Edwin Amirianfar, Richard Rosales, Andrew Logan, Tina L Doshi, John Reynolds, Chane Price
{"title":"Peripheral nerve stimulation for chronic knee pain following total knee arthroplasty: a systematic review.","authors":"Edwin Amirianfar, Richard Rosales, Andrew Logan, Tina L Doshi, John Reynolds, Chane Price","doi":"10.2217/pmt-2023-0057","DOIUrl":null,"url":null,"abstract":"<p><p>Chronic knee pain following total knee arthroplasty (TKA) affects a subset of patients that is refractory to pharmacological and non-pharmacological modalities. Peripheral nerve stimulation (PNS) has been used in patients with chronic knee pain following TKA and has shown some efficacy. <b>Methods:</b> Comprehensive search of Ovid Medline, Elsevier Embase, Cochrane Central Register of Controlled Trials, CINAHL Plus with Full Text, Scopus, SPORTDiscus with Full Text and the Web of Science platform. From inception to August 2022, for studies using PNS to treat chronic knee pain following TKA. Primary outcomes included pain scores, functional status and medication usage. <b>Results:</b> Nine studies were extrapolated with all demonstrating effectiveness of PNS for patients with chronic knee pain following TKA. <b>Discussion:</b> PNS for chronic knee pain following TKA has been shown to be an efficacious treatment modality. The level of evidence is low and more research is needed to assess its safety and effectiveness.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"667-676"},"PeriodicalIF":1.4000,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pain management","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.2217/pmt-2023-0057","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/11/8 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Chronic knee pain following total knee arthroplasty (TKA) affects a subset of patients that is refractory to pharmacological and non-pharmacological modalities. Peripheral nerve stimulation (PNS) has been used in patients with chronic knee pain following TKA and has shown some efficacy. Methods: Comprehensive search of Ovid Medline, Elsevier Embase, Cochrane Central Register of Controlled Trials, CINAHL Plus with Full Text, Scopus, SPORTDiscus with Full Text and the Web of Science platform. From inception to August 2022, for studies using PNS to treat chronic knee pain following TKA. Primary outcomes included pain scores, functional status and medication usage. Results: Nine studies were extrapolated with all demonstrating effectiveness of PNS for patients with chronic knee pain following TKA. Discussion: PNS for chronic knee pain following TKA has been shown to be an efficacious treatment modality. The level of evidence is low and more research is needed to assess its safety and effectiveness.
全膝关节置换术（TKA）后的慢性膝关节疼痛影响一部分对药物和非药物治疗无效的患者。外周神经刺激（PNS）已用于TKA后的慢性膝关节疼痛患者，并显示出一定的疗效。方法：综合检索Ovid Medline、Elsevier Embase、Cochrane Central Register of Controlled Trials、CINAHL Plus with Full Text、Scopus、SPORTDiscus with Full Text和Web of Science平台。从开始到2022年8月，用于使用PNS治疗TKA后慢性膝关节疼痛的研究。主要结果包括疼痛评分、功能状态和药物使用情况。结果：推断了9项研究，所有研究都证明了PNS对TKA后慢性膝关节疼痛患者的有效性。讨论：PNS治疗TKA后的慢性膝关节疼痛已被证明是一种有效的治疗方式。证据水平较低，需要更多的研究来评估其安全性和有效性。
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