Nöropatik ağrı tedavisinde Pasha-cath uygulaması

Nöropatik ağrı, sinir sisteminin bir kısmının zedelenmesi, fonksiyonun bozulması veya uyarılabilirliğinin değişmesi ile ilgili bir ağrıdır. Kırk dokuz yaşındaki bayan hastanın sağ ön kol kist operasyonu sonrası sağ ön koldan başlayan ağrısı vardı. Vizüel Analog Skala (VAS) skoru 10 olarak değerlendirildi. Medikal tedavide tramadol, gabapentin ve amitriptilin başlandı. Olgunun şikayetlerinin devam etmesi üzerine Pasha-Cath ile epidural pulse radyo frekans tedavisi uygulanmasına karar verildi. Olgu şu an işlem sonrası 2. yılda olup VAS 1-2 olarak devam etmektedir. Sonuç olarak, nöropatik ağrıda medikal tedavinin yetersiz kaldığı durumlarda Pasha-Cath ile epidural pulse radyo frekans uygulamasıyla da etkin bir tedavi sağlanabileceği kanısındayız.

Pasha-cath in the treatment of neuropathic pain

Neuropathic pain, the nerve fibers themselves may be damaged, dysfunctional or injured. A 49-year old female patient experienced right anterior arm pain radiating after the right arm operation. Visual analogue scale (VAS) score was 10. Tramadol, gabapentin and amitriptyline were started as medical treatment. In view of the persisting complaints, epidural pulse radio frequency with Pasha –Cath was scheduled. After 2 years,VAS remained at 1-2. As a result, we concleded that epidural pulse radio frequency with Pasha-Cath is an alternative and effective choice of treatment in neuropathic pain when the medical treatment alone is not sufficient.

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