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Abstract
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Background and Aims The acceleration-deceleration energy transferred to the cervical spine during a motor vehicle collision can cause whiplash injury, which can lead to headaches in 80% of patients. Patients with persistent headaches due to whiplash have been treated with peripheral nerve stimulation (PNS), although the evidence for its effectiveness is limited.
Methods A case report about a patient who received temporary peripheral nerve stimulation following a whiplash injury and developed neck and severe right occipital pain. The patient received SPRINT PNS System (SPR Therapeutics, Cleveland, OH, USA) implanted lead and an external pulse generator to deliver stimulation to the target nerve. The treatment lasted 8 weeks, and the percutaneous leads were then removed. Follow-up surveys were conducted 14 weeks after the implant removal.
Results The procedure reduced the pain score from 8/10 to 0/10. He experienced improved sleep, quality of life, and physical activities with 81-90% satisfaction.
Conclusions Peripheral nerve stimulation effectively treats refractory whiplash pain, improving long-term pain relief, range of motion, quality of life, sleep, and patient satisfaction. It is a successful treatment option for chronic whiplash pain.
Peri-operative X-ray image
Peri-operative ultrasound of the lead