title: Ultrasound-guided sciatic nerve pulsed radiofrequency for chronic knee pain treatment: a novel approach.
abstract: Chronic knee pain management with current nonpharmacological or pharmacological measures often has suboptimal results and significant side effects. Sciatic nerve pulsed radiofrequency (SNPRF) is an unexplored alternative for chronic knee pain management. We show a prospective short series of chronic knee pain patients managed with ultrasound-guided SNPRF. Visual analogue scale (VAS) was measured at baseline and 4 weeks after the procedure. The study included 25 elderly patients with severe knee pain. A total of 47 procedures were performed during a 3-month period. VAS scores showed a significant pain difference (p < 0.001) in successive comparison. No patient reported adverse events during the 1-month follow-up period. Ultrasound-guided SNPRF is a new approach for chronic knee pain management that leads to significant pain reduction in the short term. Randomized studies with adequate size, longer follow-up period, and appropriate evaluating tools are warranted to verify these preliminary data.
authors: Department of Anesthesiology and Pain Medicine, Hospital General Universitario de Ciudad Real, c/ Obispo Rafael Torija s/n, 13005, Ciudad Real, Spain.
authors: Rubén
authors: R
authors: E Djibilian Fucci
authors: Javier
authors: J
authors: Pascual-Ramírez
authors: Alino
authors: A
authors: Martínez-Marcos
authors: Jose M Valverde
authors: JM
authors: Mantecón
mesh_terms: D000368:Aged; D059350:Chronic Pain / Q000000981:diagnostic imaging* / Q000628:therapy*; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007719:Knee Joint / Q000000981:diagnostic imaging*; D008297:Male; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement / Q000379:methods; D011446:Prospective Studies; D061208:Pulsed Radiofrequency Treatment / Q000379:methods*; D012584:Sciatic Nerve / Q000000981:diagnostic imaging*; D016896:Treatment Outcome; D014463:Ultrasonography / Q000379:methods*
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