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Peripheral Nerve Stimulation

At Allied Pain & Spine Institute, serving San Jose and surrounding areas, we specialize in advanced pain management techniques, including Peripheral Nerve Stimulation (PNS). PNS is a cutting-edge solution for patients experiencing chronic pain due to various nerve-related disorders. Our commitment is to provide innovative treatments that enhance the quality of life and overall health of our patients by reducing dependence on pain medications and other conventional pain management strategies.

Understanding Peripheral Nerve Stimulation

Peripheral Nerve Stimulation is a therapeutic approach aimed at alleviating pain originating from peripheral nerves—those nerves located outside of the brain and spinal cord. This technique involves the implantation of a small device near the affected nerve area. The device, essentially a fine wire, connects to a small transmitter placed on the skin. This transmitter sends controlled electrical impulses via the implant to the nerve, effectively interrupting pain signals before they reach the brain.

How PNS Works for Pain Relief

The PNS device is controlled through an easy-to-use computer or mobile application, allowing patients to manage pain relief on demand. This innovative method can significantly decrease the need for traditional pain management treatments, fostering a more active and fulfilling lifestyle without the constraints of persistent pain.

What to Expect

  1. Assessment and Consultation: The first step in considering PNS is a thorough evaluation by our team of specialists at Allied Pain & Spine Institute. We assess your pain history and current health status to determine if PNS could be an effective treatment for you.
  2. PNS Trial: If you are deemed a candidate for PNS, a trial phase follows. During this trial, a temporary electrode is strategically placed at the site of your pain. This electrode is connected to a transmitter, similar to the permanent implant but used on a trial basis for approximately 3-5 days to gauge the effectiveness of nerve stimulation in managing your pain.
  3. Permanent Implantation: Should the trial prove successful in providing significant pain relief, the next step is the permanent implantation of the PNS device. Like the trial, the implantation procedure is minimally invasive and performed as an outpatient service.
  4. Follow-Up and Adjustment: Post-implantation, patients receive comprehensive support from our team to ensure the device is effectively managing the pain. Adjustments can be made via the controlling application to optimize pain relief.

Conditions Treated with PNS

Peripheral Nerve Stimulation is particularly beneficial for conditions such as:

  • Complex Regional Pain Syndrome (CRPS)
  • Diabetic neuropathy
  • Migraines and severe headaches
  • Chronic neck and back pain
  • Other nerve-related pain issues

Why Choose Allied Pain & Spine Institute?

At Allied Pain & Spine Institute, we are dedicated to providing state-of-the-art pain management solutions. Our team of pain specialists is committed to personalized care, ensuring that each treatment plan is tailored to meet the unique needs of our patients. We offer a holistic approach to pain management, incorporating both innovative and traditional therapies to achieve the best outcomes.

For more information on how Peripheral Nerve Stimulation can help manage your chronic pain, or to schedule a consultation at our San Jose clinic or one of our other nearby locations, please contact Allied Pain & Spine Institute today.

Frequently Asked Questions about Peripheral Nerve Stimulation

What is Peripheral Nerve Stimulation (PNS)?

Peripheral Nerve Stimulation is a medical treatment designed to alleviate chronic pain by targeting the peripheral nerves. It involves the implantation of a small device near the nerve pathways that are causing pain. This device emits electrical impulses that disrupt pain signals before they can be interpreted by the brain, potentially providing significant pain relief.

Who is a good candidate for PNS?

Ideal candidates for PNS are individuals who suffer from chronic nerve-related pain that has not responded well to conventional treatments such as medications, physical therapy, or surgery. Conditions that may benefit from PNS include Complex Regional Pain Syndrome (CRPS), diabetic neuropathy, migraines, and chronic neck or back pain.

Is the PNS trial necessary?

Yes, the PNS trial is an essential step in determining whether the full implantation will be effective for a patient. During the trial, a temporary electrode is used to simulate the effects of the permanent device. This allows both the patient and the doctor to assess how well the treatment manages the pain without committing to a permanent implant.

What happens during the PNS implantation procedure?

The PNS implantation procedure is minimally invasive and typically performed under local anesthesia. During the procedure, a small incision is made near the area of pain, and the lead (a thin wire) is inserted and connected to the nerve pathway. Once in place, the lead is connected to a small generator that is usually implanted under the skin in a convenient location, such as the buttock or abdomen. The procedure generally takes about an hour.

How quickly can I expect pain relief after the implant?

Many patients report immediate pain relief during the trial phase of the device. However, results can vary depending on individual conditions and the specific nerves targeted. After the permanent implant, it may take a few weeks to fully adjust the device settings for optimal pain management.

Are there any risks associated with PNS?

As with any medical procedure, there are some risks associated with PNS. These may include infection, bleeding, lead migration, or technical issues with the device. However, the risk of serious complications is generally low, and the procedure’s minimally invasive nature reduces these risks significantly.

How do I manage the device day-to-day?

The PNS device is managed through a remote controller or a mobile app that allows patients to adjust the intensity of the impulses. This control ensures that patients can manage their pain relief in real time, depending on their activities and pain levels. Training on how to use the device is provided after the implantation procedure.

Can the PNS device be removed?

Yes, the PNS device can be surgically removed if it becomes necessary, for example, if it no longer provides effective pain relief or if a patient chooses to explore alternative treatments.

Will I still need to take pain medications?

While PNS can significantly reduce the need for pain medications, some patients may still need to use medication in conjunction with the device, especially during periods of acute pain. The goal of PNS is often to reduce, but not necessarily eliminate, the use of pain medications.

How long does the PNS device last?

The longevity of the PNS device depends on the specific model and usage but generally, the generator’s battery life can last several years before needing replacement. Regular follow-ups with your pain management specialist are essential to monitor the device’s function and make any necessary adjustments.

For more specific questions or to discuss if Peripheral Nerve Stimulation might be right for you, please contact Allied Pain & Spine Institute to schedule a consultation.

Our Patient Reviews

Allied Pain & Spine Institute

Michelle T.

I fly in to see Dr. Petros from Southern California.  I wouldn't do so if he wasn't the best there is.  He is compassionate and has always treated me kindly. I can tell he is sincere in the way he talks to me and is diligently looking for solutions that work best with me and my chronic pain needs.  Very out of the box approach, which I appreciate these days!  I would truly recommend Dr. Petros to anyone looking for a Dr. that not only cares about you as a patient but has the confidence and skill set to get results! His office staff is friendly and caring too.  Allied Pain and Spine Institute is the Gold Standard in pain care in my humble opinion!! When I find a doctor that understands the issue and always goes above and beyond to help me, I do what I can to continue seeing them. I am so glad I found this office!!

Louise W.

Dr Petros is amazing!  When he uses a needle his aim is "right on".  He is also very personable, an altogether great guy.  I always find my visits to him to be very informative. I have had both sides of my degenerated back injected (epidural shots) with complete success.  He allows me to have no sedative, which is cool because his jokes and stories in the operating room are really good.  He greatly enjoys his work, and enjoys the difficult challenges of getting a needle into the right place in my back.  My arthritic knee is perhaps more straight-forward, but other doctors have failed to give me pain relief.  Dr Petros studies the structure with ultrasound before injecting it.  The result - instant relief! On my recent visit for a broken back (ski accident) the doctor and staff were very accommodating to help me make a dinner engagement shortly after my appointment.  This is definitely a five-star operation!

Ellie O.

Wow, wonderful doctor!!! I avoid all the doctors like the plague...seriously it makes my blood pressure go up when I have to go but I chose Dr. Vaidya. My friend referred him to me, he's simply the best... TOP NOTCH!!! He turned out to be a breath of fresh air. Dr. Vaidya really stands out head and shoulders above everyone else. I usually don't write reviews but he's so outstanding that I really wanted to do it for him. He's the most honest and caring doctor I have met.  He listens and gives you full attention and committed to find the best individual solution for you. He always goes out of his way to get you the most appropriate treatment and he will make it happen. He's very knowledgeable in his field. He's very professional, friendly, personable and definitely easy to talk to. His integrity is very valuable. He's one of the sharpest and most driven individuals you will ever meet.

Keith M.

Simply the best doctors and staff in the area. I've fought back and neck pain for over 30 years, and Dr. Petros and his team have kept me from the operating table and able to enjoy my life. I've had injections, acupuncture, as well as back braces. He listens to my concerns, cares very deeply for my pain and discomfort, and has successfully treated everything from stenosis, pinched nerves, herniated disks, and even helped me with the symptoms from shingles and lung disease. I couldn't be happier with the care he has given me over the years.

Kaitlin Z.

Dr. Vaidya has changed my life. I am in my late 20s with chronic pain and nothing had worked until I came here. All services here are wonderful and the staff is absolutely amazing. I can't recommend enough!!

Tracy B.

I have been a patient of Dr. Vaidya for a few years after not getting what I needed from other spine and pain doctors. I was looking for a doctor who would think outside the box and come up with some other ways to treat my growing amount of pain. Between Dr. Petros and Dr. Vaidya, they have brought me to a place where my pain is better managed. And let's just talk about bedside manners! I have never met doctors in the past 23 years of this back journey of mine that has as amazing bedside manners as these guys. I have cried and laughed with the team at Allied Spine. The way that I am always greeted and promptly cared for is bar none! The front office staff, and especially Nas, has been a God sent. I would never go anywhere else.

Justin P.

I am a new patient of DR Petros and my experience was great for my first two visits so far. He really takes time to listen to your issues and provides thorough answers and treatment options. The front desk staff are all very nice and respond in a timely manner to requests. Highly recommended all around!

Lisa A.

I have seen Dr. Vaidya for about 2 years. He is an amazing doctor.the attention and care you receive is well over 5 stars. He knows who I am by my face, he knows my health history with out looking in my chart, he remembers conversations we have had at previous appointments. He truly cares for his patients. I will be moving our of state, and will travel back here each month to see doctor Vaidya. I lost my insurance over a year ago and pay out of pocket to see the doctor, it is worth every penny to be treated with respect, as a person and with care. I love all the staff and feel like I am visiting family when I come in for my appointments.

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