About Peripheral Neurostimulation (PNS)

Peripheral neurostimulation (PNS) is a surgical procedure used to treat patients suffering from headaches or facial pain. It involves placing electrodes under the skin of the scalp or face in the region where the pain is occurring. These electrodes are then connected to a pacemaker-like device implanted beneath the collarbone, and electrical stimulation is applied to the affected area. In multiple studies throughout the United States and abroad, PNS has been proven to be highly effective in improving the severity and frequency of headache or facial pain.

PNS Surgery

All candidates for peripheral neurostimulation are assessed to determine their suitability for undergoing the PNS procedure. These evaluations can be done in Manhattan or in our offices at Great Neck, Long Island. In the week prior to the surgery, the patient will undergo pre-surgical testing that includes routine blood tests as well as neuropsychological evaluation. The PNS procedure itself is performed in two separate stages. Each stage takes about one hour, and the patient can go home the same day.

Stage 1 involves implanting trial electrodes, via small needles, which are then connected to an external battery and programmer. A number of stimulation programs are administered over the next few days. If this trial demonstrates a significant improvement in the patient’s headache or facial pain, permanent implantation can take place.

In Stage 2, a new set of electrodes, the width of angel-hair pasta, are implanted under the skin. These are connected to a small pacemaker-like device which is implanted under the skin in the chest, abdomen, or back. The specific device used is tailored to each individual’s needs.

Insurance Coverage for PNS

Our center has extensive experience working with insurance companies to arrange coverage of PNS treatments. We will help you every step of the way in the approval process.

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