Peripheral Nerve Stimulation of the Dorsal Scapular Nerve for Atypical Shoulder Pain Treatment: A Case Report

Document Type

Article

Publication Date

7-1-2026

Publication Title

Pain Med Case Rep

Keywords

Humans, Male, Middle Aged, Shoulder Pain, Transcutaneous Electric Nerve Stimulation, Neuralgia, Nerve Compression Syndromes, Treatment Outcome

Abstract

BACKGROUND: Meralgia paresthetica (MP) is a neuropathic pain syndrome resulting from lateral femoral cutaneous nerve irritation or injury. Patients who fail to respond to conservative therapies can find relief after interventions, including nerve blocks and decompression surgery, but some continue to experience pain. Temporary percutaneous peripheral nerve stimulation (PNS) is a minimally invasive option for targeted neuropathic pain management, though there is limited evidence of its efficacy in the management of MP.

CASE REPORT: A 63-year-old man with MP unresponsive to conservative and surgical management underwent a 60-day percutaneous PNS trial. He experienced immediate and sustained pain relief (80%) with marked improvement in ambulation and sleep, which persisted at > 60% pain reduction 12 months after implantation.

CONCLUSIONS: Temporary percutaneous PNS may be an effective option for patients with MP refractory to conservative and surgical management.

Medical Subject Headings

Humans; Male; Middle Aged; Shoulder Pain; Transcutaneous Electric Nerve Stimulation; Neuralgia; Nerve Compression Syndromes; Treatment Outcome

PubMed ID

42550559

Volume

10

Issue

5

First Page

435

Last Page

437

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