TREATMENT OVERVIEW
A Peripheral Nerve Stimulation (PNS) trial is a minimally invasive "test drive" for an advanced pain relief therapy. It involves placing a tiny wire next to a specific problematic nerve in your arm, leg, or shoulder to see if mild electrical pulses can block your pain signals. The trial allows you to experience the therapy at home before deciding on a long-term solution.
PROCEDURE DETAILS
The trial procedure is a simple, in-office process performed with local anesthetic. Using live ultrasound guidance, your physician will identify the exact peripheral nerve causing your pain. This precise imaging allows for unparalleled safety and accuracy.
A very thin, flexible wire—called a lead—is then inserted through a needle and carefully positioned right alongside the target nerve. The needle is removed, leaving only the soft lead in place. You will provide feedback as the system is activated to ensure the stimulation feels comfortable and covers your area of pain.
The end of the lead that exits your skin is covered with a sterile dressing and connected to a small, wearable stimulator. You'll be taught how to control the therapy with a simple remote before you go home to begin your trial and see how PNS works for you in your daily life.
TREATMENT ADVANTAGES
The PNS trial is an empowering first step, allowing you to personally evaluate a drug-free, highly targeted pain control solution before any permanent commitment.
PNS targets the single nerve causing your pain, providing relief exactly where you need it without affecting the rest of your body or causing systemic side effects.
This is a non-opioid, non-medication-based therapy, allowing you to manage chronic pain without the risks and side effects of long-term systemic drugs.
The trial period is the ultimate "try before you buy," giving you the power to decide if the therapy is the right long-term fit for your pain and lifestyle.
The lead is placed through a needle in a simple office visit. At the end of the trial, the lead is easily and painlessly removed, leaving nothing behind.
PNS is an excellent option for managing chronic nerve pain that can persist after knee replacements, hernia repairs, amputations, or other surgeries.
The goal of the trial is to determine if reducing your pain allows you to move more freely, sleep better, and get back to the activities you enjoy.
IMPORTANT INFORMATION
The PNS trial is a very low-risk procedure. The most common side effects are minor and related to the temporary lead and dressing. Serious complications are rare.
Important: During your trial, it is crucial to keep the lead exit site clean and dry and to follow any activity restrictions from your doctor to ensure a safe and successful evaluation period.
PREPARATION GUIDE
Proper preparation is key to a successful and smooth procedure. Please review the following important steps to ensure you are ready for your appointment.
Ensure you have a thorough review with Dr. Fura. Disclose all allergies, especially to medications like contrast dye.
Stop blood thinners and other specific medications as instructed by Dr. Fura before your procedure.
Do not eat or drink after midnight. You must arrange for a responsible adult to drive you home afterward.
Wear comfortable, loose clothing. Avoid jewelry and leave valuables at home for safekeeping.
RECOVERY GUIDE
Your "recovery" from the placement is immediate. The focus now shifts to the trial period, where you will evaluate the therapy's effectiveness.
Get comfortable using the external device and its controller. The lead insertion site may be sore. Remember to keep the dressing clean and dry. Begin your pain diary.
Live your life as normally as possible (within your restrictions). Test the device during activities that usually cause pain. Does it help you sit, stand, walk, or sleep with less pain?
At the end of your trial period, you will return to the office. The temporary lead will be gently and painlessly removed. This takes only a few minutes.
You will have a detailed discussion with your doctor about your trial experience. If you had significant pain relief, you may then be considered a candidate for a permanent PNS implant.
Please don't hesitate to reach out and request an appointment. We look forward to meeting with you, addressing your concerns, and working together to enhance your quality of life.