Radiofrequency Ablation for the Knee Joint: A Survey by the American Society of Pain and Neuroscience
Alaa Abd-Elsayed,1 Natalie Strand,2 Karina Gritsenko,3 Joshua Martens,1 Krishnan Chakravarthy,4 Dawood Sayed,5 Timothy Deer6 1University of Wisconsin, School of Medicine and Public Health, Department of Anesthesiology, Madison, WI, USA; 2Division of Pain Medicine, Mayo Clinic, Phoenix, AZ, USA; 3Mon...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2022-04-01
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| Series: | Journal of Pain Research |
| Subjects: | |
| Online Access: | https://www.dovepress.com/radiofrequency-ablation-for-the-knee-joint-a-survey-by-the-american-so-peer-reviewed-fulltext-article-JPR |
| _version_ | 1818141092857511936 |
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| author | Abd-Elsayed A Strand N Gritsenko K Martens J Chakravarthy K Sayed D Deer T |
| author_facet | Abd-Elsayed A Strand N Gritsenko K Martens J Chakravarthy K Sayed D Deer T |
| author_sort | Abd-Elsayed A |
| collection | DOAJ |
| description | Alaa Abd-Elsayed,1 Natalie Strand,2 Karina Gritsenko,3 Joshua Martens,1 Krishnan Chakravarthy,4 Dawood Sayed,5 Timothy Deer6 1University of Wisconsin, School of Medicine and Public Health, Department of Anesthesiology, Madison, WI, USA; 2Division of Pain Medicine, Mayo Clinic, Phoenix, AZ, USA; 3Montefiore Multidisciplinary Pain Program, Bronx, NY, USA; 4University of California San Diego, San Diego, CA, USA; 5University of Kansas Medical Center, Kansas City, KS, USA; 6The Spine and Nerve Center of the Virginias, Charleston, WV, USACorrespondence: Alaa Abd-Elsayed, University of Wisconsin School of Medicine and Public Health, Department of Anesthesiology, 600 Highland Avenue, B6/319 CSC, Madison, WI, 53792-3272, USA, Tel +1 608-263-8100, Fax +1 608-263-0575, Email alaaawny@hotmail.comBackground: Genicular nerve radiofrequency ablation (RFA) is an effective, minimally invasive procedure often used to treat patients with intractable knee pain secondary to knee osteoarthritis and failed knee replacements. The prevalence of knee pain in adults has been estimated to be as high as 40% and is continuously increasing with an aging population. Over the past two decades, proceduralists have adopted variations in patient preparation, procedural steps, and post-operative care for genicular nerve RFA procedures. A survey was dispensed via the American Society of Pain and Neuroscience (ASPN) to gain a popular assessment of common practices for genicular nerve RFA.Methods: A 29 question survey was dispensed via SurveyMonkey to all members of ASPN. Members were able to respond to the survey a single time and were unable to make changes to their responses once the survey was submitted. After responses were compiled, each question was assessed in order to determine common practices for genicular nerve RFA.Results: A total of 378 proceduralists responded to the survey. There was high consensus with the three most commonly targeted nerves. The inferomedial, superomedial, and superolateral genicular branches were treated by 95– 96% of respondents, while other targets were less commonly treated. There remains some debate among proceduralists regarding the need for a second diagnostic nerve block and the type of steroid used for diagnostic nerve blocks.Conclusion: Pain physicians use a wide variety of methods to perform genicular nerve ablations. The data offered by the survey show that there is no standardized protocol when it comes to treating knee pain via genicular nerve block and ablation and highlights controversies among proceduralists that ought to serve as the targets of future clinical research aimed at establishing a standardized protocol.Keywords: genicular nerve ablation, knee radiofrequency ablation, genicular nerve survey, genicular nerve block, radiofrequency ablation |
| first_indexed | 2024-12-11T10:54:23Z |
| format | Article |
| id | doaj.art-c9ea1048be754b7abd697585d68488d3 |
| institution | Directory Open Access Journal |
| issn | 1178-7090 |
| language | English |
| last_indexed | 2024-12-11T10:54:23Z |
| publishDate | 2022-04-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Pain Research |
| spelling | doaj.art-c9ea1048be754b7abd697585d68488d32022-12-22T01:10:10ZengDove Medical PressJournal of Pain Research1178-70902022-04-01Volume 151247125574862Radiofrequency Ablation for the Knee Joint: A Survey by the American Society of Pain and NeuroscienceAbd-Elsayed AStrand NGritsenko KMartens JChakravarthy KSayed DDeer TAlaa Abd-Elsayed,1 Natalie Strand,2 Karina Gritsenko,3 Joshua Martens,1 Krishnan Chakravarthy,4 Dawood Sayed,5 Timothy Deer6 1University of Wisconsin, School of Medicine and Public Health, Department of Anesthesiology, Madison, WI, USA; 2Division of Pain Medicine, Mayo Clinic, Phoenix, AZ, USA; 3Montefiore Multidisciplinary Pain Program, Bronx, NY, USA; 4University of California San Diego, San Diego, CA, USA; 5University of Kansas Medical Center, Kansas City, KS, USA; 6The Spine and Nerve Center of the Virginias, Charleston, WV, USACorrespondence: Alaa Abd-Elsayed, University of Wisconsin School of Medicine and Public Health, Department of Anesthesiology, 600 Highland Avenue, B6/319 CSC, Madison, WI, 53792-3272, USA, Tel +1 608-263-8100, Fax +1 608-263-0575, Email alaaawny@hotmail.comBackground: Genicular nerve radiofrequency ablation (RFA) is an effective, minimally invasive procedure often used to treat patients with intractable knee pain secondary to knee osteoarthritis and failed knee replacements. The prevalence of knee pain in adults has been estimated to be as high as 40% and is continuously increasing with an aging population. Over the past two decades, proceduralists have adopted variations in patient preparation, procedural steps, and post-operative care for genicular nerve RFA procedures. A survey was dispensed via the American Society of Pain and Neuroscience (ASPN) to gain a popular assessment of common practices for genicular nerve RFA.Methods: A 29 question survey was dispensed via SurveyMonkey to all members of ASPN. Members were able to respond to the survey a single time and were unable to make changes to their responses once the survey was submitted. After responses were compiled, each question was assessed in order to determine common practices for genicular nerve RFA.Results: A total of 378 proceduralists responded to the survey. There was high consensus with the three most commonly targeted nerves. The inferomedial, superomedial, and superolateral genicular branches were treated by 95– 96% of respondents, while other targets were less commonly treated. There remains some debate among proceduralists regarding the need for a second diagnostic nerve block and the type of steroid used for diagnostic nerve blocks.Conclusion: Pain physicians use a wide variety of methods to perform genicular nerve ablations. The data offered by the survey show that there is no standardized protocol when it comes to treating knee pain via genicular nerve block and ablation and highlights controversies among proceduralists that ought to serve as the targets of future clinical research aimed at establishing a standardized protocol.Keywords: genicular nerve ablation, knee radiofrequency ablation, genicular nerve survey, genicular nerve block, radiofrequency ablationhttps://www.dovepress.com/radiofrequency-ablation-for-the-knee-joint-a-survey-by-the-american-so-peer-reviewed-fulltext-article-JPRgenicular nerve ablationknee radiofrequency ablationgenicular nerve surveygenicular nerve blockradiofrequency ablation |
| spellingShingle | Abd-Elsayed A Strand N Gritsenko K Martens J Chakravarthy K Sayed D Deer T Radiofrequency Ablation for the Knee Joint: A Survey by the American Society of Pain and Neuroscience Journal of Pain Research genicular nerve ablation knee radiofrequency ablation genicular nerve survey genicular nerve block radiofrequency ablation |
| title | Radiofrequency Ablation for the Knee Joint: A Survey by the American Society of Pain and Neuroscience |
| title_full | Radiofrequency Ablation for the Knee Joint: A Survey by the American Society of Pain and Neuroscience |
| title_fullStr | Radiofrequency Ablation for the Knee Joint: A Survey by the American Society of Pain and Neuroscience |
| title_full_unstemmed | Radiofrequency Ablation for the Knee Joint: A Survey by the American Society of Pain and Neuroscience |
| title_short | Radiofrequency Ablation for the Knee Joint: A Survey by the American Society of Pain and Neuroscience |
| title_sort | radiofrequency ablation for the knee joint a survey by the american society of pain and neuroscience |
| topic | genicular nerve ablation knee radiofrequency ablation genicular nerve survey genicular nerve block radiofrequency ablation |
| url | https://www.dovepress.com/radiofrequency-ablation-for-the-knee-joint-a-survey-by-the-american-so-peer-reviewed-fulltext-article-JPR |
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