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Approaches to nerves and ultrasound images were based on anecdotal PNS cases from an experienced implanter (SP). The development of ultrasound as a viable method of image guidance for percutaneous peripheral nerve stimulation has led to an exponential growth in the field. Lower extremity percutaneous lead placement is both feasible and an appropriate treatment modality for certain pain conditions. The development of ultrasound as a viable method of image guidance for percutaneous peripheral nerve stimulation has led to an exponential g