Peripheral Nerve Stimulation for Chronic Pain
Chronic pain can make the simplest activities–like walking, going up the stairs, or lifting a bag–into a constant struggle. For those living with chronic pain, finding lasting relief feels like an uphill battle.
At Forté Sports Medicine and Orthopedics, we understand how frustrating persistent pain and disability can be. That's why we offer Peripheral Nerve Stimulation (PNS) – a minimally invasive treatment designed to target and reduce pain at its source.
What is Peripheral Nerve Stimulation (PNS)?
This treatment is a procedure where a thin, flexible wire, is implanted at the main peripheral nerve in the affected body region of pain. This internal lead(s) connects to an external device that sends gentle electrical pulses to the brain. These impulses interrupt pain signals by boosting non-pain signals to the brain. This retrains the brain’s pain messaging system without needing medications or invasive surgery.
How it Works
PNS with the SPRINT® system is a short, 60-day treatment. A tiny wire called a MicroLead is inserted near the region of pain next to the nerve under ultrasound or X-ray guidance. This is done with only local anesthetic and without incisions or sutures. Only the Microleads are implanted; the pulse generator (device) is external, making this even more minimally invasive.
Once the leads are implanted, the device delivers low-level electrical pulses that:
• Interrupt pain signals
• Enhance healthy nerve signaling
• Rebalance the messages the brain receives, outweighing pain signals with non-pain signals.
Over the 60 day treatment, the stimulation changes the brain’s perception and response to pain, even after the device is removed. After 60 days, the micro leads are removed in the office. In clinical studies, over 70% of all patients get greater than 12 months of pain relief with daily activities even after the device is removed.
“Sprint PNS is minimally invasive treatment that offers a huge benefit to my patients struggling with chronic pain because of its efficacy, safety, and flexibility. It has multiple indications including chronic intractable pain, post-operative pain, and post-traumatic pain.” says Dr. Michael Del Busto, a PM&R physician at Forté specializing in minimally invasive procedures.
What to Expect During the Procedure
Once you are referred for PNS treatment, the experience will be individualized based on your specific pain location and needs.
Before Treatment
• No activity restrictions before testing
• Avoid creams or lotions on the treatment site 12 hours before your procedure
• Wear loose-fitting clothing on the day of the procedure
• Blood thinners may not even need to be stopped depending on the body region
The Procedure:
This is a minor outpatient procedure. After sterile preparation, a local anesthetic will be applied to the area. Dr. Michael Del Busto will place the MicroLead near your nerve using a needle under ultrasound or X-ray guidance. Electrical impulse testing will be completed to ensure appropriate pain coverage. After visual and electrical confirmation, the lead will be inserted through the needle into the soft tissue. This process may be repeated if using a dual lead system.
After the MicroLead is in Place:
• A small bandage covers the site
• The MicroLead connects to the Pulse Generator, which is secured with a soft adhesive
• You and/or a family member will be trained for dressing changes done every 7 days
• You will receive a hand-held remote to adjust the stimulation and learn how to care for your system
Are There Any Activity Limitations After PNS Treatment?
For the first 7 days, you will need to limit movement around the treatment area to ensure proper healing and device stability. After the first week, most patients can return to their normal routines while continuing to use the device. Dr. Michael Del Busto will offer personalized activity guidance based on your recovery and treatment location.
How Long Will I Experience Pain Relief?
It has been shown in clinical studies that greater than 70% of all patients have pain relief within the first 60 days with sustained pain relief 12 months and beyond, even after MicroLead removal. Some body regions have clinical data demonstrating 5 years of pain relief post PNS treatment! Individual results may vary.
Explore if PNS is Right for You
If chronic pain and disability have disrupted your life, Peripheral Nerve Stimulation with the SPRINT® System may offer the relief you have been searching for.
Experience the difference that PNS Treatment can make. Call 317.817.1200 to schedule a consultation with Forté Sports Medicine and Orthopedics today in Carmel, IN*, or with one of our interventional pain management specialists at our Carmel, Noblesville and Greenwood locations. Our team of experts will craft a personalized plan to get you back to doing what you love, pain-free.
*The PNS procedure will take place in the Franciscan Orthopedic Surgery Center at the Carmel Forté location.
