scholarly journals Ultrasound-Guided Genicular Nerve Pulsed Radiofrequency Treatment For Painful Knee Osteoarthritis: A Preliminary Report

2016 ◽  
Vol 5;19 (5;19) ◽  
pp. E751-E759 ◽  
Author(s):  
Dr. Serdar Kesikburun
Keyword(s):  
Knee Osteoarthritis ◽  
Knee Pain ◽  
Nerve Block ◽  
Study Design ◽  
Preliminary Report ◽  
Controlled Study ◽  
Pulsed Radiofrequency ◽  
Ultrasound Guided ◽  
Chronic Knee Pain ◽  
Pulsed Rf

Background: Genicular nerve ablation with radiofrequency (RF) has recently emerged as a promising treatment in the management of osteoarthritis related knee pain. To date, genicular nerve injections have been performed under fluoroscopic guidance. Objective: To evaluate the effect of ultrasound-guided genicular nerve pulsed RF treatment on chronic knee pain and function in patients with knee osteoarthritis. Study Design: Single-arm prospective study. Setting: University hospital and rehabilitation center in Turkey. Methods: A review was made of 29 patients with medial knee osteoarthritis who had undergone genicular nerve block in the previous 6 months. Patients with at least 50% reduction in the visual analog scale (VAS) score after genicular nerve block and with no on-going pain relief were selected for the study. Ultrasound-guided genicular nerve pulsed RF was applied to 15 knees of 9 patients. Pain and knee function were assessed with 100-mm VAS and Western Ontario and McMaster Universities (WOMAC) index throughout 3 months. Results: A significant reduction in VAS scores was detected over time after the pulsed RF procedure (f: 69.24, P < 0.01). There was a significant improvement in the WOMAC scores (f: 539.68 , P < 0.01). Limitations: The small number of participants, the lack of a control group, and short followup period were limitations of the study. Conclusions: Genicular nerve pulsed RF treatment has been found to be safe and beneficial in osteoarthritis related knee pain. Further studies with a larger population and randomized controlled study design are warranted to confirm the positive findings of this preliminary report. Key words: Knee pain, osteoarthritis, genicular nerve, ultrasonography, pulsed radiofrequency

scholarly journals Ultrasound-guided genicular nerve block in chronic knee pain

2018 ◽  
Vol 61 ◽  
pp. e109
Author(s):  
N. Albuquerque ◽  
J. Pinto ◽  
M.D.C. Loureiro ◽  
T. Félix ◽  
I. Peixoto
Keyword(s):  
Knee Pain ◽  
Nerve Block ◽  
Ultrasound Guided ◽  
Chronic Knee Pain

scholarly journals Bipolar Versus Unipolar Intraarticular Pulsed Radiofrequency Thermocoagulation in Chronic Knee Pain Treatment: A Prospective Randomized Trial

2017 ◽  
Vol 3 (20;3) ◽  
pp. 197-206 ◽  
Author(s):  
Ersel Gulec
Keyword(s):  
Knee Osteoarthritis ◽  
Knee Pain ◽  
Pain Treatment ◽  
Pain Clinic ◽  
Treatment Quality ◽  
Double Blind Study ◽  
Pulsed Radiofrequency ◽  
Chronic Knee Pain ◽  
Significant Difference ◽  
Group B

Background: Chronic knee pain is a major widespread problem causing significant impairment of daily function. Pulsed radiofrequency has been shown to reduce severe chronic joint pain as a non-pharmacological and less invasive treatment method. Objective: We aimed to compare the effectiveness of unipolar and bipolar intraarticular pulsed radiofrequency methods in chronic knee pain control. Study Design: Prospective, randomized, double-blind study. Setting: Pain clinic in Cukurova University Faculty of Medicine. Methods: One hundred patients, aged 20 – 70 years with grade 2 or 3 knee osteoarthritis were included in this study. Patients were randomly allocated into 2 groups to receive either unipolar (group U, n = 50) or bipolar (group B, n = 50) intraarticular pulsed radiofrequency (IAPRF) with a 45 V voltage, 2 Hz frequency, 42° C temperature, 10 msec pulse width, and 10 minute duration. We recorded visual analog scale (VAS) and Western Ontario and McMaster Universities Osteoarthritis Index LK 3.1WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index LK 3.1) scores of patients at baseline and one, 4, and 12 weeks after the procedure. The primary outcome was the percentage of patients with ≥ 50% reduction in knee pain at 12 weeks after the procedure. Results: There was a significant difference between the groups according to VAS scores at all post-intervention time points. In group B, 84% of patients, and in the group U, 50% of patients achieved at least 50% knee pain relief from the baseline to 3 months. In group B, WOMAC scores were significantly lower than the group U at one and 3 months. Limitations: Lack of long-term clinical results and supportive laboratory tests. Conclusion: Bipolar IAPRF is more advantageous in reducing chronic knee pain and functional recovery compared with unipolar IAPRF. Further studies with longer follow-up times, laboratorybased tests, and different generator settings are required to establish the clinical importance and well-defined mechanism of action of PRF. This study protocol was registered at clinicaltrials.gov (identifier: NCT02141529), on May 15, 2014. Institutional Review Board (IRB) approval date: January 16, 2014, and number: 26/9 Key words: Chronic pain, intraarticular, knee joint, knee osteoarthritis, pain management, pulsed radiofrequency treatment, quality of life, recovery of function

scholarly journals Accuracy of Ultrasound-Guided Genicular Nerve Block: A Cadaveric Study

2015 ◽  
Vol 5;18 (5;9) ◽  
pp. E899-E904
Author(s):  
Dr. Serdar Kesikburun
Keyword(s):  
Knee Pain ◽  
Nerve Block ◽  
Medial Collateral Ligament ◽  
Medial Epicondyle ◽  
Cadaveric Study ◽  
Ultrasound Guided ◽  
Collateral Ligament ◽  
Anatomic Landmarks ◽  
Adductor Tubercle ◽  
Chronic Knee Pain

Background: Genicular nerve block has recently emerged as a novel alternative treatment in chronic knee pain. The needle placement for genicular nerve injection is made under fluoroscopic guidance with reference to bony landmarks. Objective: To investigate the anatomic landmarks for medial genicular nerve branches and to determine the accuracy of ultrasound-guided genicular nerve block in a cadaveric model. Study Design: Cadaveric accuracy study. Setting: University hospital anatomy laboratory. Methods: Ten cadaveric knee specimens without surgery or major procedures were used in the study. The anatomic location of the superior medial genicular nerve (SMGN) and the inferior medial genicular nerve (IMGN) was examined using 4 knee dissections. The determined anatomical sites of the genicular nerves in the remaining 6 knee specimens were injected with 0.5 mL red ink under ultrasound guidance. The knee specimens were subsequently dissected to assess for accuracy. If the nerve was dyed with red ink, it was considered accurate placement. All other locations were considered inaccurate. Results: The course of the SMGN is that it curves around the femur shaft and passes between the adductor magnus tendon and the femoral medial epicondyle, then descends approximately one cm anterior to the adductor tubercle. The IMGN is situated horizontally around the tibial medial epicondyle and passes beneath the medial collateral ligament at the midpoint between the tibial medial epicondyle and the tibial insertion of the medial collateral ligament. The adductor tubercle for the SMGN and the medial collateral ligament for the IMGN were determined as anatomic landmarks for ultrasound. The bony cortex one cm anterior to the peak of the adductor tubercle and the bony cortex at the midpoint between the peak of the tibial medial epicondyle and the initial fibers inserting on the tibia of the medial collateral ligament were the target points for the injections of SMGN and IMGN, respectively. In the cadaver dissections both genicular nerves were seen to be dyed with red ink in all the injections of the 6 knees. Limitations: The small number of cadavers might have led to some anatomic variations of genicular nerves being overlooked. Conclusions: The result of this cadaveric study suggests that ultrasound-guided medial genicular nerve branch block can be performed accurately using the above-stated anatomic landmarks. Key words: Knee pain, genicular nerve, nerve block, osteoarthritis, ultrasonography, cadaver study, injection, accuracy

scholarly journals Efficacy and safety of ultrasound-guided saphenous nerve block in patients with chronic knee pain

2014 ◽  
Vol 42 (3) ◽  
pp. 166-171 ◽  
Author(s):  
Mario Andrés Arcila Lotero ◽  
Roberto Rivera Díaz ◽  
María Adelaida Mejía Aguilar ◽  
Santiago Jaramillo Jaramillo
Keyword(s):  
Knee Pain ◽  
Nerve Block ◽  
Saphenous Nerve ◽  
Efficacy And Safety ◽  
Ultrasound Guided ◽  
Chronic Knee Pain

Efficacy and safety of ultrasound-guided saphenous nerve block in patients with chronic knee pain☆

2014 ◽  
Vol 42 (3) ◽  
pp. 166-171 ◽  
Author(s):  
Mario Andrés Arcila Lotero ◽  
Roberto Rivera Díaz ◽  
María Adelaida Mejía Aguilar ◽  
Santiago Jaramillo Jaramillo
Keyword(s):  
Knee Pain ◽  
Nerve Block ◽  
Saphenous Nerve ◽  
Efficacy And Safety ◽  
Ultrasound Guided ◽  
Chronic Knee Pain

Ultrasound-guided sciatic nerve pulsed radiofrequency for chronic knee pain treatment: a novel approach

2013 ◽  
Vol 27 (6) ◽  
pp. 935-938 ◽  
Author(s):  
Rubén E. Djibilian Fucci ◽  
Javier Pascual-Ramírez ◽  
Alino Martínez-Marcos ◽  
Jose M. Valverde Mantecón
Keyword(s):  
Sciatic Nerve ◽  
Knee Pain ◽  
Pain Treatment ◽  
Pulsed Radiofrequency ◽  
Ultrasound Guided ◽  
Chronic Knee Pain ◽  
Novel Approach
Sign in / Sign up

Export Citation Format

Share Document