Ultrasound-Guided Pulsed Radio Frequency Treatment in Morton's Neuroma

Deniz, Süleyman; Purtuloglu, Tarik; Tekindur, Sukru; Cansız, Kadir Hakan; Yetim, Memduh; Kılıçkaya, Oğuz; Senkal, Serkan; Bïlgïç, Serkan; Atım, Abdülkadir; Kurt, Ercan

doi:10.7547/13-128.1

Cited by 24 publications

(33 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Protect motor fibers! Also, pulsed RF are reported in the literature that it can be used in treatment of Morton's neuroma [13], coccygodynia [14], pudendal neuralgia [75], vaginismus [76], carpal tunnel syndrome [77], chronic hip pain [78], post herniorrhaphy pain [79], chronic inguinal neuralgia [80], plantar heel pain [81], osteoarthritis [82], intra-articular pain [83], plantar fascitis pain [84], tarsal tunnel syndrome [85], myofascial pain syndrome [86], postamputation phantom pain [87], meralgia paresthetica [88], lingual neuralgia [89] and chronic testicular pain [90].…”

Section: Applications Of Radiofrequency Treatment a Radiofrequency Fmentioning

confidence: 99%

“…It is simple and clear. Efficacy of pulsed RF has been clinically documented and has been used for chronic pain conditions for the last 20 years, but its mechanism of action is not fully understood [10][11][12][13][14]. It has been suggested to alter gene expression in neurons, by means of neuromodulation [1,11,[17][18][19][20][21][22][23].…”

Section: Mechanism Of Action Of Radiofrequencymentioning

confidence: 99%

“…The high temperature applied with continuous RF is neurodestructive and is usually characterized by a period of discomfort, including hypoanesthesia and a neuritis-like reaction [1,[10][11][12][13][14]. Sometimes pain may potentially worsen due to nerve regeneration and may lead to neuroma formation.…”

Section: Complications Of Radiofrequencymentioning

confidence: 99%

“…Continuous RF treatment is also contraindicated in all nerve that carries motor fibers [1,[10][11][12][13].…”

Section: Contraindications Of Radiofrequencymentioning

confidence: 99%

“…Pulsed RF which produces a lesion to nerve tissue by transmission of high-voltage current through thermocouple probe has been used as a non-or minimally neurodestructive technique alternative to heat lesions because the average tissue temperature rise is less than continuous RF with the same voltage [1,[10][11][12][13][14]. Sluijter has achieved significant pain relief using radiofrequency current at a temperature below 42°C that produced strong electromagnetic field with no thermal lesion [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Application of Radiofrequency in Pain Management

Deniz¹,

Bakal²,

İnangil³

2016

Pain Management

Self Cite

View full text Add to dashboard Cite

The application of radiofrequency is a treatment for many clinical conditions such as trigeminal neuralgia, complex regional pain syndrome, chronic postsurgical pain, cancer pain, hyperhidrosis and facet joint pain requiring ablation of different nerve locations. In this procedure, a constant high-frequency, high-temperature electrical current is applied to target tissue. Sluijter has achieved significant pain relief using radiofrequency current at a temperature below 42°C that produced strong electromagnetic field with no thermal lesion and referred as pulsed radiofrequency. The use of pulsed radiofrequency is a nonneurodestructive and therefore less painful technique, and it serves as an alternative method to continuous radiofrequency. Many studies have demonstrated favorable outcomes with pulsed radiofrequency compared to continuous radiofrequency.This chapter suggests the use of continuous and pulsed radiofrequency with a minimally invasive procedure for patients with chronic pain as an alternative to surgical treatment and it might be an additional option among nonsurgical treatment methods.

show abstract

Section: Applications Of Radiofrequency Treatment a Radiofrequency Fmentioning

confidence: 99%

Section: Mechanism Of Action Of Radiofrequencymentioning

confidence: 99%

Section: Complications Of Radiofrequencymentioning

confidence: 99%

“…Continuous RF treatment is also contraindicated in all nerve that carries motor fibers [1,[10][11][12][13].…”

Section: Contraindications Of Radiofrequencymentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Application of Radiofrequency in Pain Management

Deniz¹,

Bakal²,

İnangil³

2016

Pain Management

Self Cite

View full text Add to dashboard Cite

show abstract

Feasibility of Magnetic Resonance‐Guided High‐Intensity‐Focused Ultrasound (MRgHIFU) Ablation of Stump Neuromas for the Relief of Chronic Postamputation Neuropathic Pain

Nachtigal

Cozakov

Grinfeld

et al. 2022

J of Ultrasound Medicine

View full text Add to dashboard Cite

Up to 70% of limb amputees develop chronic postamputation neuropathic pain (CPANP) which includes phantom pain and residual limb neuropathic pain due to neuroma formation. CPANP often requires invasive procedures aimed at neuroma ablation. Five amputees received 6 noninvasive magnetic resonance‐guided high‐intensity‐focused ultrasound MRgHIFU treatments ExAblate®, Insightec, Tirat‐Carmel, Israel). Although ablative temperature (>65°C) at the neuroma was reached in only 1 patient, pain intensity dropped from 5.7 at baseline to 4.3 and back to 5.6 at 3 and 6 month follow‐up. Post‐treatment bone necrosis was demonstrated in 1 patient. Although no firm conclusion about the effectiveness of MRgHIFU for CPANP could be drawn, further studies are warranted.

show abstract