{
  "abstract": "Background and Aims Shoulder pain is the second most common joint complaint and often arises from a combination of cervical and shoulder joint pathologies. This case series evaluates the efficacy of peripheral nerve stimulation (PNS) targeting the upper trunk of the brachial plexus in managing shoulder and cervical radicular pain.Methods Four patients with varying shoulder pathologies underwent the temporary SPR PNS System for 60 days, with clinical outcomes assessed pre- and post-intervention using validated tools, including the Numeric Rating Scale (NRS) for pain, Patient Global Impression of Change (PGIC), PROMIS Neuropathic Pain Quality 5a, Sleep Disturbance Short Form 6a, Physical Function Short Form 6b, and a PNS-specific questionnaire.Results Across all cases, patients demonstrated substantial improvements in pain reduction, sleep quality, physical function, and overall quality of life. Notably, enhancements included increased range of motion and better performance of daily activities, with some patients reporting reduced reliance on opioid medications.Abstract P036 Figure 1The ultrasound image performed during the procedure shows: Introducer Needle; UT: upper Trunk; MT: Middle Trunk; AS: Anterior Scalene Muscle; MS: Middle Scalene MuscleConclusions These findings suggest that PNS of the upper trunk of the brachial plexus may be an effective, minimally invasive treatment option for improving quality of life in patients with complex shoulder and cervical radicular pain syndromes.",
  "authors": [
    {
      "affiliations": [
        "Anesthesiology and Pain Management, MetrHealth System, Cleveland, USA"
      ],
      "name": "Faria Nisar"
    },
    {
      "affiliations": [
        "Anesthesiology and Pain Management, MetrHealth System, Cleveland, USA"
      ],
      "name": "Hesham Elshakawy"
    },
    {
      "affiliations": [
        "Anesthesiology and Pain Management, MetrHealth System, Cleveland, USA"
      ],
      "name": "Nicolas Mas D Alessandro"
    }
  ],
  "title": "P036 Peripheral nerve stimulation for upper trunk of the brachial plexus for treating refractory shoulder pain ‘a case series’",
  "uid": "097ea748-1b43-5366-8968-bacb06a331eb"
}