title: Ultrasound-Guided Cryoanalgesia of Peripheral Nerve Lesions.
abstract: The real-time nature of ultrasound makes it ideally suited to provide guidance for a variety of musculoskeletal interventional procedures involving peripheral nerves. Continuous observation of the needle ensures proper placement and allows continuous monitoring when performing localized ablative therapy and therefore more accurate positioning of a cryoprobe, use of smaller needles, as well as access to small structures. We describe our experience performing cryoablative procedures. Patients undergoing cryoneurolysis have largely reported varying degrees of long-term pain relief and improvement in function; no serious complications have yet been identified. Ultrasound-guided cryoneurolysis can provide a useful, safe alternative to other ablative techniques to achieve long-term analgesia from painful peripheral nerve lesions.
authors.affiliation: Center for Musculoskeletal Care, NYU Langone Medical Center, New York, New York.
authors.forename: Sahlya
authors.initials: S
authors.lastname: Djebbar
authors.affiliation: Department of Radiology, Centro de Diagnóstico Dr. Enrique Rossi, Buenos Aires, Argentina.
authors.forename: Ignacio M
authors.initials: IM
authors.lastname: Rossi
authors.affiliation: Department of Radiology, Center for Musculoskeletal Care, NYU Langone Medical Center, New York, New York.
authors.forename: Ronald S
authors.initials: RS
authors.lastname: Adler
mesh_terms: D000700:Analgesics / Q000008:administration & dosage*; D017679:Cryotherapy / Q000379:methods*; D006801:Humans; D009339:Needles; D009407:Nerve Block / Q000379:methods*; D059408:Pain Management / Q000379:methods*; D010523:Peripheral Nervous System Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D018084:Ultrasonography, Interventional
chemical_list: D000700:Analgesics