radiofrequency neurotomy
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2022 ◽  
pp. 100009
Author(s):  
David Sherwood ◽  
Evan Berlin ◽  
Benjamin Gill ◽  
Adam Epps ◽  
James Gardner ◽  
...  

2021 ◽  
Vol Volume 14 ◽  
pp. 3897-3907
Author(s):  
Marc Russo ◽  
Danielle Santarelli ◽  
Robert Wright ◽  
Christopher Gilligan

2021 ◽  
pp. 155633162110404
Author(s):  
Jaspal R. Singh ◽  
Susie S. Kwon ◽  
Frank V. Schirripa ◽  
Behnum A. Habibi ◽  
Ethan Rand

Background: The current treatments for chronic knee osteoarthritis (OA), a disabling and costly healthcare condition in the United States, vary in their level of supporting evidence. Although total knee replacement is one of the best-supported interventions, its associated risks should not be taken lightly, especially in older patients with comorbidities. Genicular nerve block with subsequent genicular nerve radiofrequency neurotomy (GN-RFN) has emerged as a promising intervention for refractory pain in knee OA. Purposes/Questions: We sought to assess the pain and functional outcomes of genicular nerve bipolar radiofrequency neurotomy (B-RFN) for the treatment of chronic pain due to knee OA. Methods: A total of 21 patients who underwent unilateral genicular nerve B-RFN after positive diagnostic genicular nerve block (50% or greater pain relief) treated between July 2018 to December 2018 were included. Pain numeric rating scale (NRS) and Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) scores were collected at baseline, 3 months, and 6 months post-B-RFN. Changes at each time point were compared to baseline scores using paired sample t tests. Results: At 3 months, 62% of patients had a greater than 50% improvement in NRS scores and 57% of patients had a greater than 50% improvement in WOMAC scores. At 6 months, 81% of patients had a greater than 50% improvement in NRS scores and 67% had a greater than 50% improvement in WOMAC scores. The absolute change in mean NRS (± standard deviation) at 6 months went from 7.5 ± 1.9 to 2.5 ± 1.2. The absolute change in mean WOMAC scores at 6 months went from 46.9 ± 8.0 to 19.0 ± 6.2. Conclusion: Of 21 patients, 14 (67%) saw greater than 50% improvements in both NRS and WOMAC scores at 6 months after genicular nerve B-RFN. Further prospective studies are needed to determine the selection criteria of patients most likely to benefit from this procedure.


2021 ◽  
Vol 21 (9) ◽  
pp. S47
Author(s):  
David Sherwood ◽  
Evan Berlin ◽  
Adam C. Epps ◽  
James Gardner ◽  
Sterling Haring ◽  
...  

2021 ◽  
Vol Volume 14 ◽  
pp. 2859-2891
Author(s):  
Rajesh N Janapala ◽  
Laxmaiah Manchikanti ◽  
Mahendra R Sanapati ◽  
Srinivasa Thota ◽  
Alaa Abd-Elsayed ◽  
...  

2021 ◽  
Vol Volume 14 ◽  
pp. 2807-2831
Author(s):  
David W Lee ◽  
Scott Pritzlaff ◽  
Michael J Jung ◽  
Priyanka Ghosh ◽  
Jonathan M Hagedorn ◽  
...  

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