Evidence map›Paper›PMID 33737830›Full record

ReviewJournal of pain research2021

Peripherally Induced Reconditioning of the Central Nervous System: A Proposed Mechanistic Theory for Sustained Relief of Chronic Pain with Percutaneous Peripheral Nerve Stimulation.

Timothy R Deer, Sam Eldabe, Steven M Falowski, Marc A Huntoon, Peter S Staats, Isaac R Cassar, Nathan D Crosby, Joseph W Boggs

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Journal of pain research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05649917 (A Post-Market Observational Case Series Study of Percutaneous Peripheral Nerve Stimulation), which is not on this map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
13.7field-weighted citation impact, top 1% 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.

NCT05649917 unknown statusnot on this mapstarted 2022, after this paper: background citation

A Post-Market Observational Case Series Study of Percutaneous Peripheral Nerve Stimulation (PNS) for the Treatment of Chronic Shoulder Pain

TypeobservationalSponsorInternational Spine, Pain and Performance CenterRan2022 to 2024Enrolled20ConditionsShoulder Pain, Shoulder Injuries, Shoulder Arthritis
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 83 citations in OpenAlex.

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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

8 authors at 5 institutions in 2 countries.

Timothy R DeerThe Spine and Nerve Center of the Virginias, Charleston, WV, USA.ORCID 0000-0001-8907-7730
Sam EldabeDepartment of Pain Medicine, The James Cook University Hospital, Middlesbrough, UK.ORCID 0000-0002-9250-1886
Steven M FalowskiDepartment of Neurosurgery, Neurosurgical Associates of Lancaster, Lancaster, PA, USA.ORCID 0000-0003-3996-087X
Marc A HuntoonAnesthesiology, Virginia Commonwealth University Medical Center, Richmond, VA, USA.
Peter S StaatsPremier Pain Centers, Shrewsbury, NJ, USA.
Isaac R CassarSPR Therapeutics, Cleveland, OH, USA.
Nathan D CrosbySPR Therapeutics, Cleveland, OH, USA.ORCID 0000-0001-6181-0806
Joseph W BoggsSPR Therapeutics, Cleveland, OH, USA.ORCID 0000-0002-7973-7990
Sprint PNS System (United States) · USJames Cook University Hospital · GBPain Management Centers Of America · USThe Spine & Nerve Centers of the Virginias · USVirginia Commonwealth University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peripheral nerve stimulation (PNS) is an effective tool for the treatment of chronic pain, although its efficacy and utilization have previously been significantly limited by technology. In recent years, purpose-built percutaneous PNS devices have been developed to overcome the limitations of conventional permanently implanted neurostimulation devices. Recent clinical evidence suggests clinically significant and sustained reductions in pain can persist well beyond the PNS treatment period, outcomes that have not previously been observed with conventional permanently implanted neurostimulation devices. This narrative review summarizes mechanistic processes that contribute to chronic pain, and the potential mechanisms by which selective large diameter afferent fiber activation may reverse these changes to induce a prolonged reduction in pain. The interplay of these mechanisms, supported by data in chronic pain states that have been effectively treated with percutaneous PNS, will also be discussed in support of a new theory of pain management in neuromodulation: Peripherally Induced Reconditioning of the Central Nervous System (CNS).

Indexed as

chronic paincortical plasticitymechanism of actionneuromodulationperipherally induced reconditioningperipheral nerve stimulation

Identifiers

PMID33737830
PMCPMC7966353
OpenAlexW3135063937

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.