Selective peripheral nerve resection for treatment of persistent pain around the knee joint after total knee arthroplasty

Zhong, Guangjun; Liang, Zhu; Jiang, Kan; Muheremu, Aikeremujiang

doi:10.1177/0300060518764184

Cited by 5 publications

(4 citation statements)

References 11 publications

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“…Consequently, the role of physical therapy to evaluate and treat posture-related extremity pain is critical and physicians that treat pain should not hesitate to refer patients with pain to physical and/or occupational therapy. Additionally, joint denervation is one treatment option in the algorithm for the management of arthritic pain [14][15][16][17][18][19].…”

Section: Pain Definitions and Biologymentioning

confidence: 99%

The Role of the Peripheral Nerve Surgeon in the Treatment of Pain

Poppler

Mackinnon

2019

Neurotherapeutics

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Pain is a frequent cause of physician visits. Many physicians find these patients challenging because they often have complicated histories, emotional comorbidities, confusing examinations, difficult problems to fix, and the possibility of factitious complaints for attention or narcotic pain medications. As a result, many patients are lumped into the category of chronic, centralized pain and relegated to pain management. However, recent literature suggests that surgical management of carefully diagnosed generators of pain can greatly reduce patients' pain and narcotic requirements. This article reviews recent literature on surgical management of pain and four specific sources of chronic pain amenable to surgical treatment: painful neuroma, nerve compression, myofascial/ musculoskeletal pain, and complex regional pain syndrome type II.

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Section: Pain Definitions and Biologymentioning

confidence: 99%

The Role of the Peripheral Nerve Surgeon in the Treatment of Pain

Poppler

Mackinnon

2019

Neurotherapeutics

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“…Conservative post-op care includes but is not limited to physical therapy, bracing, oral and topical analgesics, transcutaneous electrical nerve stimulation (TENS) units, and acupuncture. For refractory pain, genicular nerve ablation and selective peripheral nerve resection can also be performed (9)(10)(11). These procedures require further training, may be technically challenging, are invasive, and usually performed in a surgical setting needing much auxiliary assistance.…”

Section: Introductionmentioning

confidence: 99%

Periarticular dextrose prolotherapy after total knee arthroplasty: a retrospective case series

Barawid¹,

Davis²,

Ardestani³

et al. 2023

AME Surg J

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Background: Total knee arthroplasty (TKA) is generally considered an effective procedure for patients with end-stage osteoarthritis or inflammatory conditions of the knee. However, a significant number of patients experience continued pain post-operatively. There are limited effective treatment options available to address this, some of which are invasive and contain considerable risk and/or practitioner expertise.We present a novel, easy to learn and minimally invasive treatment for idiopathic post-TKA pain using periarticular prolotherapy injections.Case Description: A series of three patients underwent periarticular prolotherapy injections with improvement in pain using the Numeric Pain Rating Scale (NPRS) and function using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). In all three patients, a solution consisting of 2 cc 50% dextrose, 2 cc normal saline and 2 cc 1% lidocaine was injected into four specific subcutaneous locations surrounding the knee joint. With reexamination of the patients on follow-up clinic visit, it was found that each patient experienced greater than 50% improvement of their subjective pain symptoms, as well as improvement in function.Conclusions: This case series demonstrates a novel dextrose prolotherapy injection technique that is easy for clinicians to learn and perform. This is an accessible and relatively safe treatment option for chronic idiopathic post-TKA pain.

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“…3 These observations were confirmed for patients with persistent knee pain after TKA in 2000, 4 2001, 5 2017, 6 and again in 2018. 7 Hustedt et al chose patients who were not candidates for TKA because of medical reasons or personal choice. Following on the earlier reports, cited above, Hustedt et al used a positive response to local anesthetic block of the nerves that innervate the knee to identify which patients would be good candidates for this procedure.…”

mentioning

confidence: 99%

“…3 These observations were confirmed for patients with persistent knee pain after TKA in 2000, 4 2001, 5 2017, 6 and again in 2018. 7…”

mentioning

confidence: 99%

Discussion: Surgical Knee Denervation for the Treatment of Pain Caused by Primary Osteoarthritis

Dellon

2024

Plastic &Amp; Reconstructive Surgery

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Selective peripheral nerve resection for treatment of persistent pain around the knee joint after total knee arthroplasty

Cited by 5 publications

References 11 publications

The Role of the Peripheral Nerve Surgeon in the Treatment of Pain

The Role of the Peripheral Nerve Surgeon in the Treatment of Pain

Periarticular dextrose prolotherapy after total knee arthroplasty: a retrospective case series

Discussion: Surgical Knee Denervation for the Treatment of Pain Caused by Primary Osteoarthritis

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