Pulsed radiofrequency of the median nerve under ultrasound guidance for management of intractable neuropathic pain
A median nerve injury in the forearm may lead to devastating sequelae if left untreated. Even with appropriate treatments involving microsurgical techniques and postoperative care, patients may still experience lasting neuropathic pain that significantly reduces their quality of life. Pulsed radiofr...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2019-08-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/0300060519863533 |
| _version_ | 1819143440272719872 |
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| author | Yoo Jung Park Man Hee Lee So Young Kwon |
| author_facet | Yoo Jung Park Man Hee Lee So Young Kwon |
| author_sort | Yoo Jung Park |
| collection | DOAJ |
| description | A median nerve injury in the forearm may lead to devastating sequelae if left untreated. Even with appropriate treatments involving microsurgical techniques and postoperative care, patients may still experience lasting neuropathic pain that significantly reduces their quality of life. Pulsed radiofrequency (PRF) is widely performed to alleviate such neuropathic pain caused by trauma. A 47-year-old man visited our pain clinic with allodynia, hyperalgesia, paresthesia, skin color changes, and atrophy in the right forearm. In the orthopedic department, the patient was treated by neurectomy of the median nerve to manage the intractable pain. However, the effect was unsatisfactory. The fourth median nerve block performed in our pain clinic after neurectomy produced good results, and ultrasound-guided PRF of the median nerve was performed. The patient showed 80% relief of symptoms within 5 hours after the procedure. The visual analog scale score for the forearm decreased from 8/10 to 1/10. This case suggests that ultrasound-guided PRF can be a therapeutic option for the management of refractory neuropathic pain after neurectomy in patients with a median nerve injury. |
| first_indexed | 2024-12-22T12:26:16Z |
| format | Article |
| id | doaj.art-04647d6e4d27435c97942b9215d791bd |
| institution | Directory Open Access Journal |
| issn | 0300-0605 1473-2300 |
| language | English |
| last_indexed | 2024-12-22T12:26:16Z |
| publishDate | 2019-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-04647d6e4d27435c97942b9215d791bd2022-12-21T18:25:48ZengSAGE PublishingJournal of International Medical Research0300-06051473-23002019-08-014710.1177/0300060519863533Pulsed radiofrequency of the median nerve under ultrasound guidance for management of intractable neuropathic painYoo Jung ParkMan Hee LeeSo Young KwonA median nerve injury in the forearm may lead to devastating sequelae if left untreated. Even with appropriate treatments involving microsurgical techniques and postoperative care, patients may still experience lasting neuropathic pain that significantly reduces their quality of life. Pulsed radiofrequency (PRF) is widely performed to alleviate such neuropathic pain caused by trauma. A 47-year-old man visited our pain clinic with allodynia, hyperalgesia, paresthesia, skin color changes, and atrophy in the right forearm. In the orthopedic department, the patient was treated by neurectomy of the median nerve to manage the intractable pain. However, the effect was unsatisfactory. The fourth median nerve block performed in our pain clinic after neurectomy produced good results, and ultrasound-guided PRF of the median nerve was performed. The patient showed 80% relief of symptoms within 5 hours after the procedure. The visual analog scale score for the forearm decreased from 8/10 to 1/10. This case suggests that ultrasound-guided PRF can be a therapeutic option for the management of refractory neuropathic pain after neurectomy in patients with a median nerve injury.https://doi.org/10.1177/0300060519863533 |
| spellingShingle | Yoo Jung Park Man Hee Lee So Young Kwon Pulsed radiofrequency of the median nerve under ultrasound guidance for management of intractable neuropathic pain Journal of International Medical Research |
| title | Pulsed radiofrequency of the median nerve under ultrasound guidance for management of intractable neuropathic pain |
| title_full | Pulsed radiofrequency of the median nerve under ultrasound guidance for management of intractable neuropathic pain |
| title_fullStr | Pulsed radiofrequency of the median nerve under ultrasound guidance for management of intractable neuropathic pain |
| title_full_unstemmed | Pulsed radiofrequency of the median nerve under ultrasound guidance for management of intractable neuropathic pain |
| title_short | Pulsed radiofrequency of the median nerve under ultrasound guidance for management of intractable neuropathic pain |
| title_sort | pulsed radiofrequency of the median nerve under ultrasound guidance for management of intractable neuropathic pain |
| url | https://doi.org/10.1177/0300060519863533 |
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