Upper limb and lower limb radiofrequency treatments in orthopaedics
Radiofrequency (RF) is a minimally invasive technique for disrupting or altering nociceptive pathways to treat musculoskeletal neuropathic and nociplastic pain. RF has been employed to treat painful shoulder, lateral epicondylitis, knee and hip osteoarthritis, chronic knee pain, Perthes disease, gr...
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| Format: | Article |
| Language: | English |
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Bioscientifica
2023-06-01
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| Series: | EFORT Open Reviews |
| Subjects: | |
| Online Access: | https://eor.bioscientifica.com/view/journals/eor/8/6/EOR-22-0127.xml |
| _version_ | 1827927452690677760 |
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| author | E Carlos Rodríguez-Merchán Alberto D Delgado-Martínez Javier De Andrés-Ares |
| author_facet | E Carlos Rodríguez-Merchán Alberto D Delgado-Martínez Javier De Andrés-Ares |
| author_sort | E Carlos Rodríguez-Merchán |
| collection | DOAJ |
| description | Radiofrequency (RF) is a minimally invasive technique for disrupting or altering nociceptive pathways to treat musculoskeletal neuropathic and nociplastic pain.
RF has been employed to treat painful shoulder, lateral epicondylitis, knee and hip osteoarthritis, chronic knee pain, Perthes disease, greater trochanteric pain syndrome, plantar fasciitis, and painful stump neuromas; it has also been employed before and after painful total knee arthroplasty and after anterior cruciate ligament reconstruction.
The benefits of RF include the following:it is safer than surgery; there is no need for general anaesthesia, thereby reducing adverse effects; it alleviates pain for a minimum of 3–4 months; it can be repeatable if necessary; and it improves joint function and minimizes the need for oral pain medication.
RF is contraindicated for pregnant women; unstable joints (hip, knee, and shoulder); uncontrolled diabetes mellitus; presence of an implanted defibrillator; and chronic joint infection (hip, knee, and shoulder).
Although adverse events from RF are unusual, potential complications can include infection, bleeding, numbness or dysesthesia, increased pain at the procedural site, deafferentation effect, and Charcot joint neuropathy.
Although there is a risk of damaging non-targeted neural tissue and other structures, this can be mitigated by performing the technique under imaging guidance (fluoroscopy, ultrasonography, and computed tomography).
RF appears to be a valuable technique for alleviating chronic pain syndromes; however, firm proof of the technique’s efficacy is still required.
RF is a promising technique for managing chronic musculoskeletal of the limbs pain, particularly when other techniques are futile or not possible. |
| first_indexed | 2024-03-13T05:52:22Z |
| format | Article |
| id | doaj.art-e9d3cfeb506e4d3e99ae01e1950065cd |
| institution | Directory Open Access Journal |
| issn | 2058-5241 |
| language | English |
| last_indexed | 2024-03-13T05:52:22Z |
| publishDate | 2023-06-01 |
| publisher | Bioscientifica |
| record_format | Article |
| series | EFORT Open Reviews |
| spelling | doaj.art-e9d3cfeb506e4d3e99ae01e1950065cd2023-06-13T11:51:19ZengBioscientificaEFORT Open Reviews2058-52412023-06-0186424435https://doi.org/10.1530/EOR-22-0127Upper limb and lower limb radiofrequency treatments in orthopaedicsE Carlos Rodríguez-Merchán0Alberto D Delgado-Martínez1Javier De Andrés-Ares2Department of Orthopaedic Surgery, La Paz University Hospital, Madrid, Spain; Osteoarticular Surgery Research, Hospital La Paz Institute for Health Research – IdiPAZ (La Paz University Hospital – Autonomous University of Madrid), Madrid, SpainDepartment of Orthopaedic Surgery, Hospital Universitario de Jaén, Jaén, Spain; Department of Surgery, University of Jaén, Jaén, SpainDepartment of Anesthetics, Pain Unit, La Paz University Hospital, Madrid, SpainRadiofrequency (RF) is a minimally invasive technique for disrupting or altering nociceptive pathways to treat musculoskeletal neuropathic and nociplastic pain. RF has been employed to treat painful shoulder, lateral epicondylitis, knee and hip osteoarthritis, chronic knee pain, Perthes disease, greater trochanteric pain syndrome, plantar fasciitis, and painful stump neuromas; it has also been employed before and after painful total knee arthroplasty and after anterior cruciate ligament reconstruction. The benefits of RF include the following:it is safer than surgery; there is no need for general anaesthesia, thereby reducing adverse effects; it alleviates pain for a minimum of 3–4 months; it can be repeatable if necessary; and it improves joint function and minimizes the need for oral pain medication. RF is contraindicated for pregnant women; unstable joints (hip, knee, and shoulder); uncontrolled diabetes mellitus; presence of an implanted defibrillator; and chronic joint infection (hip, knee, and shoulder). Although adverse events from RF are unusual, potential complications can include infection, bleeding, numbness or dysesthesia, increased pain at the procedural site, deafferentation effect, and Charcot joint neuropathy. Although there is a risk of damaging non-targeted neural tissue and other structures, this can be mitigated by performing the technique under imaging guidance (fluoroscopy, ultrasonography, and computed tomography). RF appears to be a valuable technique for alleviating chronic pain syndromes; however, firm proof of the technique’s efficacy is still required. RF is a promising technique for managing chronic musculoskeletal of the limbs pain, particularly when other techniques are futile or not possible.https://eor.bioscientifica.com/view/journals/eor/8/6/EOR-22-0127.xmlchronic painmanagementradiofrequency |
| spellingShingle | E Carlos Rodríguez-Merchán Alberto D Delgado-Martínez Javier De Andrés-Ares Upper limb and lower limb radiofrequency treatments in orthopaedics EFORT Open Reviews chronic pain management radiofrequency |
| title | Upper limb and lower limb radiofrequency treatments in orthopaedics |
| title_full | Upper limb and lower limb radiofrequency treatments in orthopaedics |
| title_fullStr | Upper limb and lower limb radiofrequency treatments in orthopaedics |
| title_full_unstemmed | Upper limb and lower limb radiofrequency treatments in orthopaedics |
| title_short | Upper limb and lower limb radiofrequency treatments in orthopaedics |
| title_sort | upper limb and lower limb radiofrequency treatments in orthopaedics |
| topic | chronic pain management radiofrequency |
| url | https://eor.bioscientifica.com/view/journals/eor/8/6/EOR-22-0127.xml |
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