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Neurostimulation for Neck Pain and Headache
Author(s) -
Hong Jennifer,
Ball Perry A.,
Fanciullo Gilbert J.
Publication year - 2014
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/head.12292
Subject(s) - neurostimulation , medicine , occipital nerve stimulation , migraine , cluster headache , trigeminal neuralgia , chronic migraine , randomized controlled trial , refractory (planetary science) , occipital neuralgia , chronic pain , neuromodulation , physical therapy , anesthesia , neuralgia , surgery , neuropathic pain , alternative medicine , stimulation , physics , pathology , astrobiology
Patients with medically refractory headache disorders are a rare and challenging‐to‐treat group. The introduction of peripheral neurostimulation ( PNS ) has offered a new avenue of treatment for patients who are appropriate surgical candidates. The utility of PNS for headache management is actively debated. Preliminary reports suggested that 60‐80% of patients with chronic headache who have failed maximum medical therapy respond to PNS . However, complications rates for PNS are high. Recent publication of 2 large randomized clinical trials with conflicting results has underscored the need for further research and careful patient counseling. In this review, we summarize the current evidence for PNS in treatment of chronic migraine, trigeminal autonomic cephalagias and occipital neuralgia, and other secondary headache disorders.