Expert consensus of Chinese Association for the Study of Pain on the radiofrequency therapy technology in the Department of Pain

Liu, Jinfeng; Shen, Wen; Huang, Dong; Song, Tao; Tao, Wei; Liu, Qing; Huang, Youqing; Zhang, Xiaomei; Xia, Liangping; Wu, Da-Sheng; Liu, Hui; Chen, Fuyong; Liu, Tanghua; Peng, Baogan; Liu, Yanqing

doi:10.12998/wjcc.v9.i9.2123

Cited by 5 publications

(4 citation statements)

References 39 publications

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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%

“…It is the first time that pulsed radiofrequency technology combined with PRP technology has been used to treat supraspinatus injury, and there is no similar report. 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.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

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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“…Non-ablative RF can generate electromagnetic wave currents with thermal effects, which can mediate the acute inflammatory process and promote the formation of new collagen and elastin ( 10 ). A Likert scale was used to measure the stage of satisfaction with the treatment.…”

Section: Methodsmentioning

confidence: 99%

Real-world clinical effectiveness of nonsurgical treatments for female with POP-Q stage II cystocele: a retrospective analysis of therapeutic efficacy

Jin,

Yan,

Shang

et al. 2024

Transl Androl Urol

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Background Patients with cystocele of pelvic organ prolapse quantification (POP-Q) stage II and below can be treated conservatively, but there are few reports on non-surgical treatment for these patients. This study aimed to present the real-world clinical effectiveness of nonsurgical treatment, including pelvic floor muscle training (PFMT), PFMT combined with pessary (PFMT + P), or non-ablative radiofrequency (PFMT + RF) for female with POP-Q stage II cystocele. Methods We retrospectively analyzed females with POP-Q stage II cystocele between January 2020 and January 2022 who received PFMT, PFMT + P, or PFMT + RF treatment and were followed up for 12 months. Clinical parameters including Pelvic Floor Distress Inventory-20 questionnaire (PFDI-20), Persian version urinary incontinence quality of life questionnaire (I-QOL), POP-Q, pelvic floor Glazer evaluation, and trans-labial ultrasound at different time points were analyzed. Results There were 147 participants enrolled. PFDI-20 and I-QOL scores were improved in all groups, but the mean decrement in the PFDI-20 scores (−14.28±8.57 and −9.78±8.25) was higher in the PFMT + P group than in the PFMT group and PFMT + RF group at both 6 and 12 months (P<0.05), and the mean I-QOL score (3.82±23.43 and 3.47±22.06) was higher in the PFMT + RP group at both 6 months and 12 months (P<0.05). The PFMT + P group also showed higher improvement rate (43.3%, P=0.03) in terms of changing the severity of cystocele (point Ba) and delta bladder neck-symphyseal distance (ΔBSD) (P<0.05) than the other 2 groups at 12 months. No statistical difference was found in the type-I and type-II myofiber function-based Glazer assessment among 3 groups. Conclusions The combination of 2 treatment strategies seems to be superior to PFMT only for stage-II cystocele. Specific prolapse-related symptoms and objective indicators did improve more in the PFMT + P group, whereas stress urinary incontinence (SUI) symptoms and quality of life were improved in the PFMT + RP group.

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“…The radiofrequency (RF) electrode (type 20 G, 5 cm long, 4 mm active tip) was placed close to the L5 DRG by direct visualization using an RF device (Cosman RFG-4 Generator). The parameter settings are as follows 61 : pulse rate of 2 Hz, voltage of 45 V/65 V/85 V/100 V for the corresponding group, maximum temperature of 42 °C, pulse width of 20 ms, and stimulation time of 6 min. Free-PRF was conducted by placing electrode on the DRG, but no simultaneous PRF was delivered.…”

Section: Methodsmentioning

confidence: 99%

High-voltage pulsed radiofrequency improves ultrastructure of DRG and enhances spinal microglial autophagy to ameliorate neuropathic pain induced by SNI

Chen,

Xu,

et al. 2024

Sci Rep

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Neuropathic pain (NeP) is intractable for which many therapies are ineffective. High-voltage pulsed radiofrequency (HVPRF) on dorsal root ganglion (DRG) is considered an effective treatment for NeP. The aim of this study is to explore the therapeutic voltage for the optimal efficacy of PRF and the underlying mechanisms. The radiofrequency electrode was placed close to the L5 DRG of rats with spared nerve injury (SNI) and emitted current by the corresponding voltage in different groups. Four different voltages (45 V, 65 V, 85 V, and 100 V) of PRF on DRG significantly alleviated the SNI-induced NeP, reduced the levels of activating transcription factor 3 (ATF3) in DRG, improved the ultrastructure of DRG, and promoted autophagy in spinal microglia to varying degrees and partially reversed the increased expression of TNF-α and the reduced expression of IL-10 in spinal cord dorsal horn (SCDH). The beneficial effect of 85V-PRF was superior to those of other three PRF treatments. The underlying mechanisms may be related to repairing the DRG damage and improving the DRG ultrastructure while regulating spinal microglial autophagy and thereby alleviating neuroinflammation.

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Expert consensus of Chinese Association for the Study of Pain on the radiofrequency therapy technology in the Department of Pain

Cited by 5 publications

References 39 publications

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

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

Real-world clinical effectiveness of nonsurgical treatments for female with POP-Q stage II cystocele: a retrospective analysis of therapeutic efficacy

High-voltage pulsed radiofrequency improves ultrastructure of DRG and enhances spinal microglial autophagy to ameliorate neuropathic pain induced by SNI

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