Peripheral Nerve Stimulation
Some headaches occur from stimulation of the greater and/or lesser occipital nerves, either
directly or secondary to pathology in the upper cervical spine. If occipital nerve mediated pain
is diagnosed by precision injection techniques, then the electrical stimulation of these nerves
may represent a long-term nonpharmacologic approach to pain treatment. Unlike spinal cord
stimulation, the leads are placed under the skin in the upper neck. Like spinal cord stimulation,
electrical energy is used to block transmission of pain signals to the brain. Another area where
peripheral stimulation may prove helpful is in post-herniorraphy pain mediated by inflammation
of the ilioinguinal and/or genitofemoral nerves. The lead is placed subcutaneously in the lower
abdomen just above the hernia scar. As in all implant procedures, a multi-day trial is used
before consideration implantation surgery.