education has, or has had within the past 24 months, financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

All relevant financial relationships have been mitigated. Materials were reviewed in advance of the activity by person(s) that do not have conflicts of interest related to the content. In some cases, content may have been modified as part of the review and mitigation process. All clinical recommendations are evidence-based and free of commercial bias (e.g., peer-reviewed literature, adhering to evidence-based practice guidelines).

Additional Reading

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Christo, P. J., Kamson, D. O., & Smith, T. J. (2020). Treatment of Déjerine–Roussy syndrome pain with scrambler therapy. Pain management, 10(3), 141-145.
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