Peripheral Nerve Stimulation

Wireless Pain Relief for the Spine and Peripheral Joints

The future is here, the smallest device is all you need.

Peripheral Nerve Stimulation offers the same nerve stimulation therapy as other systems. However, without an implanted battery, the system is only 5% the size of others, and is the most minimally invasive.

Why Stimulation?

Stimulation uses electrical signals to interrupt pain signals to the brain. A stimulator, the size of a very small wire with electrodes on it, is placed near the painful nerve to deliver electrical pulses. The intensity and frequency of the electrical current, both controlled by you via remote control, are able to alleviate pain, without numbness, and get you back to a normal life!

How does it work?

Peripheral Nerve Stimulation, a nerve stimulator, creates an energy field that acts on nerves to treat chronic pain. The device is inserted through a needle-sized incision and can be placed precisely to stimulate nerves throughout your body (excluding craniofacial nerves).

Before the device is implanted permanently, there is typically a trial period to determine if the therapy is effective for your chronic pain. Peripheral Nerve Stimulation is covered by most healthcare providers. Consult with your doctor to learn more about wireless PNS.

What conditions does Peripheral Nerve Stimulation treat?

Treat your S.I. Joint Pain

Studies show that up to 62% of chronic low back pain is sacroiliac joint in origin. Pain from sacroiliac joint disorders can be felt anywhere from the lower back, buttocks, or in the legs. Chronic SI joint pain can make it difficult to perform common daily tasks and affect every aspect of a patient’s life. Complaints include:

  • Low back pain
  • Numbness
  • Tingling
  • Weakness
  • Pelvis/buttock pain
  • Hip/groin pain
  • Leg instability
  • Disturbed sleep
  • Inability to sit long

You may have tried physical therapy, massage therapy, chiropractic care, anti-inflammatories, steroid injections, nerve blocks, radiofrequency ablation, or even fusion to help alleviate pain. Many of these treatments sometimes provide temporary relief, and your long-term chronic pain may persist. Sacroiliac Joint Chronic Pain can be effectively treated with peripheral nerve stimulation.

Treat your Back Pain – Cluneal Nerve Pain

Neuropathic chronic low back and hip pain is the largest portion of the direct medical costs in the US. The cluneal nerves are formed from the lumbar and sacral spine nerve roots. The cluneal nerves are the primary sensory nerve supply to the iliac crests, hips, buttocks, and thighs. When the pain is located in the focal area across the top of the hips, it’s usually carried to the brain by the superior cluneal nerves. Spinal surgery can result in scarring and fibrosis, alterations in muscle tension crisscrossing layers of tissue, and surgical trauma to the nerve branches if bone is harvested from the iliac crest. These various pressure stresses on the cluneal nerves in the low back can result in:

  • Neural entrapment
  • Neural tethering (stretching)
  • Altered biomechanics of adjacent fascial plane

The Peripheral Nerve Stimulator is placed with a minimally invasive procedure through only a small incision over the cluneal nerve in the lower back. Peripheral Nerve Stimulation for cluneal nerve is a treatment for your long-term neuropathic and mechanical low back pain effectively without drugs.

Treat your Pelvic Pain (Pudendal nerve pain)

Irritation, compression or injury to the pudendal nerve is a common cause of pelvic pain. The pain can be felt in the bladder, pelvis, vagina, penis, scrotum and rectum and even refer to inner thighs and is a common cause of sexual pain. The pain can be worse when sitting. A pudendal nerve block resulting in temporary relief of symptoms helps confirm the diagnosis. Risk factors may include pelvic trauma, bike riding, childbirth, pelvic surgery, peripheral neuropathy or pelvic mass. However, in most cases an exact cause cannot be identified. Pudendal nerve pain is often misdiagnosed as other pain disorders such as interstitial cystitis, chronic prostatitis and endometriosis. Common treatments include non-steroidal anti-inflammatories, cortical steroids, pelvic floor, epidural steroid injections, surgical decompression and pulsed radio frequency ablation of the pudendal nerve. If you suffer from pudendal nerve pain and have tried other treatments that only provided temporary relief of symptoms, peripheral nerve stimulation with the Peripheral Nerve stimulator may let you regain your freedom back!

Treat your Knee Pain

Over 500,000 total knee replacements are done each year in the USA. While many are successful, chronic postoperative pain occurs frequently. The pain is believed to be caused from the peripheral nerve or soft tissue injury, or even neuroma formations, causing joint pain in more than 20% of patients over one year following the surgery. Treatment options include:

  • Knee mobilizations
  • Surgical revisions
  • Nerve block injections
  • Physical therapy
  • Radio frequency ablation
  • Medication
      • Anti-inflammatory drugs (NSAIDS)
      • Opioids

You may have also tried physical therapy, anesthetic patches, and TENS. Even though these could provide short term relief, many times the pain will return. Peripheral never stimulation with the PNS system may be a viable option to let you start living again pain free.

The stimulator is placed with a minimally invasive procedure through only a small incision over the lateral and medial knee and has the ability to restore mobility and freedom with less knee pain.

Treat your Hernia Pain – Ilioinguinal Pain

There are over 1,000,000 hernia repair surgeries in the US annually with over 8% estimated repair an inguinal hernia which is one of the leading causes of abdominal and groin pain. Complications from these procedures can include recurrent surgery, infection, pain and adhesions. Pain present in the abdominal and/or groin area can be just subtle, to completely debilitating. This type of pain does not always respond well to pharmacologic treatment options. Nerve blocks are the most common treatment, however, they are not usually the solution for long-term relief. The nerve fibers running through this area of the body are called the ilioinguinal nerves. Peripheral never pain stimulation has been shown to provide pain relief for post-surgical hernia pain. Small wire-like devices are placed over the inflected nerves around the hernia incision using a minimally invasive technique. The wires are activated from an external device that will energize the implant and block the nerve pain transmission signal to the brain. The result? Significant pain relief.

Treat your Leg and Foot Pain – Tibial and Sural Nerve Stimulation

Lower leg and foot pain can be caused by peripheral neuropathy from diabetes, trauma, pressure on the nerve for a long period of time, and even nerve entrapment from scar tissue or pressure on ligaments around the ankle and foot. You may be experiencing symptoms like:

  • Numbness
  • Pain in the bottom of the foot and toes
  • Weakness
  • Deformation of foot, muscles, toes or ankle
  • Tingling sensation (pins and needles)
  • Shocking/shooting or even burning pain

You may be experiencing pain from the lightest touch to the skin, from changes in the weather, itching, or even radiating pain throughout the entire limb. Surgical removal of lesions that press on the nerve may benefit for some people, but many are still left in pain. You may have tried various medications or even physical therapy; however, it may be really hard and painful to exercise or even walk with the pain. You may have tried nerve blocks or radio frequency ablation that provided short-term relief. Try peripheral nerve stimulation with the Peripheral Nerve stimulator to see if it can be an option for you! 

Treat your Arm and Wrist Pain – Ulnar and Radial Pain

The ulnar nerve runs from the shoulder to the hand and is responsible for carrying nerve signals between the hand and the brain, enabling motion and feeling in the hand and forearm. Ulnar neuropathy is an inflammation or compression of the ulnar nerve, resulting in numbness, tingling, and pain. Estimates are that 40% of Americans experience some form of this neuropathy at some point in their lives. Ulnar neuropathy can be caused by compressive injury, by leaning or resting on the elbows or a blow to the elbow or ulnar nerve entrapment. Symptoms include:

  • Weakness
  • Tenderness in Hand
  • Tingling in palm and 4th/5th fingers
  • Sensitivity to cold
  • Elbow tenderness
  • Burning feeling in hand, arm or fingers


You may have tried occupational therapy, non-steroidal anti-inflammatories, splints, steroid injections, or even non-entrapment surgery to restore function and alleviate pain. You may have tried a multitude of these treatment options that provided some relief. If none of these options have helped you, peripheral nerve stimulation with the PNS system may be a viable option for you to start living your life again!

Take the next step to a pain free life and contact one of our Patient Care Coordinators today at 908-754-1960 or book an appointment.


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