ID:16067 IPG-Free Peripheral Nerve Stimulation of the Posterior Tibial Nerve for Painful Diabetic Neuropathy and CRPS

Abstract

Peripheral nerve injury secondary to trauma to feet and ankles is an uncommon problem, which may lead to severe pain and serious disability. As there is no uniform definition or diagnosis to describe nerve pain as results of trauma, such conditions may be described as complex regional pain syndrome (CRPS). A 78-year-old male had pre-existing painful diabetic neuropathy and had a left above the knee amputation Patient’s left leg prosthetic failed while walking in 2017 and caused him to fall, resulting in tri-malleolar ankle fracture. Patient underwent surgery to stabilize the right ankle, but he continued to suffer from a large amount of pain secondary to a sustained posterior tibial nerve injury and required large amount of opioid medications. He was diagnosed with CRPS type 2 and was offered peripheral nerve stimulation (Stimwave Technologies, Pompano Beach, Florida) as a possible alternative to opioids for the treatment of pain.