Foot & Ankle Neuromodulation
Peripheral Nerve Stimulation & Neuromodulation
Advanced Care for Chronic Foot & Ankle Nerve Pain
Peripheral nerve stimulation and neuromodulation options for qualifying patients.
Chronic foot and ankle nerve pain can feel like burning, tingling, numbness, electric shocks, stabbing pain, hypersensitivity, or pain that continues despite conservative care. Wigley Feet evaluates qualifying patients for advanced peripheral nerve stimulation and neuromodulation options, including a trial pathway in the Surgical Suite and permanent implant coordination through the Surgical Center pathway when appropriate.
Trial pathway. Surgical center pathway. One coordinated nerve pain care plan.
How It Works
What Is Peripheral Nerve Stimulation?
Peripheral nerve stimulation, also called PNS, is a neuromodulation therapy designed to deliver mild electrical stimulation near a targeted peripheral nerve. The goal is to help reduce pain signaling from a specific nerve-related pain source. It may be considered for qualifying patients with chronic peripheral nerve-related pain who have not achieved adequate relief from conservative treatment.
PNS is not a cure for every type of pain or numbness, and not every patient is a candidate.
Symptoms That May Lead to a Nerve Pain Evaluation
These symptoms can have many causes. A consultation helps determine whether pain may be nerve-related and whether neuromodulation should be considered.
Nerve-Related Conditions We Evaluate
The Process
The Wigley Feet Neuromodulation Pathway
Nerve Pain Consultation
We review symptoms, medical history, prior treatments, exam findings, and whether the pain pattern may be peripheral nerve-related.
Candidacy Review
We determine whether neuromodulation may be appropriate based on diagnosis, nerve target, medical history, imaging or testing needs, insurance requirements, and patient goals.
Trial Implant
For qualifying patients, a trial may help determine whether peripheral nerve stimulation provides meaningful benefit before considering a permanent implant. The trial may be performed in the Wigley Feet Surgical Suite when appropriate.
Permanent Implant Pathway
If the trial is successful and the patient remains an appropriate candidate, permanent implant placement may be coordinated through the Surgical Center pathway, including Palmetto Lakes Surgical Center when appropriate.
The trial does not guarantee a permanent implant. The permanent implant decision depends on trial response, medical appropriateness, insurance requirements, surgical planning, and physician judgment.
Trial Implant vs. Permanent Implant
Trial Implant
A temporary trial helps evaluate whether peripheral nerve stimulation may reduce symptoms or improve function for the patient.
Setting
May be performed in the in-house Wigley Feet Surgical Suite when clinically appropriate.
Goal
Assess response before deciding whether to pursue permanent implantation.
Permanent Implant
A permanent implant may be considered after a successful trial and further medical review.
Setting
May be performed through the Surgical Center pathway, including Palmetto Lakes Surgical Center when appropriate.
Goal
Provide ongoing neuromodulation therapy for qualifying patients with chronic peripheral nerve-related pain.
Technology
Curonix Freedom PNS Technology
Wigley Feet may use Curonix Freedom PNS technology when clinically appropriate. This technology is designed for peripheral nerve stimulation and may be considered for adults with severe, intractable chronic pain of peripheral nerve origin. The device uses an implanted stimulator and an external power source to deliver stimulation near the targeted nerve.
Learn More From CuronixExternal technology links are for patient education. Candidacy and treatment recommendations are determined by Wigley Feet after evaluation.
Who May Be a Candidate?
A patient may be evaluated for peripheral nerve stimulation if they have chronic nerve-related foot or ankle pain, symptoms that suggest peripheral nerve involvement, and inadequate relief from conservative treatment.
- Chronic foot or ankle nerve pain
- Burning, tingling, electric, or stabbing pain
- Pain believed to involve a specific peripheral nerve
- Neuroma-type pain
- Post-surgical or post-injury nerve pain
- Symptoms that interfere with walking, shoes, sleep, or daily activity
- Conservative treatments have not provided enough relief
- Patient is medically appropriate for a trial procedure
- Insurance or authorization requirements can be reviewed
Not every patient with numbness, neuropathy, or pain is a candidate.
Who May Not Be a Candidate?
Some patients may not be appropriate candidates for peripheral nerve stimulation depending on diagnosis, medical history, infection risk, anatomy, uncontrolled medical conditions, expectations, psychological screening requirements, insurance requirements, or physician judgment.
A consultation helps determine the most appropriate next step for your situation.
Why Choose Wigley Feet for Foot & Ankle Neuromodulation?
Lower-Extremity Focus
Wigley Feet focuses on foot, ankle, nerve, vascular, wound, and lower-extremity conditions.
Surgical Suite Trial Pathway
The trial implant may be performed in the in-house Surgical Suite for qualifying patients when appropriate.
Surgical Center Pathway
Permanent implantation may be coordinated through the Surgical Center pathway when appropriate.
Connected Care
Evaluation, nerve pain care, diabetic foot care, vascular concerns, surgical planning, and follow-up can be coordinated within the Wigley Feet model.
Advanced Technology
Neuromodulation offers an advanced option for qualifying patients with chronic peripheral nerve-related pain.
FAQ
Common Questions
Questions about peripheral nerve stimulation and neuromodulation at Wigley Feet.
Chronic Nerve Pain? Start With a Consultation
Wigley Feet evaluates qualifying patients for advanced peripheral nerve stimulation and neuromodulation options. The first step is a nerve pain consultation.
Peripheral nerve stimulation and neuromodulation information on this page is educational and does not provide a diagnosis, medical advice, or guarantee of treatment. Not every patient with foot pain, numbness, neuropathy symptoms, neuroma pain, or nerve-related pain is a candidate. Final recommendations depend on consultation, examination, diagnosis, medical history, pain pattern, imaging or diagnostic testing, trial response, insurance requirements, procedural risk, surgical setting requirements, and physician judgment. Insurance coverage, authorization, and patient responsibility vary by plan. If you are experiencing a medical emergency, call 911 or go to the nearest emergency department.