Abstract

Neuromodulation techniques have been successfully used for a varietyof neuropathic pain conditions. Th e aim of this paper is to presenta case of the successful use of a subcutaneously placed peripheralnerve stimulator for treatment of intractable postherpetic neuralgia(PHN). A 57-year old man presented with a two-year history of leftthoracic pain that developed aft er a vesicular rash. Focal neuropathicpain had not responded to treatment with multiple analgesic medicationsand steroid injections. Th e patient had signifi cant relief followingimplantation of a peripheral nerve stimulator. Th is case represents acontribution to the small but growing body of evidence indicating thatperipheral nerve stimulation may be an eff ective option for treatmentof PHN not responsive to less invasive modalities.

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