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Peripheral Nerve Stimulation

Peripheral nerve stimulation (PNS) is an excellent treatment option of chronic or refractory neuropathic pain. Compared to spinal cord stimulation (SCS), it is more specific as it easily targets small areas of neuropathic pain, and it does not affect the central nervous system.

It requires a robust understanding of peripheral neuroanatomy and the techniques and tools used to implant in the periphery making Dr. Kalava uniquely qualified with a fellowship in Regional anesthesia from Mayo Clinic where in he trained and mastered the skills to identify peripheral nerves and target these nerves to treat a variety of pain conditions.

PNS is warranted in 1. Nerve Trauma 2. Phantom Pain 3. CRPS 4. Persistent Post Operative Pain. A good test is to see if a local anesthetic injection at the intended stimulation site relieves the pain.

Currently Stimwave, Stimrouter and SPRINT® PNS System are FDA approved percutaneous PNS devices and Dr. Kalava is able to offer Stimwave and Stimrouter to his patients at this time.

PNS is currently being offered for:

Upper Extremity Pain

Median, ulnar, radial, axillary & suprascapular

Pain of Torso/Trunk

Intercostal nerves/Post Herpetic Neuralgia

Pelvic Pain

Ilioinguinal, iliohypogastric & genitofemoral

Pain of Lower Extremity

Common peroneal, superficial peroneal, deep peroneal, lateral femoral cutaneous, tibial, saphenous, sciatic, femoral & sural

Phantom/Stump Pain

Both Upper & Lower Extremity.