Diz ağrısında plus-radyofrekans uygulaması

Diz osteoartiriti (OA), osteoartirit çeşitlerinden en sık görüleni ve genel popülasyonda sakatlık ve alt ekstremite ağrılarının en sık nedenidir. Diz OA için tedavi; ağrıyı hafişetmek, inşamasyonu azaltmak, sertliği azaltmak, eklem hareketlerini sürdürmek ve gelecekteki deformiteyi önlemek amaçlıdır. ‹ntra-artiküler steroid enjeksiyonu popüler bir uygulamadır fakat sık tekrarlanırsa etkisi kaybolabilir. Biz bu olgu sunumunda diğer medikal tedavilere yanıt vermeyen ve cerrahi tedavileri kabul etmeyen bir hastada puls radyofrekans uygulaması deneyimimizi sunduk.

Pulsed radiofrequency for knee joint pain

Knee osteoarthritis (OA) is the most frequent type of osteoarthritis and is a common cause of lower extremity pain and disability in the general population. Given the lack of a direct cure, treatments for OA of the knee mainly focus on relieving pain, reducing inflammation, decreasing stiffness, maintaining joint mobility, and preventing further deformity. Intra-articular injections can achieve short-term pain relief by lubricating the joint. We present our experience with pulsed radiofrequency in a patient with long-standing arthrogenic pain not responding to medication or denying the surgical options.

PDF

___

1. Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF. The prevalence of knee osteoarthritis in the elderly: the Framingham Study. Arthritis Rheum 1987; 30:914–918.
2. Felson DT. The epidemiology of knee osteoarthritis: results from the Framingham Osteoarthritis Study. Semin Arthritis Rheum 1990; 20:42–50.
3. Park SH, Kim SK, Shin IH, Kim HG, Choe JY. Effects of AIF on Knee Osteoarthritis Patients: Double-blind, Randomized Placebo-controlled Study. Korean J Physiol Pharmacol. 2009;13:33-7.
4. Kean WF, Kean R, Buchanan WW. Osteoarthritis: symptoms, signs and source of pain. Inşammopharmacology 2004;12:3-31.
5. Lansdown H, Howard K, Brealey S, MacPherson H. Acupuncture for pain and osteoarthritis of the knee: a pilot study for an open parallel-arm randomised controlled trial. BMC Musculoskelet Disord. 2009; 24;10:130.
6. Felson DT, Lawrence RC, Hochberg MC, McAlindon T, Dieppe PA, Minor MA, et al. Osteoarthritis: new insights. Part 2: treatment approaches. Ann Intern Med 2000;133:726-37.
7. Towheed TE, Maxwell L, Judd MG, Catton M, Hochberg MC, Wells G. Acetaminophen for osteoarthritis. Cochrane Database Syst Rev January 25, 2006;CD004257.
8. Goodwin JL, Kraemer JJ, Bajwa ZH. The use of opioids in the treatment of osteoarthritis: when, why, and how? Curr Pain Headache Rep 2005;9:390-8.
9. Roskos SE. Intra-articular corticosteroid for treating osteoarthritis of the knee. Am Fam Physician, 2005;72:1222-3.
10. Devos-Comby L, Cronan T, Roesch SC. Do exercise and self management interventions benefit patients with osteoarthritis of the knee? A metaanalytic review. J Rheumatol 2006;33: 744-56.
11. Deyle GD, Allison SC, Matekel RL, Ryder MG, Stang JM, Gohdes DD, et al. Physical therapy treatment effectiveness for osteoarthritis of the knee: a randomized comparison of supervised clinical exercise and manual therapy procedures versus a home exercise program. Phys Ther December 2005;85: 1301-17.
12. Sluijter ME. The role of radiofrequency in failed back surgery patients. Curr Rev Pain 2000; 4:49-53.
13. Sluijter ME, Cosman ER, Rittman WB, Van Kleef M. The effects of pulsed radiofrequency fields applied to the dorsal root ganglion a preliminary report. Pain Clinic 1998;11:109-17.
14. Haguichi Y, Nashold BS, Sluijter M, Comsan E, Pearlstein RD. Exposure of the dorsal root ganglion in rats to pulsed radiofrequency currents activates dorsal horn lamina I and II neurons. Neurosurgery 2002; 50:850-55.
15. Sluijter ME. Radiofrequecy Part 1.Meggen Switzerland :Flivopres 2001.
16. Slappendel R ,Crul BJ ,Braak GJ,et al. The efficacy of radiofrequecy lesioning of the cervical dorsal root ganglion in a double blinded randomized study:nodifferance between 40 C and 67 C treatment. Pain1997;73:159-63.
17. Hong Wu, Groner J. Pulsed radiofrequecy treatment of artikular branches of the obturatuar and femoral verves for management of hip joint pain. Pain Practice 2007; 7:341-4.
18. Akatov OV, Dreval ON. Percutaneous radiofrequecy denetruation of the obtrator nerve for treatment of pain caused buy coxarthrosis. Stereotact Funct Neurosurg.1997; 69:278-80.
19. OJJM Rohof. Radiofrequecy treatment peripheral nerves. Pain Practice 2002; (2)3: 257-60.
20. Heywang - Kobrunner SH, Amaya B, Okoniewski M , Pickuth D, Spielmann RP. CT guied obtrator nerve block for diagnosis and treatment of painful conditions of the hip. Eur radiol. 2001; 11:1047-53.
21. Kullenberg B, Ysberg B, Heilman M, Resch S. Femoral nerve block as pain reli of in hip fracture.Agood alternative in peri operative study. Lakartidningen 2004; 101:2104-7.
22. Malik A, Simopolous T, Elkersh M ,Aner M, Bajwa ZH. Percutaneous radiofrequecy lesioning of sensory branches of the obtrator and femoral nerves for the treatment of non operable hip pain. Pain Physician 2003; 6:499-502.
23. Kawaguchi M, Hashizume K, Iwata T, Furuya H. Percutaneous radiofrequecy lesioning of sensory branches of the obtrator and femoral nerves for the treatment of hip joint pain. Reg Anesth Pain Med.2001;26:576-81.
24. Yamagami H, Shiomi Y, Yanaiya F, Irie M. The effect of radiofrequecy thermocoagulation for knee osteoartiritis. Pain Clinic 2004;125: 1195-9.
25. Alcidi L, Bneforti E, Maresca M, Santosuosso U. Low power radiofrequecy electromagnetic radiation for the treatment of pain due to osteoarthritis of the knee. Reumatismo 2007;59:140-5.