Background: Peripheral nerve stimulation for chronic pain states is a safe and efficacious technique, being used with increasing frequency. The incidence of hardware-related complications requiring revision remains high. Objectives: The authors describe a technique of distal to proximal neurostimulator lead revision, which does not require the changing of generators or extension leads, and thus presumably will minimize further device-related complications. Methods: The authors present a case series of 3 patients where the distal to proximal neurostimulator lead revision technique was utilized. Results: The technique was well tolerated in each instance and all patients reported >50% pain reduction at long-term follow-up. Conclusions: The distal to proximal neurostimulator lead revision technique quickly and safely adjusts lead position, including both lead depth and lead tip location, without a need for replacement of components or revision of the entire system.

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