Editor-in-Chief: Alaa Abd-Elsayed, MD

Abstract
- 2026;10;253-257 Peripheral Nerve Stimulation of the Trochanteric Branches of the Femoral Nerve for Treating Greater Trochanteric Pain Syndrome
Case Report
Alaa Abd-Elsayed, MD.
BACKGROUND: Greater trochanteric pain syndrome (GTPS) is a common cause of lateral hip pain that can be refractory to conservative therapy. Radiofrequency ablation (RFA) has shown efficacy, but reversible, minimally invasive alternatives are needed. Peripheral nerve stimulation (PNS) offers neuromodulatory analgesia while preserving nerve integrity.
CASE REPORT: We report a patient with bilateral refractory GTPS treated with temporary PNS targeting the trochanteric branch of the femoral nerve. Bilateral lead placement was performed, resulting in rapid and substantial pain reduction, improved sleep and mobility, and decreased reliance on medications.
CONCLUSIONS: This case demonstrates that PNS of the trochanteric branch is a safe, minimally invasive, and reversible option for patients with refractory GTPS. It provides meaningful analgesia and functional improvement, supporting its role as a complementary or alternative intervention to RFA. Further studies are needed to assess long-term outcomes and comparative efficacy.
KEYWORDS: GTPS, PNS, Peripheral nerve stimulator, greater trochanteric pain syndrome, hip pain, trochanteric bursitis




