A Retrospective Study of Radiofrequency Thermal Lesioning for the Treatment of Neuritis of the Medial Calcaneal Nerve and its Terminal Branches in Chronic Heel Pain

Cione, Joseph A.; Cozzarelli, John; Mullin, Christopher J.

doi:10.1053/j.jfas.2008.11.007

Cited by 33 publications

(28 citation statements)

References 15 publications

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“…The fact that the precise location of the electrode may affect the outcome of the procedure was clearly confirmed using US. Our results, which showed an 83.9 % pain reduction rate and 80 % "good-to-excellent" satisfaction rate, were similar to those in previous studies [9,16], and even to those in open RTL procedures [10]. Otherwise, all our patients withstood the procedures well under only local anesthesia as outpatients.…”

Section: Discussionsupporting

confidence: 91%

“…To minimize damage to the surrounding healthy tissue and obtain a better therapeutic effect, the electrode should be precisely placed into the plantar fascia layers. During the percutaneous RTL procedure, most surgeons use a fluoroscope to confirm the location of the electrode [8, 16,25]. Previous studies [7, 9] on the treatment of chronic PF using RTL reported successful results without also reporting that the authors had reconfirmed the electrode's location before lesioning.…”

Section: Discussionmentioning

confidence: 99%

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Ultrasound-Guided Percutaneous Radiofrequency Lesioning When Treating Recalcitrant Plantar Fasciitis: Clinical Results

Lee

et al. 2014

Ultraschall in Med

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US should be regarded as a useful objective tool to guide RTL and to monitor the effectiveness of treatment. US-guided percutaneous RTL for recalcitrant PF is a minimally invasive treatment option that yields satisfactory results. Therefore, it should at least be considered before using more invasive procedures. Moreover, obesity leads to delayed improvement but does not affect overall outcome after 12 months. Plantar fascial thickness was correlated with VAS and AOFAS scores.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Percutaneous Radiofrequency Lesioning When Treating Recalcitrant Plantar Fasciitis: Clinical Results

Lee

et al. 2014

Ultraschall in Med

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“…The pathogenesis of PF involves physical-mechanical overload and micro tears within the fascia. [23] The treatment of PF includes operative and non-operative management with no single treatment proved as most beneficial. [12]…”

Section: Introductionmentioning

confidence: 99%

Combination of diagnostic medial calcaneal nerve block followed by pulsed radiofrequency for plantar fascitis pain: A new modality

Thapa

Ahuja

2014

Indian J Anaesth

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Plantar fasciitis (PF) is the most common cause of chronic heel pain which may be bilateral in 20 to 30% of patients. It is a very painful and disabling condition which can affect the quality of life. The management includes both pharmacological and operative procedures with no single proven effective treatment modality. In the present case series, we managed three patients with PF (one with bilateral PF). Following a diagnostic medial calcaneal nerve (MCN) block at its origin, we observed reduction in verbal numerical rating scale (VNRS) in all the three patients. Two patients has relapse of PF pain which was managed with MCN block followed with pulsed radio frequency (PRF). All the patients were pain-free at the time of reporting. This case series highlights the possible role of combination of diagnostic MCN block near its origin followed with PRF as a new modality in management of patients with PF.

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“…Some authors found that patients with recalcitrant symptoms and a relatively normal plantar fascia can respond to radioablation of the medial calcaneal nerve. 15…”

Section: Pathology Of the Medial Calcaneal Nervementioning

confidence: 99%

Nerve Entrapment in Ankle and Foot: Ultrasound Imaging

Chari

McNally

2018

Semin Musculoskelet Radiol

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Peripheral nerve entrapment of the ankle and foot is relatively uncommon and often underdiagnosed because electrophysiologic studies may not contribute to the diagnosis. Anatomy of the peripheral nerves is variable and complex, and along with a comprehensive physical examination, a thorough understanding of the applied anatomy is essential. Several studies have helped identify specific areas in which nerves are commonly compressed. Identified secondary causes of nerve compression include previous trauma, osteophytes, ganglion cysts, edema, accessory muscles, tenosynovitis, vascular lesions, and a primary nerve tumor. Imaging plays a key role in identifying primary and secondary causes of nerve entrapment, specifically ultrasound (US) and magnetic resonance imaging. US is a dynamic imaging modality that is cost effective and offers excellent resolution. Symptoms of nerve entrapment may mimic other common foot and ankle conditions such as plantar fasciitis.

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A Retrospective Study of Radiofrequency Thermal Lesioning for the Treatment of Neuritis of the Medial Calcaneal Nerve and its Terminal Branches in Chronic Heel Pain

Cited by 33 publications

References 15 publications

Ultrasound-Guided Percutaneous Radiofrequency Lesioning When Treating Recalcitrant Plantar Fasciitis: Clinical Results

Ultrasound-Guided Percutaneous Radiofrequency Lesioning When Treating Recalcitrant Plantar Fasciitis: Clinical Results

Combination of diagnostic medial calcaneal nerve block followed by pulsed radiofrequency for plantar fascitis pain: A new modality

Nerve Entrapment in Ankle and Foot: Ultrasound Imaging

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