cooled radiofrequency ablation of genicular nerves for knee osteoarthritis pain: a protocol for patient selection and case series
نویسندگان
چکیده
conclusions the accompanying case series suggests that this protocol is deserving of randomized, prospective study. results c-rfa of the genicular nerves after using the described selection protocol resulted in > 90% pain reduction, improved function and avoidance of surgery at 6 months in all four cases. all opioid and analgesic medication use decreased or was unchanged in all cases. no serious adverse events occurred. methods the threshold for selection based on diagnostic genicular nerve block was ≥ 80% pain reduction. following successful block, c-rfa of the genicular nerves was performed. outcomes included pain, function, analgesic medication use, opioid use, and progression to total knee arthroplasty at a minimum of 6 month follow up. background chronic knee pain from osteoarthritis (oa) is common in the aging and the obese population. radiofrequency ablation of the genicular nerves has been introduced as a potential surgery-sparing treatment for chronic knee pain from oa, yet only two outcome studies have been published and optimal patient selection for this procedure has not been established. objectives we describe a standardized protocol for selecting patients for cooled radiofrequency ablation (c-rfa) of the genicular nerves, as well as the clinical outcomes of four patients ages 63-65 years.
منابع مشابه
Cooled Radiofrequency Ablation of Genicular Nerves for Knee Osteoarthritis Pain: A Protocol for Patient Selection and Case Series
BACKGROUND Chronic knee pain from osteoarthritis (OA) is common in the aging and the obese population. Radiofrequency ablation of the genicular nerves has been introduced as a potential surgery-sparing treatment for chronic knee pain from OA, yet only two outcome studies have been published and optimal patient selection for this procedure has not been established. OBJECTIVES We describe a sta...
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Cooled Radiofrequency Ablation of Genicular Nerves for Knee Osteoarthritis Pain: A Letter to Editor Menno E Sluijter, and Alexandre Teixeira Department of Pain Medicine, Swiss Paraplegic Center, Nottwil, Switzerland Clinica de Dor, Porto, Portugal Corresponding author: Menno E Sluijter, Department of Pain Medicine, Swiss Paraplegic Center, Nottwil, Switzerland. Tel: +41-419394920, E-mail: mslui...
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BACKGROUND Studies of radiofrequency ablation (RFA) of genicular nerves have reportedly significantly decreased pain up to 3 months post ablation, but no longer term effects have been reported. We performed an analysis of long-term pain relief of 31 RFA procedures of the genicular nerves to analyze the degree of pain relief past 3 months, culminating at 6 months. STUDY DESIGN Chart review and...
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BACKGROUND Patients suffering from osteoarthritis of the knee and patients post total knee arthroplasty often develop refractory, disabling chronic knee pain. Radiofrequency ablation, including conventional, pulsed, and cooled, has recently become more accepted as an interventional technique to manage chronic knee pain in patients who have failed conservative treatment or who are not suitable c...
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عنوان ژورنال:
anesthesiology and pain medicineجلد ۶، شماره ۶، صفحات ۰-۰
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