Incidence of Neuropathic Pain after Cooled Radiofrequency Ablation of Sacral Lateral Branch Nerves

Stolzenberg, David; Gordin, Vitaly; Vorobeychik, Yakov

doi:10.1111/pme.12553

Cited by 19 publications

(6 citation statements)

References 14 publications

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“…As for the secondary effects, the cause of the neuropathic pain and buttock numbness that occurs after ablation is likely due to the middle cuneal nerve, which is formed by sacral lateral branches [28]. The buttock soreness we believe is due to the dissipated heat (60 °C) and inflammatory reaction which causes the muscles to be tense.…”

Section: Discussionmentioning

confidence: 88%

Cooled radiofrequency ablation of the sacroiliac joint a retrospective case series

Maalouly¹,

Rao²

2023

BMC Musculoskelet Disord

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Background Sacroiliac (SI) joint dysfunction is a common source of back pain. Recent evidence from different parts of the world suggest that cooled radiofrequency ablation of sacral nerves supplying the SI joints has superior pain alleviating properties than currently available treatment options for SI joint dysfunction. Patients and methods After obtaining institutional review board approval, the medical records of 81 patients who underwent cooled radiofrequency ablation in a single institution and by a single surgeon were analyzed retrospectively. The recurrence of pain, progression to fusion and functional outcomes were noted. The patients were operated on between June 2020 and December 2021, they include 59 females and 22 males, the average age was 55.4 ± 17.3. Follow up was at least 6 months postoperative. Results 22 of the patients had previously underwent lumbar fusions. Follow up period ranged from 6 to 18 months. After radiofrequency ablation, 7 patients progressed to fusions, and 6 patients had to have the procedure done again to relieve their pain. Student t-test was used to compare between preoperative and postoperative values of NPRS (numerical pain rating score) and ODI (Oswestry disability index). It showed significance with P-value < 0.001 in both. Conclusions Sacroiliac joint radiofrequency ablation is a good option in the treatment of SI joint pain showing good results in the short term follow up period. It is a simple procedure that can be done in less than 30 min and is capable of providing significant pain relief for patients with sacroiliac joint dysfunction.

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Section: Discussionmentioning

confidence: 88%

Cooled radiofrequency ablation of the sacroiliac joint a retrospective case series

Maalouly¹,

Rao²

2023

BMC Musculoskelet Disord

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“…No adverse events related to this procedure using thermal or cooled RFA have been reported in the published literature to date ( 8 - 12 ). However, post-procedural neuritis/deafferentation pain is a theoretical concern, as this is a known adverse event associated with RFA of the medial branch and sacral lateral branch nerves ( 23 - 25 ). Third degree skin burn has been reported with the use of C-RFA to denervate a thoracic medial branch nerve in a patient with a very thin body habitus ( 26 ).…”

Section: Discussionmentioning

confidence: 99%

Cooled Radiofrequency Ablation of Genicular Nerves for Knee Osteoarthritis Pain: A Protocol for Patient Selection and Case Series

et al. 2016

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BackgroundChronic knee pain from osteoarthritis (OA) is common in the aging and the obese population. Radiofrequency ablation of the genicular nerves has been introduced as a potential surgery-sparing treatment for chronic knee pain from OA, yet only two outcome studies have been published and optimal patient selection for this procedure has not been established.ObjectivesWe describe a standardized protocol for selecting patients for cooled radiofrequency ablation (C-RFA) of the genicular nerves, as well as the clinical outcomes of four patients ages 63-65 years.MethodsThe threshold for selection based on diagnostic genicular nerve block was ≥ 80% pain reduction. Following successful block, C-RFA of the genicular nerves was performed. Outcomes included pain, function, analgesic medication use, opioid use, and progression to total knee arthroplasty at a minimum of 6 month follow up.ResultsC-RFA of the genicular nerves after using the described selection protocol resulted in > 90% pain reduction, improved function and avoidance of surgery at 6 months in all four cases. All opioid and analgesic medication use decreased or was unchanged in all cases. No serious adverse events occurred.ConclusionsThe accompanying case series suggests that this protocol is deserving of randomized, prospective study.

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“…Earlier studies had also showed a higher presence of neuropathic pain after third occipital nerve RF (15%-55% and 19%) and lower incidence with cooled RF ablation of the sacral lateral branches. 37 –39…”

Section: Discussionmentioning

confidence: 99%

Ultrasound-Guided Radiofrequency Treatment of Intercostal Nerves for the Prevention of Incidental Pain Arising Due to Rib Metastasis

Ahmed

Bhatnagar

Khurana

et al. 2016

Am J Hosp Palliat Care

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Incidence of Neuropathic Pain after Cooled Radiofrequency Ablation of Sacral Lateral Branch Nerves

Abstract: The incidence of postprocedural neuropathic pain after cooled RFA for posterior sacroiliac joint complex denervation is low and in a similar range to that in the lumbar spine. We consider this procedure safe to be utilized by pain medicine practitioners.

Cited by 19 publications

References 14 publications

Cooled radiofrequency ablation of the sacroiliac joint a retrospective case series

Cooled radiofrequency ablation of the sacroiliac joint a retrospective case series

Cooled Radiofrequency Ablation of Genicular Nerves for Knee Osteoarthritis Pain: A Protocol for Patient Selection and Case Series

Ultrasound-Guided Radiofrequency Treatment of Intercostal Nerves for the Prevention of Incidental Pain Arising Due to Rib Metastasis

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