Who PNS is designed for
Peripheral nerve stimulation (PNS) is designed for people experiencing chronic joint pain who want to explore options before committing to surgery. If you have persistent knee, hip, shoulder, ankle, neck, or lower back pain that hasn't responded fully to physical therapy, injections, or medication, PNS may be a strong next step.
Most candidates are people who still have functional joint anatomy — meaning the joint hasn't deteriorated to the point where replacement is the only remaining option. PNS works by modulating pain signals at the nerve level, so it's most effective when the underlying structure can still be preserved.
Common candidate profiles
You may be a strong candidate if you experience daily or near-daily joint pain that limits your activity, have tried conservative treatments without lasting relief, or have been told joint replacement is your next option but want to explore alternatives first.
PNS is also relevant for patients who aren't ideal surgical candidates due to age, health conditions, or personal preference. Because the procedure is minimally invasive and fully reversible, the risk profile is significantly lower than surgical intervention.
Who may not be a fit
PNS is not designed for acute injuries, fractures, or joints with severe structural damage where replacement is clearly indicated. It's also not a substitute for conditions that require immediate surgical intervention.
Your physician will evaluate imaging, pain history, and functional status to determine whether PNS is appropriate. The goal is always to match you with the least disruptive effective treatment.
What to expect at your first visit
During an initial consultation, your physician will review your medical history, examine the affected joint, and discuss your treatment goals. If PNS is appropriate, they'll explain the procedure, expected outcomes, and timeline.
Bring your insurance details and ask the office what your plan covers before anything is scheduled — it is a fair question and they are used to it.