title: Sonographically guided cryoneurolysis: preliminary experience and clinical outcomes.
abstract: Chronic peripheral nerve pain is a common problem that can arise from numerous causes, for which neurolysis is a therapeutic option. It is postulated that cryotherapy will have less adverse events than other methods of nerve ablation. A retrospective case series review was performed in patients who had undergone sonographically guided cryoneurolysis for Morton neuromas, postsurgical and posttraumatic neuromas, and idiopathic neuralgia. Fifteen of 20 patients had a positive response to cryoneurolysis, as did 2 of 4 patients with borderline symptoms for chronic regional pain syndrome. In view of our positive results, we believe that cryoneurolysis should be considered a reasonable option in performing neurolytic therapy.
authors.affiliation: Department of Radiology and Imaging, Hospital for Special Surgery, New York, New York, USA.
authors.forename: Talia
authors.initials: T
authors.lastname: Friedman
authors.forename: Daniel
authors.initials: D
authors.lastname: Richman
authors.forename: Ronald
authors.initials: R
authors.lastname: Adler
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003452:Cryosurgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009443:Neuritis / Q000000981:diagnostic imaging* / Q000601:surgery*; D009463:Neuroma / Q000000981:diagnostic imaging* / Q000601:surgery*; D019635:Neurosurgical Procedures / Q000379:methods*; D010524:Peripheral Nervous System Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery*; D012189:Retrospective Studies; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional; D055815:Young Adult