Peripheral nerve stimulation of the trochanteric branch of the femoral nerve to treat greater trochanteric pain syndrome

Greater trochanteric pain syndrome (GTPS), a common cause of hip pain, is typically managed with conservative treatments such as physical therapy and corticosteroid injections. However, some cases do not respond to these conservative treatments, so alternative therapeutic options become necessary. Peripheral nerve stimulation (PNS) is a promising modality for chronic pain management and may be effective for GTPS. A 71-year-old female with a BMI of 30 kg/m² and chronic left hip pain for over a year, unresponsive to conservative treatments, underwent temporary PNS lead placement targeting the trochanteric branch of the femoral nerve. Within one week, she reported a 90% reduction in pain, improving to 95% at two months. She regained independent mobility and improved quality of life. Leads were removed at two months, with benefits sustained at 24 months. This is the first reported case of successful PNS (SPRINT PNS System, SPR Therapeutics, Cleveland, Ohio, US) targeting the trochanteric branch of the femoral nerve for treating GTPS.