Evidence map›Paper›PMID 32804230›Full record

ReviewPain medicine (Malden, Mass.)2020

Mechanism of Peripheral Nerve Stimulation in Chronic Pain.

Tiffany Lin, Akshat Gargya, Harmandeep Singh, Eellan Sivanesan, Amitabh Gulati

2 registry-linked trialsOpen access · bronzeAbstract readReview
In one paragraph

Review in Pain medicine (Malden, Mass.), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 89 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 5 pooled it
8.4field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05937711 nacompletednot on this map

The Effect of Transcutaneous Posterior Tibial Nerve Stimulation on Pain and Quality of Life in Patients With Fibromyalgia: a Single-blind, Randomized Controlled Trial

TypeinterventionalSponsorIlker Fatih SariRan2020 to 2022Enrolled64ConditionsFibromyalgiaArmsTranscutaneous Posterior Tibial Nerve Stimulation + Duloxetine 30 MG, Duloxetine 30 MG
NCT06153875 nacompletednot on this mapstarted 2023, after this paper: background citation

Effects of Percutaneous Peripheral Nerve Stimulation on Neck and Low Back Pain: a Quadruple-blinded, Randomized Clinical Trial

TypeinterventionalSponsorClinica Francisco Ortega Rehabilitacion Avanzada SLRan2023 to 2024Enrolled45ConditionsNeck Pain, Low Back PainArmsSensory Thresold, Burst High Frecuency, Theta-Burst Stimulation, Transcutaneous Electrical Nerve Stimulation
3 · Its place in the literature

Who cites it

89 citing papers in PubMed, 5 syntheses or guidelines pooled it, 139 citations in OpenAlex.

  1. Pooled it
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  7. Resonance massage tool effects in non-migraine headache management.Journal of oral & facial pain and headache · 2025
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29 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Tiffany LinDepartment of Anesthesiology, NewYork-Presbyterian/Weill Cornell Medical Center, New York, New York.
Akshat GargyaDepartment of Anesthesiology, NewYork-Presbyterian/Weill Cornell Medical Center, New York, New York.
Harmandeep SinghDepartment of Anesthesiology, NewYork-Presbyterian/Weill Cornell Medical Center, New York, New York.
Eellan SivanesanDepartment of Anesthesiology, Johns Hopkins School of Medicine, Baltimore, Maryland.
Amitabh GulatiDepartment of Anesthesiology and Critical Care, Memorial Sloan Kettering Cancer Center, New York, USA.
Cornell University · USJohns Hopkins University · USMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

introductionWith the advancement of technology, peripheral nerve stimulation (PNS) has been increasingly used to treat various chronic pain conditions. Its origin is based on the gate control theory postulated by Wall and Melzack in 1965. However, the exact mechanism behind PNS' analgesic effect is largely unknown. In this article, we performed a comprehensive literature review to overview the PNS mechanism of action.

designA comprehensive literature review on the mechanism of PNS in chronic pain.

methodsComprehensive review of the available literature on the mechanism of PNS in chronic pain. Data were derived from database searches of PubMed, Scopus, and the Cochrane Library and manual searches of bibliographies and known primary or review articles.

resultsAnimal, human, and imaging studies have demonstrated the peripheral and central analgesic mechanisms of PNS by modulating the inflammatory pathways, the autonomic nervous system, the endogenous pain inhibition pathways, and involvement of the cortical and subcortical areas.

conclusionsPeripheral nerve stimulation exhibits its neuromodulatory effect both peripherally and centrally. Further understanding of the mechanism of PNS can help guide stimulation approaches and parameters to optimize the use of PNS.

Indexed as

Chronic PainElectric Stimulation TherapyTranscutaneous Electric Nerve StimulationHumansPain ManagementPeripheral NervesChronic PainMechanismPeripheral Nerve Stimulation

Identifiers

PMID32804230
PMCPMC7828608
OpenAlexW3075211286

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.