Pulsed Radiofrequency of Genicular Nerves Guided by Ultrasound: Three Different Cases
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25751/rspa.28049 |
Resumo: | Knee osteoarthritis is a major cause of disability and pain. Conservative therapies have shown limited efficacy. Radiofrequency ablation of genicular nerves has proven its effectiveness. Ultrasound is an alternative without radiation and with better visualization of the anatomy. Pulsed radiofrequency (PFR) is a safe option causing neuromodulation of sensitive fibres without nerve damage. Three patients with chronic knee pain and different unsuccessful treatments were submitted to ultrasound-guided PRF of genicular nerves. The Brief Pain Inventory (BPI) and Western Ontario and McMaster Universities Osteoarthritis (WOMAC) scores were assessed before and 30 days following the procedure. All patients had a reduction of perceived pain within 30-day reassessment showing improvement of 30-65% in WOMAC and 15-85% in BPI. The relief remained between 1.5 and 9 months, depending on the patient. The results suggest that PRF can be safe, effective and easy to apply in chronic knee pain, on an individual patient basis. |
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Pulsed Radiofrequency of Genicular Nerves Guided by Ultrasound: Three Different CasesRadiofrequência Pulsada dos Nervos Geniculares Guiada por Ecografia: Três Casos DiferentesCaso ClínicoKnee osteoarthritis is a major cause of disability and pain. Conservative therapies have shown limited efficacy. Radiofrequency ablation of genicular nerves has proven its effectiveness. Ultrasound is an alternative without radiation and with better visualization of the anatomy. Pulsed radiofrequency (PFR) is a safe option causing neuromodulation of sensitive fibres without nerve damage. Three patients with chronic knee pain and different unsuccessful treatments were submitted to ultrasound-guided PRF of genicular nerves. The Brief Pain Inventory (BPI) and Western Ontario and McMaster Universities Osteoarthritis (WOMAC) scores were assessed before and 30 days following the procedure. All patients had a reduction of perceived pain within 30-day reassessment showing improvement of 30-65% in WOMAC and 15-85% in BPI. The relief remained between 1.5 and 9 months, depending on the patient. The results suggest that PRF can be safe, effective and easy to apply in chronic knee pain, on an individual patient basis.Sociedade Portuguesa de Anestesiologia2023-07-04info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttps://doi.org/10.25751/rspa.28049eng0871-6099Freitas Amorim, Ana IsabelRocha Melo, JorgeBettencourt Abreu , JoãoAlves Caldeira , Marta Filipainfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-05T05:00:13Zoai:ojs.revistas.rcaap.pt:article/28049Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:02:19.581321Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Pulsed Radiofrequency of Genicular Nerves Guided by Ultrasound: Three Different Cases Radiofrequência Pulsada dos Nervos Geniculares Guiada por Ecografia: Três Casos Diferentes |
title |
Pulsed Radiofrequency of Genicular Nerves Guided by Ultrasound: Three Different Cases |
spellingShingle |
Pulsed Radiofrequency of Genicular Nerves Guided by Ultrasound: Three Different Cases Freitas Amorim, Ana Isabel Caso Clínico |
title_short |
Pulsed Radiofrequency of Genicular Nerves Guided by Ultrasound: Three Different Cases |
title_full |
Pulsed Radiofrequency of Genicular Nerves Guided by Ultrasound: Three Different Cases |
title_fullStr |
Pulsed Radiofrequency of Genicular Nerves Guided by Ultrasound: Three Different Cases |
title_full_unstemmed |
Pulsed Radiofrequency of Genicular Nerves Guided by Ultrasound: Three Different Cases |
title_sort |
Pulsed Radiofrequency of Genicular Nerves Guided by Ultrasound: Three Different Cases |
author |
Freitas Amorim, Ana Isabel |
author_facet |
Freitas Amorim, Ana Isabel Rocha Melo, Jorge Bettencourt Abreu , João Alves Caldeira , Marta Filipa |
author_role |
author |
author2 |
Rocha Melo, Jorge Bettencourt Abreu , João Alves Caldeira , Marta Filipa |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Freitas Amorim, Ana Isabel Rocha Melo, Jorge Bettencourt Abreu , João Alves Caldeira , Marta Filipa |
dc.subject.por.fl_str_mv |
Caso Clínico |
topic |
Caso Clínico |
description |
Knee osteoarthritis is a major cause of disability and pain. Conservative therapies have shown limited efficacy. Radiofrequency ablation of genicular nerves has proven its effectiveness. Ultrasound is an alternative without radiation and with better visualization of the anatomy. Pulsed radiofrequency (PFR) is a safe option causing neuromodulation of sensitive fibres without nerve damage. Three patients with chronic knee pain and different unsuccessful treatments were submitted to ultrasound-guided PRF of genicular nerves. The Brief Pain Inventory (BPI) and Western Ontario and McMaster Universities Osteoarthritis (WOMAC) scores were assessed before and 30 days following the procedure. All patients had a reduction of perceived pain within 30-day reassessment showing improvement of 30-65% in WOMAC and 15-85% in BPI. The relief remained between 1.5 and 9 months, depending on the patient. The results suggest that PRF can be safe, effective and easy to apply in chronic knee pain, on an individual patient basis. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-07-04 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25751/rspa.28049 |
url |
https://doi.org/10.25751/rspa.28049 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
0871-6099 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.publisher.none.fl_str_mv |
Sociedade Portuguesa de Anestesiologia |
publisher.none.fl_str_mv |
Sociedade Portuguesa de Anestesiologia |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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