Journal of Pain Management and Therapy

Image Article - Journal of Pain Management and Therapy (2018) Volume 2, Issue 2

Tibial nerve stimulation for chronic pelvic pain. Is this non-invasive technique the right way?

Massimiliano Raggi*

Pain Therapy Center, Rovereto, Italy

*Corresponding Author:
Massimiliano Raggi
Pain Therapy Center, Roverto, Italy
Tel: +390461904172-848806806
E-mail: [email protected]
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Percutaneous Tibial Nerve Simulation was evaluated in one young patient suffering with chronic pelvic pain.

For the percutaneous technique, the device is inserted using a designated delivery system (Figure 1) and is positioned under ultrasound guidance (Figure 2) [1].

pain-management-therapy-external-control-unit

Figure 1: Device, delivery system and wireless external control unit.

pain-management-therapy-Posterior-tibal

Figure 2: RED LINE: Posterior tibal Nerve, BLUE LINE: Lead.

The device is wirelessly powered by an external control unit that controls all the electro-stimulation parameters and is worn by the patient in the lower third region of the leg (Figure 3) [2].

pain-management-therapy-lower-portion-leg

Figure 3: Placement of the device on the lower portion of the leg.

Effects were recorded by Visual Analogic Scale (VAS), for pain diary, the Health-related quality of life questionnaire and drug therapies at baseline and after 12 weeks of treatment.

Results

• VAS 10>2

• (HRQL) health-related quality of life low >high

• Drug therapies <50% (Graph 1).

pain-management-therapy-Graph

Graph 1.

References