Effect of 60-day Peripheral Nerve Stimulation (PNS) in Alleviating Pain and Improving Function After Acute Thoracolumbar Compression Fracture

Inclusion criteria

• Adult females ages 18+
• Osteoporosis diagnosis with acute/subacute insufficiency fractures of the thoracic or lumbar spine identified on MRI or X-ray with significant pain and activity limitation.
• Onset of pain from associated fracture should be less than 3 months.
• Minimum pain should be 4 or greater (Moderate) on the NRS scale and/or impairing their daily activity.
• Patients reported pain should be despite OTC medication trials of NSAIDs, Tylenol, lidocaine patches or similar medications.
• Patients may be taking opioids while receiving treatment however as per routine practice, no additional opioids will be prescribed during the PNS intervention.

Exclusion criteria

• Patients with pathological fractures, other etiologies of fracture such as pagets disease, multiple myeloma, local or systemic infection, untreated coagulopathy, untreated psychosocial disease.
• Other etiologies of osteoporosis other than primary osteoporosis will be excluded such as hyperparathyroidism, anorexia, malabsorption, hyperthyroidism, or overtreatment of hypothyroidism, chronic renal failure, cushing.
• Patients with diminished mental capacity (mental condition that will inhibit their ability to complete the assessments) as determined by the investigator.
• Patients with an active cardiac implant device such as a pacemaker or defibrillator.