A Case Series of Pulsed Radiofrequency Treatment of Myofascial Trigger Points and Scar Neuromas: Table 1

Tamimi, Mazin Al; McCeney, Michael H.; Krutsch, Jason P.

doi:10.1111/j.1526-4637.2009.00646.x

Cited by 37 publications

(24 citation statements)

References 16 publications

(20 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…For other locations, where concerns about loss of sensory and motor function exist, pulsed radiofrequency ablation provides an opportunity for nerve regrowth. [95][96][97] Current literature suggests that pulsed radiofrequency ablation delivers an electromagnetic field, which modifies neurocellular function with minimal cellular destruction. 98 Radiofrequency ablations may be performed real time under ultrasound guidance after identification of the neuroma and diagnostic local anesthetic injections (Fig.…”

Section: Pharmacological Managementmentioning

confidence: 99%

Painful Neuromas

Rajput

Reddy

Shankar

2012

The Clinical Journal of Pain

View full text Add to dashboard Cite

Neuromas develop as part of a normal reparative process following peripheral nerve injury. Painful neuromas can induce intense pain resulting in immense suffering and disability. MRI aids the diagnosis, but, ultrasound imaging allows cost effective accurate diagnosis and localization of neuromas by demonstrating their direct contiguity with the nerve of origin. Management options for painful neuromas include pharmacotherapy, prosthetic adjustments, steroid injection, chemical neurolysis, cryoablation, and radiofrequency ablation. Ultrasound imaging guidance has improved the success in localizing and targeting the neuromas. This review discusses the patho-physiology and accumulated evidence for various therapies and the current percutaneous interventional management options for painful neuromas.

show abstract

Section: Pharmacological Managementmentioning

confidence: 99%

Painful Neuromas

Rajput

Reddy

Shankar

2012

The Clinical Journal of Pain

View full text Add to dashboard Cite

show abstract

“…12 PRF, which can be applied in a similar manner to CRFT applications (such as facet medial nerve or trigeminal nerve applications), is distinguished mainly by peripheral applications where CRFT is never applied. PRF has been reported to be used successfully in treatment of disorders such as myofascial trigger points, 11 phantom limb pain, 13 occipital neuralgia, 14 meralgia paresthetica, 15 and premature ejaculation. 16 One of the fields where PRF was claimed to be effective is that of intra-articular applications.…”

Section: Introductionmentioning

confidence: 99%

“…In PRF, the RF energy is applied at high voltage (typically 45 V) and with 20 millisecond bursts followed by 480 millisecond silent phases. 11 Thus, because of the long silent phase, the tissue temperature will be spread and will not exceed 42 C. So, no tissue damage will develop because the tissue temperature will remain below 45e50 C, which is considered as the irreversible tissue damage threshold. 12 PRF, which can be applied in a similar manner to CRFT applications (such as facet medial nerve or trigeminal nerve applications), is distinguished mainly by peripheral applications where CRFT is never applied.…”

Section: Introductionmentioning

confidence: 99%

Intra-articularly applied pulsed radiofrequency can reduce chronic knee pain in patients with osteoarthritis

Karaman¹,

Tüfek²,

Kavak³

et al. 2011

Journal of the Chinese Medical Association

View full text Add to dashboard Cite

Background: Osteoarthritis (OA) is the most widespread chronic joint disease worldwide. Symptomatic knee OA is observed in approximately 12% of individuals more than 60 years of age. Conservative treatments models may not be effective always, and that some of them have serious adverse effects that prompted the researchers to research different treatment methods. In this study, we investigated short-and mid-term effectiveness of intra-articular pulsed radiofrequency (PRF) applied in patients with chronic knee pain due to OA. Methods: This study was carried out in the pain management center of a university hospital between January 2009 and June 2009. The patient record files of 31 patients who received intra-articular PRF were retrospectively reviewed. The antero-lateral area of the knee, where the intervention would be applied, was anesthetized with 1% lidocaine. An introducer needle was placed intra-articularly. PRF was started as 42 C at 2 Hz for 15 minutes. The pain of the patients was evaluated by 10 cm Visual Analog Scale (VAS). Furthermore, the ages, the gender, the symptom duration of the patients, the side of the knee on which the intervention was applied, and the complications were collected for statistical evaluation. Results: Although the mean initial VAS scores of the patients were 6.1 AE 0.9 cm, it was found, respectively, to be 3.9 AE 1.9 cm and 4.1 AE 1.9 cm at the first-and sixth-month follow-ups. In general, a decrease of 32.8% in mean in the VAS scores was achieved in the last follow-up; whereas the rate of patients reporting a minimum decrease of 2 points in the VAS scores was 64.5% and the rate of patients reporting a decrease of !50% in their pain was calculated as 35.5%. Conclusion: PRF applied to the knee joint appears to be an effective and safe method.

show abstract

“…The mechanism responsible for the action of PRF remains unclear, although there is some evidence for a neuromodulatory effect [11]. PRF has been used to treat trigger points [1213]. However, to the best of our knowledge, only one previous study has demonstrated the effect of PRF on the gastrocnemius for managing plantar heel pain [14].…”

Section: Introductionmentioning

confidence: 99%

Comparison of the Effects of Ultrasound-Guided Interfascial Pulsed Radiofrequency and Ultrasound-Guided Interfascial Injection on Myofascial Pain Syndrome of the Gastrocnemius

et al. 2016

View full text Add to dashboard Cite

ObjectiveTo investigate the comparative treatment effects of ultrasound-guided pulsed radiofrequency treatment (UG-PRF) in the gastrocnemius interfascial space and ultrasound-guided interfascial injection (UG-INJ) on myofascial pain syndrome.MethodsForty consecutive patients with myofascial pain syndrome of the gastrocnemius were enrolled and were allocated to one of the two groups. Twenty patients were treated by UG-PRF delivered to the gastrocnemius interfascial space (UG-PRF group) and the other 20 patients were treated by interfascial injection (UG-INJ group). The primary outcome measure was the numeric rating score (NRS) for pain on pressing the tender point in the gastrocnemius, and the secondary outcome measure was health-related quality of life as determined by the Short Form-36 questionnaire (SF-36). NRSs were obtained at the first visit, immediately after treatment, and at 2 and 4 weeks post-treatment, and physical component summary scores (PCS) and mental component summary scores (MCS) of the SF-36 questionnaire were measured at the first visit and at 4 weeks post-treatment.ResultsImmediately after treatments, mean NRS in the UG-PRF group was significantly higher than that in the UG-INJ group (p<0.0001). However, at 2 and 4 weeks post-treatment, the mean NRS was significantly lower in the UG-PRF group (both p<0.0001). Similarly, at 4 weeks post-treatment, mean PCS and MCS were significantly higher in the UG-PRF group (p<0.0001 and p=0.002, respectively).ConclusionBased on these results, the authors conclude that ultrasound-guided gastrocnemius interfascial PRF provides an attractive treatment for myofascial pain syndrome of the gastrocnemius.

show abstract

A Case Series of Pulsed Radiofrequency Treatment of Myofascial Trigger Points and Scar Neuromas: Table 1

Abstract: Our review suggests that PRF could be a minimally invasive, less neurodestructive treatment modality for these painful conditions and that further systematic evaluation of this treatment approach is warranted.

Cited by 37 publications

References 16 publications

Painful Neuromas

Painful Neuromas

Intra-articularly applied pulsed radiofrequency can reduce chronic knee pain in patients with osteoarthritis

Comparison of the Effects of Ultrasound-Guided Interfascial Pulsed Radiofrequency and Ultrasound-Guided Interfascial Injection on Myofascial Pain Syndrome of the Gastrocnemius

Contact Info

Product

Resources

About