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Lyme disease is a bacterial infection caused by Borrelia burgdoferi, which may affect various body systems including the nervous system. Control of headaches associated with lyme disease is difficult to achieve despite multiple treatment modalities. Peripheral nerve stimulation (PNS) has been used to treat patients with injuries to a specific nerve, including application to occipital,supraorbital and trigeminal neuralgia.

One-third of cancer patients have pain at diagnosis, 10-15% of patients do not achieve acceptable pain relief with opiates and/or adjuvant analgesics. 15-40% of chronic cancer pain has a neuropathic component, responding poorly to opioids. Spinal cord stimulation (SCS), an effective treatment for neuropathic pain, has been used to treat intractable cancer pain.

A complex 73-year-old gentleman presents to clinic after several unsuccessful interventions trialed to control bilateral arm pain. Initially arm weakness and pain was attributed to arterial insufficiency and carotid artery stenosis, he underwent carotid endarterectomy. His pain persisted, EMG confirmed moderate median neuropathy at the wrist consistent with carpal tunnel syndrome and a sensory motor length-dependent neuropathy consistent with diabetes.

Lhermitte’s phenomenon characterizes an electric-shock like sensation felt down the spine when the head is flexed forward. Following movement a transient, short-lasting, electric shock-like sensation extends down the spine and shoots into the limbs. Pain from Lhermitte’s phenomenon is typically brief, lasting seconds, and feels “electrical” in nature.

The pain of patients with postlaminectomy syndrome (PLS) is difficult to control despite conventional treatments and especially when procedures like spinal cord stimulation (SCS) are not feasible because of advanced postoperative changes. Report in this case study is successful treatment of the low back and leg pain related to PLS of the patient with sacral nerve stimulation(SNS) employing a caudal approach.

Central pain syndrome (CPS) is a neurological condition caused by damage to or dysfunction of the central nervous system (CNS). In this case report, the 60 year old male had a complete spinal cord injury at T10, due to a motor vehicle accident 24 years ago, resulting in paraplegia.

Abdominal pain is the leading gastrointestinal complaint for outpatient visits, comprising 12.2 million visits per year and is also the most frequently cited chief complaint in hospital emergency departments, accounting for 7% of all emergency department visits. The etiology of pain in a patient with chronic abdominal pain is complex and can be difficult to control. We report successful treatment of chronic abdominal pain developed after multiple abdominal surgeries with peripheral nerve field stimulation (PNFS).

Two-thirds of patients with cancer are affected by pain and 10-15% of these do not achieve acceptable levels of relief with opiates alone or in combination with adjuvant analgesics. Interventional approaches have received considerable attention in an attempt to provide pain relief for these patients. Neurostimulation including spinal cord stimulation (SCS) has been used for treatment of intractable cancer pain.

Patients with chronic pelvic pain may suffer from intractable pain along with functional incapacitation and often do not respond to conventional forms of treatment. Spinal cord stimulation (SCS) can be used to treat patients with pelvic pain syndromes when other interventional pain procedures fail.

Perineal pain is a common complaint for women during the peak of their reproductive years, comprising approximately 10% of visits to gynecologists per year. Sacral nerve stimulation (SNS) is a well established treatment option for voiding dysfunction refractory to conservation therapies. The aim of this study was to evaluate the use of SNS for a patient with chronic perineal pain.