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https://www.readbyqxmd.com/read/28676364/neurogenic-pelvic-pain
#1
REVIEW
Nicholas Elkins, Jason Hunt, Kelly M Scott
Pelvic neuralgias frequently cause severe pain and may have associated bladder, bowel, or sexual dysfunctions which also impact quality of life. This article explores the etiology, epidemiology, presentation and treatment of common causes of neurogenic pelvic pain, including neuralgia of the border nerves (ilioinguinal, iliohypogastric, and genitofemoral), pudendal neuralgia, clunealgia, sacral radiculopathies caused by Tarlov cysts, and cauda equina syndrome. Treatment of pelvic neuralgia includes conservative measures such as pelvic physical therapy, lifestyle modification, and medications with escalation to more invasive and novel treatments such as nerve blocks, radiofrequency ablation, cryoablation, neuromodulation and neurectomy/neurolysis if conservative treatments are ineffective...
August 2017: Physical Medicine and Rehabilitation Clinics of North America
https://www.readbyqxmd.com/read/28223839/ultrasound-guided-alcohol-neurolysis-and-radiofrequency-ablation-of-painful-stump-neuroma-effective-treatments-for-post-amputation-pain
#2
Xin Zhang, Yongming Xu, Jin Zhou, Shaofeng Pu, Yingying Lv, Yueping Chen, Dongping Du
BACKGROUND: Post-amputation pain (PAP) is highly prevalent after limb amputation, and stump neuromas play a key role in the generation of the pain. Presently, PAP refractory to medical management is frequently treated with minimally invasive procedures guided by ultrasound, such as alcohol neurolysis and radiofrequency ablation (RFA). OBJECTIVE: To record the immediate and long-term efficacy of alcohol neurolysis and RFA. We first used alcohol neurolysis and then, when necessary, we performed RFA on PAP patients...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/28144159/anterior-cutaneous-nerve-entrapment-syndrome-management-challenges
#3
REVIEW
Eleni Chrona, Georgia Kostopanagiotou, Dimitrios Damigos, Chrysanthi Batistaki
Anterior cutaneous nerve entrapment syndrome (ACNES) is a commonly underdiagnosed and undertreated chronic state of pain. This syndrome is characterized by the entrapment of the cutaneous branches of the lower thoracoabdominal intercostal nerves at the lateral border of the rectus abdominis muscle, which causes severe, often refractory, chronic pain. This narrative review aims to identify the possible therapeutic strategies for the management of the syndrome. Seventeen studies about ACNES therapy were reviewed; of them, 15 were case-control studies, case series, or case reports, and two were randomized controlled trials...
2017: Journal of Pain Research
https://www.readbyqxmd.com/read/27890862/randomised-blinded-and-controlled-comparative-study-of-chemical-and-radiofrequency-based-renal-denervation-in-a-porcine-model
#4
COMPARATIVE STUDY
Stefan Bertog, Tim A Fischel, Félix Vega, Vartan Ghazarossian, Atul Pathak, Laura Vaskelyte, Darrin Kent, Horst Sievert, Elena Ladich, Kazuyuki Yahagi, Renu Virmani
AIMS: The blood pressure-lowering effect of percutaneous renal denervation (RDN) is controversial. The success of RDN may be device-dependent. We sought to compare the efficacy of RDN by chemical neurolysis using alcohol (Peregrine System Infusion Catheter; Ablative Solutions, Inc., Menlo Park, CA, USA) to RDN by radiofrequency (RF) ablation with the single-electrode RF catheter (Symplicity Flex; Medtronic, Minneapolis, MN, USA) in a porcine model. METHODS AND RESULTS: This was a prospective, randomised, blinded study...
February 3, 2017: EuroIntervention
https://www.readbyqxmd.com/read/27641918/a-comparison-of-genicular-nerve-treatment-using-either-radiofrequency-or-analgesic-block-with-corticosteroid-for-pain-after-a-total-knee-arthroplasty-a-double-blind-randomized-clinical-study
#5
Salima Qudsi-Sinclair, Enrique Borrás-Rubio, Juan F Abellan-Guillén, María Luz Padilla Del Rey, Guadalupe Ruiz-Merino
BACKGROUND: Knee osteoarthritis is a disease that affects a third of the population over 65 years of age, and it is increasingly becoming a motive for consultation and a source of pain and disability. The gold standard surgical treatment is a total knee arthroplasty; however, 15% to 30% of patients who have undergone surgery continue to experience pain and functional limitation. METHODS: A double-blind, randomized clinical study compared neurolysis using traditional radiofrequency (RF) to local anesthetic and corticosteroid block of the superolateral, superomedial, and inferomedial branches of the knee genicular nerves in patients who had total knee arthroplasty but still experience pain...
June 2017: Pain Practice: the Official Journal of World Institute of Pain
https://www.readbyqxmd.com/read/27445617/continuous-thoracic-sympathetic-ganglion-block-in-complex-regional-pain-syndrome-patients-with-spinal-cord-stimulation-implantation
#6
EungDon Kim, MiSun Roh, SooHyang Kim, DaeHyun Jo
The sympathetic block is widely used for treating neuropathic pain such as complex regional pain syndrome (CRPS). However, single sympathetic block often provides only short-term effect. Moreover, frequent procedures for sympathetic block may increase the risk of complications. The use of epidural route may be limited by concern of infection in case of previous implantation of the spinal cord stimulation (SCS). In contrast, a continuous sympathetic block can be administered without such concerns. The continuous thoracic sympathetic block (TSGB) has been used to treat the ischemic disease and other neuropathic conditions such as postherpetic neuralgia...
2016: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/27365891/alcohol-neurolysis-of-digital-nerves
#7
Emily L Walker, Garrett K Wright, Christopher J Burnett
Alcohol neurolysis is a well-established treatment in chronic pain management, often used in cases of intractable cancer-related pain that is refractory to other management therapies. We describe a 76-year-old woman with chronic toe neuritis who failed multiple treatments, including oral and topical analgesics, nerve blocks, and radiofrequency ablations. Alcohol neurolysis was performed via digit block of the toe resulting in 100% pain relief.
July 2016: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/27051229/neuralgias-of-the-head-occipital-neuralgia
#8
REVIEW
Il Choi, Sang Ryong Jeon
Occipital neuralgia is defined by the International Headache Society as paroxysmal shooting or stabbing pain in the dermatomes of the greater or lesser occipital nerve. Various treatment methods exist, from medical treatment to open surgical procedures. Local injection with corticosteroid can improve symptoms, though generally only temporarily. More invasive procedures can be considered for cases that do not respond adequately to medical therapies or repeated injections. Radiofrequency lesioning of the greater occipital nerve can relieve symptoms, but there is a tendency for the pain to recur during follow-up...
April 2016: Journal of Korean Medical Science
https://www.readbyqxmd.com/read/27008289/radiofrequency-neurolysis-for-lumbar-pain-using-a-variation-of-the-original-technique
#9
Jorge F Ramirez Leon, Jose G Rugeles Ortiz, Enrique Osorio Fonseca, Carolina Ramirez Martinez, Gabriel Oswaldo Alonso Cuellar
BACKGROUND: Zygapophysial joint arthrosis is a pathology related with axial lumbar pain. The most accepted treatment, after failure of medical management, is the thermal denervation of the medial branch. Nonetheless, the placement of the heat probe remains a challenge to surgeons, even when using the fluoroscope. Using a variation of Shealy's and Bogduk's original techniques, which includes ablation of the medial branch and the nerves present in the joint capsule, we hypothesize that we can obtain similar outcomes to those found in the literature...
March 2016: Pain Physician
https://www.readbyqxmd.com/read/26463233/a-review-of-percutaneous-techniques-for-low-back-pain-and-neuralgia-current-trends-in-epidural-infiltrations-intervertebral-disk-and-facet-joint-therapies
#10
REVIEW
Dimitrios K Filippiadis, Alexis Kelekis
Low back pain and neuralgia due to spinal pathology are very common symptoms debilitating numerous patients with peak prevalence at ages between 45 and 60 years. Intervertebral discs and facet joints act as pain sources in the vast majority of the cases. Diagnosis is based on the combination of clinical examination and imaging studies. Therapeutic armamentarium for low back pain and neuralgia due to intervertebral discs and/or facet joints includes conservative therapy, injections, percutaneous therapeutic techniques and surgical options...
2016: British Journal of Radiology
https://www.readbyqxmd.com/read/26218948/a-systematic-review-and-best-evidence-synthesis-of-the-effectiveness-of-therapeutic-facet-joint-interventions-in-managing-chronic-spinal-pain
#11
REVIEW
Laxmaiah Manchikanti, Alan D Kaye, Mark V Boswell, Sanjay Bakshi, Christopher G Gharibo, Vahid Grami, Jay S Grider, Sanjeeva Gupta, Sachin Sunny Jha, Dharam P Mann, Devi E Nampiaparampil, Manohar Lal Sharma, Lindsay N Shroyer, Vijay Singh, Amol Soin, Ricardo Vallejo, Bradley W Wargo, Joshua A Hirsch
BACKGROUND: The therapeutic spinal facet joint interventions generally used for the treatment of axial spinal pain of facet joint origin are intraarticular facet joint injections, facet joint nerve blocks, and radiofrequency neurotomy. Despite interventional procedures being common as treatment strategies for facet joint pathology, there is a paucity of literature investigating these therapeutic approaches. Systematic reviews assessing the effectiveness of various therapeutic facet joint interventions have shown there to be variable evidence based on the region and the modality of treatment utilized...
July 2015: Pain Physician
https://www.readbyqxmd.com/read/25679283/long-term-efficacy-and-safety-of-internal-neurolysis-for-trigeminal-neuralgia-without-neurovascular-compression
#12
Andrew L Ko, Alp Ozpinar, Albert Lee, Ahmed M Raslan, Shirley McCartney, Kim J Burchiel
OBJECT Trigeminal neuralgia (TN) occurs and recurs in the absence of neurovascular compression (NVC). While microvascular decompression (MVD) is the most effective treatment for TN, it is not possible when NVC is not present. Therefore, the authors sought to evaluate the safety, efficacy, and durability of internal neurolysis (IN), or "nerve combing," as a treatment for TN without NVC. METHODS This was a retrospective review of all cases of Type 1 TN involving all patients 18 years of age or older who underwent evaluation (and surgery when appropriate) at Oregon Health & Science University between July 2006 and February 2013...
May 2015: Journal of Neurosurgery
https://www.readbyqxmd.com/read/25679159/patient-skin-dose-measurements-using-a-cable-free-system-mosfets-based-in-fluoroscopically-guided-percutaneous-vertebroplasty-percutaneous-disc-decompression-radiofrequency-medial-branch-neurolysis-and-endovascular-critical-limb-ischemia
#13
RANDOMIZED CONTROLLED TRIAL
Maria D Falco, Salvatore Masala, Matteo Stefanini, Roberto Fiori, Roberto Gandini, Paolo Bagalà, Daniele Morosetti, Eros Calabria, Alessia Tonnetti, Gianluca Verona-Rinati, Riccardo Santoni, Giovanni Simonetti
The purpose of this work has been to dosimetrically investigate four fluoroscopically guided interventions: the percutaneous vertebroplasty (PVP), the percutaneous disc decompression (PDD), the radiofrequency medial branch neurolysis (RF) (hereafter named spine procedures), and the endovascular treatment for the critical limb ischemia (CLI). The X-ray equipment used was a Philips Integris Allura Xper FD20 imaging system provided with a dose-area product (DAP) meter. The parameters investigated were: maximum skin dose (MSD), air kerma (Ka,r), DAP, and fluoroscopy time (FT)...
January 8, 2015: Journal of Applied Clinical Medical Physics
https://www.readbyqxmd.com/read/25236160/a-retrospective-review-and-treatment-paradigm-of-interventional-therapies-for-patients-suffering-from-intractable-thoracic-chest-wall-pain-in-the-oncologic-population
#14
REVIEW
Amitabh Gulati, Rajiv Shah, Vinay Puttanniah, Joseph C Hung, Vivek Malhotra
INTRODUCTION: Tumors invading the chest wall and pleura are often incurable, and treatment is targeted toward palliation of symptoms and control of pain. When patients develop tolerance or side effects to systemic opioid therapy, interventional techniques can better optimize a patient's pain. We performed a retrospective review of 146 patients from April 2004 to January 2014 who underwent diagnostic and therapeutic procedures for pain relief. Using four patients as a paradigm for neurolytic approaches to pain relief, we present a therapeutic algorithm for treating patients with intractable thoracic chest wall pain in the oncologic population...
April 2015: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/25191200/radiofrequency-ablation-of-stellate-ganglion-in-a-patient-with-complex-regional-pain-syndrome
#15
Chinmoy Roy, Nilay Chatterjee
Complex regional pain syndrome (CRPS) is characterized by a combination of sensory, motor, vasomotor, pseudomotor dysfunctions and trophic signs. We describe the use of radiofrequency (RF) ablation of Stellate ganglion (SG) under fluoroscopy, for long-term suppression of sympathetic nervous system, in a patient having CRPS-not otherwise specified. Although the effects of thermal RF neurolysis may be partial or temporary, they may promote better conditions toward rehabilitation. The beneficial effect obtained by the RF neurolysis of SG in this particular patient strongly advocates the use of this mode of therapy in patients with CRPS...
July 2014: Saudi Journal of Anaesthesia
https://www.readbyqxmd.com/read/24945285/pulsed-radiofrequency-treatment-of-complex-regional-pain-syndrome-a-case-series
#16
Vladimir Djuric
BACKGROUND: Various forms of sympathetic chain neurolysis (sympathectomy) have, at one time or another, held promise as effective treatment options for complex regional pain syndrome (CRPS). Complications, such as worsening pain and the development of new pain syndromes, have prevented sympathectomy from emerging as a standard intervention. In an effort to avoid poor outcomes associated with neurolysis, pulsed radiofrequency (PRF) has been proposed as a potential treatment alternative for a number of chronic neuropathic pain states, including some forms of CRPS...
July 2014: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/24847538/-new-options-in-the-treatment-of-painful-shoulder-syndrome
#17
J M Esparza Miñana, M Londoño Parra, V L Villanueva Pérez, J De Andrés Ibáñez
Shoulder pain is a common complaint in clinical practice in Primary Care and affects 20% of the general population. The usual form of treatment is based on NSAIDs, rest, rehabilitation and, as an alternative, a local injection into the joint. There are also radiofrequency techniques on the suprascapular nerve in the cases of refractory pain to these therapies. Radiofrequency can be used in two ways: Conventional Radiofrequency, using high temperatures to the target tissue with the aim of producing a thermal neurolysis and Pulsed Radiofrequency where the temperatures are lower and produces a temporary non-destructive blockage; the latter being the most common technique in the management of shoulder pain...
January 2012: Semergen
https://www.readbyqxmd.com/read/24830540/the-role-of-therapeutic-endoscopic-ultrasound-now-and-for-the-future
#18
REVIEW
Vinay Dhir, Rajesh Kumar Paramasivam, Josef Carlo Lazaro, Amit Maydeo
Therapeutic endoscopic ultrasound (EUS) became possible after the advent of the linear echoendoscope and the EUS guided fine needle aspiration. Over the past two decades, the indications for therapeutic EUS have expanded and evidence regarding its utility has been steadily accumulating. Randomized studies have shown EUS to be effective for cancer pain relief (celiac plexus neurolysis), pancreatic fluid collection drainage, and biliary drainage. Prospective studies have shown EUS-guided biliary drainage to be safe and effective in patients with failed ERCP...
September 2014: Expert Review of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/24716880/ct-guided-percutaneous-infrazygomatic-radiofrequency-neurolysis-through-foramen-rotundum-to-treat-v2-trigeminal-neuralgia
#19
Bing Huang, Ming Yao, Zhiying Feng, Jianguo Guo, Arzhang Zereshki, Michael Leong, Xiang Qian
OBJECTIVE: Percutaneous radiofrequency thermocoagulation or neurolysis of Gasserian ganglion through foramen ovale (FO) is the classical approach to treat trigeminal neuralgia (TN). However, it has been technically challenging when individual trigeminal sub-branch nerve block is desired through this approach. We have thus developed a novel computed tomograph-guided technique to block the V2 trigeminal nerve through foramen rotundum (FR). With this technique, we have conducted a study of 27 patients with isolated V2 TN...
August 2014: Pain Medicine: the Official Journal of the American Academy of Pain Medicine
https://www.readbyqxmd.com/read/24317233/magnetic-positioning-system-and-ultrasound-guidance-for-lumbar-zygapophysial-radiofrequency-neurotomy-a-cadaver-study
#20
COMPARATIVE STUDY
Michael Gofeld, Michael N Brown, Laurent Bollag, John G Hanlon, Brian R Theodore
BACKGROUND AND OBJECTIVES: Chronic low back pain related to degenerative spondylosis is commonly managed by the radiofrequency ablation of sensory nerves. Fluoroscopic guidance has been considered mandatory to ensure placement of the active tip of the cannula parallel to the nerve to provide adequate neurolysis. Conversely, analgesic (or diagnostic) blockade is usually accomplished by placing the needle perpendicular to the nerve using either fluoroscopy or ultrasound (US) guidance. The recently introduced disposable equipment of internally cooled radiofrequency allows the denervation procedure to be performed similarly to the routine diagnostic block...
January 2014: Regional Anesthesia and Pain Medicine
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