Güdük ağrısında plus-radyofrekans uygulaması

ABD’ de yaklaşık her yıl 185.000 kişiye ekstremite amputasyonu uygulanmaktadır. Bireylerin çoğunda sonradan ikincil ağrı sendromları; fantom ağrısı, amputasyon sonrası güdük ağrısı ve bel ağrısı gelişmektedir. Yapılan çalışmalara göre amputasyon sonrası ağrı prevalansı %10 ile % 76 arasındadır. Güdük bölgesindeki nöromalara lokal enjeksiyonlar enfeksiyon riskiyle beraber kısa süreli rahatlama sağlayabilir. Güdük ağrısı ile karşılaşıldığında ilk olarak antiepileptik, antidepresan, analjeziklerle kombine ilaç tedavisi uygulanır. Nöropatik ağrı tedavisinde son zamanlarda güvenli klinik bir uygulama olan puls radyofrekans (PRF) uygulama popülarite kazanmıştır çünkü doğal olarak minimal hasar potansiyeli vardır. Bu vaka sunumunda sağ diz üstü amputasyondan 2 yıl sonra güdük ağrısı ile kliniğimize gelen bir olguda PRF uygulamasını ve sonucunu bildirdik.

Pulsed radiofrequency for stump pain

Every year, nearly 185,000 people undergo limb amputation in the United States. Many of these individuals go on to develop secondary pain syndromes such as phantom limb pain, stump pain, and back pain. The prevalence of post-amputation stump pain varies widely from 10% to 76%, depending on the study quoted. Local injections into the stump neuroma commonly render shortterm relief with risk of infection. Furthermore, patients who are considered for surgical neurectomy of the stump are at risk for poor wound healing and infection of the stump. Pharmaceutical agents consisting of a combination of antiepileptic, antidepressants, and analgesics are the first line of management. Pulsed radiofrequency (PRF) has gained popularity in recent years for the treatment of neuropathic pain because of its minimally destructive nature. In this case report we reported our results after PRF application who was admited to our pain clinic with stump pain after 2 years of right leg amputation.

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