Chemical neurolysis of the lateral branches of the sacral dorsal rami for the treatment of chronic pain in the sacroiliac joint: Case report and description of the technique

Frederico, Thiago Nouer; Ferraro, Leonardo Henrique Cunha; Lemos, Jackson Davy; Sakata, Rioko Kimiko

doi:10.1111/papr.13046

Cited by 4 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Neurolysis is often employed to alleviate physical compression. It frequently involves procedures such as bone reduction, muscle, and fascia clearance to address the issue 30 . Laparoscopic lumbosacral plexus decompression has gradually received more attention in recent years, which provides a new idea for neurolysis 31 .…”

Section: Discussionmentioning

confidence: 99%

Could nerve transplantation be the future of this field: a bibliometric analysis about lumbosacral plexus injury

Wang,

Xia,

Song

et al. 2024

International Journal of Surgery

View full text Add to dashboard Cite

Background: Lumbosacral plexus injury is a highly distressing clinical issue with profound implications for patients’ quality of life. Since the publication of the first relevant study in 1953, there has been very limited progress in basic research and clinical treatment in this field, and the developmental trajectory and research priorities in this field have not been systematically summarized using scientific methods, leaving the future direction of this research to be explored. Methods: Utilizing publications from the Web of Science (WoS) database, our research employed bibliometric methodology to analyze the fundamental components of publications, synthesize research trends, and forecast future directions. Results: A total of 150 publications were included in our study, and the impressive advancement of research heat in this field can be attributed to the continuous increase in the number of papers, ranging from 14 papers in 2000 to 34 papers in 2023 over five years. Regarding the country, a central position in both quantity (H-index=125) and quality of publications (65 publications) is occupied by the United States, and close collaborations with other countries are observed. In terms of publication institutions, the highest number of publications (9 publications) is held by the Second Military Medical University. The journal with the most publications (5 publications) is the Journal of Trauma-Injury Infection and Critical Care. A pivotal role has been played by basic medical research in the development of this field. Concerning hotspots, the focus of the research core can be divided into three clusters (etiology, diagnosis and treatment; molecular, cells and mechanisms; physiology and pathology). Conclusion: This marks the inaugural bibliometric analysis of lumbosacral plexus injuries, offering a comprehensive overview of current publications. Our findings illuminate future research directions, international collaborations, and interdisciplinary relationships. Future research will emphasize clinical treatment and mechanism research, with a focus on sacral nerve stimulation and nerve transplantation.

show abstract

Section: Discussionmentioning

confidence: 99%

Could nerve transplantation be the future of this field: a bibliometric analysis about lumbosacral plexus injury

Wang,

Xia,

Song

et al. 2024

International Journal of Surgery

View full text Add to dashboard Cite

show abstract

“…Risso et al 6 found effective pain control for 6 months in knee osteoarthritis cases using 1.5 cc of 7% glycerinated Phenol in each of the three genicular nerves. Ferraro et al 7 used 0.75 cc of 7% glycerinated phenol for chemical neurolysis of the posterior sacral network in patients with sacro‐iliac joint pain documenting optimal pain relief at 6 months follow‐up.…”

Section: Discussionmentioning

confidence: 99%

Ultrasound‐guided cutaneous nerve chemo‐ablation for severe access site neuropathic pain—A case report

Agarwal

Murray

Craig

et al. 2023

Hemodialysis International

View full text Add to dashboard Cite

Neuropathic pain at the cannulation site is challenging, both for the patient and the dialysis team. We present a case of a middle-aged man on chronic hemodialysis, who developed excruciating pain at the cannulation area without incident, limiting his dialysis sessions. Multidisciplinary collaboration allowed identification of the cutaneous nerve-the inferior lateral cutaneous nerve of the arm, relaying his pain. Subsequent ultrasound-guided phenol chemoablation resulted in the complete resolution of his pain and allowed continued use of the well-functioning fistula for dialysis.

show abstract

“…Electrical radiofrequency (RF) ablation removes target nerves and tissues by thermal damage, which is effective in suppressing chronic hip pain, chronic discogenic back pain, chronic thoracic and abdominal pain, and knee osteoarthritis pain ( Davis et al, 2018 ; Kumar et al, 2019 ; Kapural and Deering, 2020 ; Kim et al, 2020 ; Singh et al, 2021 ). Chemical neurolysis uses substances like ethanol or phenol to irreversibly damage peripheral tissues, e.g., celiac plexus for managing chronic upper abdominal pain ( Cornman-Homonoff et al, 2017 ; Sachdev and Gress, 2018 ) and sacral dorsal rami for sacroiliac joint pain ( Nouer Frederico et al, 2021 ). In addition, cryoablation resorts to extreme low temperature (−60 to −100°C) to ablate peripheral tissues for treating pain ( Yasin et al, 2020 ).…”

Section: Introductionmentioning

confidence: 99%

Blocking Aδ- and C-fiber neural transmission by sub-kilohertz peripheral nerve stimulation

Zhang,

Chen,

Ladez

et al. 2024

Front. Neurosci.

View full text Add to dashboard Cite

IntroductionWe recently showed that sub-kilohertz electrical stimulation of the afferent somata in the dorsal root ganglia (DRG) reversibly blocks afferent transmission. Here, we further investigated whether similar conduction block can be achieved by stimulating the nerve trunk with electrical peripheral nerve stimulation (ePNS).MethodsWe explored the mechanisms and parameters of conduction block by ePNS via ex vivo single-fiber recordings from two somatic (sciatic and saphenous) and one autonomic (vagal) nerves harvested from mice. Action potentials were evoked on one end of the nerve and recorded on the other end from teased nerve filaments, i.e., single-fiber recordings. ePNS was delivered in the middle of the nerve trunk using a glass suction electrode at frequencies of 5, 10, 50, 100, 500, and 1000 Hz.ResultsSuprathreshold ePNS reversibly blocks axonal neural transmission of both thinly myelinated Aδ-fiber axons and unmyelinated C-fiber axons. ePNS leads to a progressive decrease in conduction velocity (CV) until transmission blockage, suggesting activity-dependent conduction slowing. The blocking efficiency is dependent on the axonal conduction velocity, with Aδ-fibers efficiently blocked by 50–1000 Hz stimulation and C-fibers blocked by 10–50 Hz. The corresponding NEURON simulation of action potential transmission indicates that the disrupted transmembrane sodium and potassium concentration gradients underly the transmission block by the ePNS.DiscussionThe current study provides direct evidence of reversible Aδ- and C-fiber transmission blockage by low-frequency (<100 Hz) electrical stimulation of the nerve trunk, a previously overlooked mechanism that can be harnessed to enhance the therapeutic effect of ePNS in treating neurological disorders.

show abstract

Chemical neurolysis of the lateral branches of the sacral dorsal rami for the treatment of chronic pain in the sacroiliac joint: Case report and description of the technique

Abstract: RK. Chemical neurolysis of the lateral branches of the sacral dorsal rami for the treatment of chronic pain in the sacroiliac joint: Case report and description of the technique.

Cited by 4 publications

References 8 publications

Could nerve transplantation be the future of this field: a bibliometric analysis about lumbosacral plexus injury

Could nerve transplantation be the future of this field: a bibliometric analysis about lumbosacral plexus injury

Ultrasound‐guided cutaneous nerve chemo‐ablation for severe access site neuropathic pain—A case report

Blocking Aδ- and C-fiber neural transmission by sub-kilohertz peripheral nerve stimulation

Contact Info

Product

Resources

About