Extra articular management of knee osteoarthritis pain

Thapa, Deepak; Ahuja, Vanita; Verma, Parul; Dass, Christopher

doi:10.1111/pme.12762

Cited by 1 publication

(3 citation statements)

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“…La inervación articular de la rodilla es compleja, pudiendo atribuir parte de esta a los ramos articulares provenientes del nervio tibial que da los ramos geniculares superomedial, medial e inferomedial, mientras el ramo genicular superolateral proviene del nervio peroneo (26). Si bien hay otros ramos, estos 3 descritos son los de más fácil acceso para realizar la neurolisis por radiofrecuencia.…”

Section: Radiofrecuencia Geniculadosunclassified

“…Esta técnica se realiza tanto en los nervios geniculados como IA de rodilla, encontrándose descripción de series de casos por el momento con buena respuesta en cuanto a la mejoría del dolor (26).…”

Section: Radiofrecuencia Geniculadosunclassified

“…Por los riesgo descritos con antelación, se viene describiendo con reportes cada vez más numerosos la radiofrecuencia pulsada del nervio safeno interno, con tiempos de exposición variables, llegando a incluso a ser de hasta 8 minutos (26).…”

Section: Radiofrecuencia Geniculadosunclassified

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Terapias intervencionistas para manejo de dolor en Osteoartrosis de rodilla sintomática

Orozco-Arango¹

2016

Rev. Soc. Esp. Dolor.

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Introduction: Osteoarthritis (OA) of knee is the most common type of OA. It is a multifactorial disorder where pain is the most important clinical feature. Analgesic treatment in knee OA usually begins with acetaminophen and NSAIDs. Nonsurgical interventional indicated on nonsurgical symptomatic knee OA unresponsive to analgesic and anti-inflammatory oral and topical treatment, as well as knee osteoarthritis in surgery, when surgery is contraindicated or inadvisable.Objectives: A critical review of the current evidence for the following therapies intraarticular (IA): corticosteroids, hyaluronic acid (HA), ozone, platelet-rich plasma (PRP), botulinum toxin and RF geniculate nerves.Methodology: A search and no systematic review of individual articles, systematic reviews, meta-analysis was performed.Results and conclusions: IA steroids are effective, especially in those with greater radiographic commitment, with a level of evidence 1B. The PRP and AH, are useful in patients with mild to moderate knee osteoarthritis but not in severe knee osteoarthritis, with a longer duration of effect for the PRP. In severe degrees of gonarthrosis (Grades III-IV), the most suitable therapy is the RF geniculate nerves. Botulinum toxin, is superior to IA steroids with adequate response in different degrees of arthrosis, even when other therapies have not achieved adequate response. All therapies have been revised effective pain relief in knee osteoarthritis. However, there is great controversy over the degree of recommendation

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Section: Radiofrecuencia Geniculadosunclassified

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Terapias intervencionistas para manejo de dolor en Osteoartrosis de rodilla sintomática

Orozco-Arango¹

2016

Rev. Soc. Esp. Dolor.

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Extra articular management of knee osteoarthritis pain

Cited by 1 publication

References 10 publications

Terapias intervencionistas para manejo de dolor en Osteoartrosis de rodilla sintomática

Terapias intervencionistas para manejo de dolor en Osteoartrosis de rodilla sintomática

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