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The use of peripheral nerve stimulation, or PNS, for the relief of chronic pain states was first reported over 30 years ago. [6] Recent studies have demonstrated that electrical stimulation of nerves leads to inhibitory input to the pain pathways at the spinal cord level. [ 7 ]
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All forms of spinal cord stimulation have been shown to have varying degrees of efficacy to address a variety of pharmacoresistant neuropathic or mixed (neuropathic and noiciceptive) pain syndromes such as post-laminectomy syndrome, low back pain, complex regional pain syndrome, peripheral neuropathy, peripheral vascular disease and angina.
Neuromodulation of the cluneal nerve with peripheral nerve stimulation has not been widely established as an effective treatment, though there are some studies that show significant benefits. [5] [16] Surgical intervention typically involves decompression of the nerves from the osteofibrous tunnels.
Therefore, retinal, optic nerve and visual cortex stimulation are the three different methods used in visual prostheses. [31] Retinal degenerative diseases, such as retinitis pigmentosa (RP) and age-related macular degeneration (AMD), are two likely candidate diseases in which retinal stimulation may be helpful.
supraorbital pressure - this is the manual stimulation of the supraorbital nerve by pressing a thumb into the indentation above the eye, near the nose. [ 2 ] sternal rub - this involves creating a turning pressure (akin to a grinding motion with a pestle and mortar) on the patient's sternum [ 1 ]