{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T01:17:35Z","timestamp":1787015855398,"version":"build-2736575974"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T00:00:00Z","timestamp":1396310400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pain Practice"],"published-print":{"date-parts":[[2015,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Spinal cord stimulation (\n                      <jats:styled-content style=\"fixed-case\">SCS<\/jats:styled-content>\n                      ) is a standard treatment option for chronic neuropathic pain. However, some anatomical pain distributions are known to be difficult to cover with traditional\n                      <jats:styled-content style=\"fixed-case\">SCS<\/jats:styled-content>\n                      \u2010induced paresthesias and\/or may also induce additional, unwanted stimulation. We present the results from a retrospective review of data from patients with groin pain of various etiologies treated using neuromodulation of the dorsal root ganglion (\n                      <jats:styled-content style=\"fixed-case\">DRG<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Data from 29 patients with neuropathic groin pain were reviewed. Patients underwent trial therapy where specifically designed leads were implanted at the target\n                      <jats:styled-content style=\"fixed-case\">DRG<\/jats:styled-content>\n                      s between T12 and L4. Patients who had a successful trial (&gt;\u00a050% improvement) received the fully implantable neuromodulation system. Pain scores were captured on a visual analog scale (\n                      <jats:styled-content style=\"fixed-case\">VAS<\/jats:styled-content>\n                      ) at baseline and at regular follow\u2010up visits.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty\u2010five patients (86.2%) received fully implantable neurostimulators, and the average follow\u2010up period was 27.8\u00a0\u00b1\u00a04.3 (standard error of the mean,\n                      <jats:styled-content style=\"fixed-case\">SEM<\/jats:styled-content>\n                      ) weeks. The average pain reduction was 71.4\u00a0\u00b1\u00a05.6%, and 82.6% (19\/23) of patients experienced a\u00a0&gt;\u00a050% reduction in their pain at the latest follow\u2010up. Individual cases showed improvement with a variety of etiologies and pain distributions; a subanalysis of postherniorrhaphy cohort also showed significant improvement.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Early findings suggest that neuromodulation of the\n                      <jats:styled-content style=\"fixed-case\">DRG<\/jats:styled-content>\n                      may be an effective treatment for chronic neuropathic pain conditions in the groin region. This technique offers a useful alternative for pain conditions that do not always respond optimally to traditional\n                      <jats:styled-content style=\"fixed-case\">SCS<\/jats:styled-content>\n                      therapy. Neuromodulation of the\n                      <jats:styled-content style=\"fixed-case\">DRG<\/jats:styled-content>\n                      provided excellent cross\u2010dermatomal paresthesia coverage, even in cases with patients with discrete pain areas. The therapy can be specific, sustained, and independent of body position.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/papr.12194","type":"journal-article","created":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T06:59:50Z","timestamp":1396335590000},"page":"293-299","source":"Crossref","is-referenced-by-count":109,"title":["Spinal Cord Stimulation of the Dorsal Root Ganglion for Groin Pain\u2014A Retrospective Review"],"prefix":"10.1111","volume":"15","author":[{"given":"Stefan","family":"Schu","sequence":"first","affiliation":[{"name":"Department of Functional Neurosurgery University Hospital of D\u00fcsseldorf D\u00fcsseldorf Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashish","family":"Gulve","sequence":"additional","affiliation":[{"name":"Pain Management Department The James Cook University Hospital Middlesbrough 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Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manohar","family":"Sharma","sequence":"additional","affiliation":[{"name":"The Walton Centre NHS Foundation Trust Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Klase","sequence":"additional","affiliation":[{"name":"Praxis Neurorothenbaum Hamburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gunnar","family":"Jahnichen","sequence":"additional","affiliation":[{"name":"Klinikum Delmenhorst Delmenhorst Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders","family":"Wahlstedt","sequence":"additional","affiliation":[{"name":"Akademiska Sjukhuset Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harold","family":"Nijhuis","sequence":"additional","affiliation":[{"name":"Sint Antonius Hospital Nieuwegein The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liong","family":"Liem","sequence":"additional","affiliation":[{"name":"Sint Antonius Hospital Nieuwegein The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2014,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2008.05.005"},{"key":"e_1_2_7_3_1","volume-title":"Relieving Pain in America: A Blueprint for Transforming Prevention, Care, Education, and Research","author":"Institute of Medicine (US) Committee on Advancing Pain Research, Care, and 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