A Systematic Review of Radiofrequency Treatment of the Ankle for the Management of Chronic Foot and Ankle Pain

Orhurhu, Vwaire; Urits, Ivan; Orman, Sebastian; Viswanath, Omar; Abd‐Elsayed, Alaa

doi:10.1007/s11916-019-0745-5

Cited by 17 publications

(10 citation statements)

References 58 publications

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“…It should be noted that the collected studies were not designed prospectively. 25 The review's summary could not be confirmed by the present study.…”

Section: Discussioncontrasting

confidence: 83%

Electrothermal Denervation of Synovial and Capsular Tissue Does not Improve Postoperative Pain in Arthroscopic Debridement of Anterior Ankle Impingement—A Prospective Randomized Study

Fischer

Weber

Gramlich

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

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The purpose of the study was to investigate the added value of electrothermal denervation (ETD) in arthroscopic debridement of anterior ankle impingement. Methods: Between May 2019 and December 2020, 58 patients who received arthroscopic anterior decompression for the impingement of the anterior tibiotalar joint were randomized to Group A (n ¼ 29) with ETD of synovial and capsular tissue of the ankle and Group B (n ¼ 29) without ETD. Patients included 37 men and 21 women, with a mean age of 42 years. The pain, range of motion (ROM), and function were recorded using the visual analog scale foot and ankle (VAS FA), the Foot Function Index (FFI), and the American Orthopaedic Foot and Ankle Society Score (AOFAS), both preoperatively and postoperatively. Results: Twenty-four hours after surgery, the pain level at rest using the VAS (worst 10 points) was 3.8 points on average (

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“…It should be noted that the collected studies were not designed prospectively. 25 The review's summary could not be confirmed by the present study.…”

Section: Discussioncontrasting

confidence: 83%

Electrothermal Denervation of Synovial and Capsular Tissue Does not Improve Postoperative Pain in Arthroscopic Debridement of Anterior Ankle Impingement—A Prospective Randomized Study

Fischer

Weber

Gramlich

et al. 2022

Arthroscopy, Sports Medicine, and Rehabilitation

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“…The principle of radiofrequency treatment is mainly to heat to degenerate and coagulate glycoproteins, inactivate the nerve endings at the stump of the rotator cuff, eliminate congestion and edema at the stump of the torn tissue, and reduce inflammation, thereby reducing pain and promoting healing. [ 18 , 19 ] Previously, the prevailing view was that once the rotator cuff is torn, the tear will increase over time, and may cause the rotator cuff muscle to degenerate and cannot be repaired. As a result, the function of the shoulder joint is disabled, so early surgical treatment has been preferred in the past.…”

Section: Discussionmentioning

confidence: 99%

Case report: pulsed radiofrequency surgery combined with platelet-rich plasma injection in the treatment of supraspinatus injury

Jin

Gao

et al. 2021

Medicine

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Rationale: The shoulder joint is the most movable joint of the human body, and the incidence of aseptic inflammation of the muscles and tendons around the shoulder joint and acute and chronic muscle injuries is relatively high. Pulsed radiofrequency neuromodulation technology is gradually being used in shoulder joint diseases. Platelet-rich plasma (PRP) is a high-power platelet plasma solution obtained by centrifugation of autologous blood. Platelet cells contain many growth factors that promote tissue repair. Patient concerns: Shoulder soreness, limited movement of the shoulder joint, abduction of the upper limbs, and aggravation of pain during flat lifting. The pain radiates to the deltoid muscle stop and forearm. Interventions: In this study, radiofrequency pulses combined with PRP were used to treat supraspinatus muscle injury and explore new methods for the treatment of shoulder joint muscle and tendon injuries represented by supraspinatus muscle injury. Diagnosis: We reported 4 patients with supraspinatus injury who received radiofrequency pulse combined with PRP treatment in our hospital. Outcomes: After treatment, the patients were followed up at the first month, the third month, and the sixth month, and the Constant–Murley shoulder score and visual analog scale were used to comprehensively evaluate the postoperative improvement of the patients. There was no significant increase in postoperative pain, the Constant–Murley shoulder Score was significantly increased, the range of movement of the shoulder joint was significantly improved, and there were no postoperative complications. Lessons: The combined application of the 2 treatments can make full use of the analgesic effect of pulsed radiofrequency technology and the repairing effect of PRP, and can maximize the advantages of the 2 more advanced treatment methods in the field of minimally invasive.

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“…RF applications have been used for many years in the treatment of various pain syndromes (8). However, the use of RF in patients with chronic foot pain has recently been introduced (12). RF ablation acts by creating a thermal lesion, while PRF has a neuromodulatory effect on the target tissue and nerve (6).…”

Section: Discussionmentioning

confidence: 99%

The use of intralesional and posterior tibial nerve pulsed radiofrequency in the treatment of calcaneal spur

Sir¹,

Eksert²

2019

Gulhane Med J

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Aims:Heel spur is a painful disease that adversely affects the quality of life of many people in different age groups. Many treatment methods have been described for pain management, and new techniques continue to be defined. In this study, we aimed to investigate the effectiveness of pulsed radiofrequency(PRF) application into the lesion and the posterior tibial nerve in the treatment of heel spur pain.Methods:The medical records of 29 patients with chronic heel pain due to calcaneal spur and treated with PRF were reviewed. Group I received only intralesional PRF, Group II received both intralesional and posterior tibial nerve PRF. Numeric Rating Scale(NRS) was used to assess the pain level, The American Orthopedic Foot and Ankle Score(AOFAS) for the functional capacity, and the Likert score was used for the patient satisfaction. Measurements were performed before the procedure, at 3 weeks and 3 months after the procedure.Results:Fifteen and fourteen patients were included in Group I and Group II, respectively. In both groups, NRS, AOFAS, and Likert scores at 3 weeks and 3 months were significantly improved when compared to pre-procedure values(p<0.001). However, there was no statistically significant difference between the groups in terms of NRS, AOFAS and Likert scores(p>0.05).Conclusions:According to the results of the study, it was observed that the posterior tibial nerve PRF administration in addition to intralesional PRF, did not contribute to the reduction of pain and increase of functional capacity. Besides, it was concluded that intralesional PRF alone had good enough results in the management of heel spur pain. * Significance of the group I from pre-procedure value. ** Significance of the group II from pre-procedure. *** Significance between the group I and the group II.

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A Systematic Review of Radiofrequency Treatment of the Ankle for the Management of Chronic Foot and Ankle Pain

Cited by 17 publications

References 58 publications

Electrothermal Denervation of Synovial and Capsular Tissue Does not Improve Postoperative Pain in Arthroscopic Debridement of Anterior Ankle Impingement—A Prospective Randomized Study

Electrothermal Denervation of Synovial and Capsular Tissue Does not Improve Postoperative Pain in Arthroscopic Debridement of Anterior Ankle Impingement—A Prospective Randomized Study

Case report: pulsed radiofrequency surgery combined with platelet-rich plasma injection in the treatment of supraspinatus injury

The use of intralesional and posterior tibial nerve pulsed radiofrequency in the treatment of calcaneal spur

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