Fahrettin KIRÇİÇEK, Miraç ALASU, Pakize KIRDEMİR

KRONİK TOPUK AĞRISI OLAN HASTALARA ULTRASONOGRAFİ EŞLİĞİNDE UYGULANAN POSTERİOR TİBİAL VE SURAL SİNİR PULSED RADYOFREKANS İŞLEMİNİN ETKİNLİĞİ

Amaç Bu çalışmanın amacı kronik topuk ağrısı olan hastalara ultrasonografi (USG) eşliğinde uygulanan posterior tibial ve sural sinir pulsed radyofrekans (PRF) işleminin ağrı skoruna ve günlük aktiviteye etkisini değerlendirmek Gereç ve Yöntem Kronik topuk ağrısı olan ve USG ile posterior tibial ve sural sinir PRF işlemi uygulanmış 21 hastanın verileri tarandı. Ağrı değerlendirmesi için sayısal değerlendirme ölçeği (NRS) ve fonksiyonel kapasite için Amerikan Ortopedik Ayak-Ayak Bileği Derneği (AOFAS) skoru kullanıldı. İşlemden önceki değerler ile işlemden sonraki 1., 3., 6. aylardaki değerler karşılaştırıldı. Bulgular Çalışmaya dahil edilen hastaların demografik verilerine bakıldığında yaş ortalamaları 51,80±10,87’di. 15 kadın 6 erkek olmak üzere toplam 21 hasta çalışmaya dahil edildi. Hastaların posterior tibial ve sural sinir PRF işlemi öncesi NRS değerleri ortalama 8,47±0,60, AOFAS ortalama değerleri 46,71±5,28’di. Hastaların posterior tibial ve sural sinir PRF işlemi sonrası 1., 3., 6. aylardaki NRS ve AOFAS değerleri, işlem öncesi NRS ve AOFAS değerleri ile kıyaslandığında istatistiksel olarak anlamlı düşük bulundu. Sonuç Kronik topuk ağrısı olan hastalara USG eşliğinde uygulanan posterior tibial sinir ve sural sinir PRF işleminin 6 aylık periyotta hem ağrıya hem de günlük aktiviteler üzerine olumlu etkisi olduğunu gözlemledik.

Anahtar Kelimeler:

topuk ağrısı, pulsed radyofrekans, posterior tibial sinir, sural sinir

EFFICIENCY OF ULTRASOUND GUIDED PULSED RADIOFREQUENCY OF POSTERIOR TIBIAL AND SURAL NERVE IN PATIENTS WITH CHRONIC HEEL PAIN

Objective The aim of this study is to evaluate the effect of ultrasonography (USG) guided posterior tibial and sural nerve pulsed radiofrequency (PRF) treatment on pain score and daily activity in patients with chronic heel pain. Materials and Methods The data of 21 patients with chronic heel pain who underwent posterior tibial and sural nerve pulsed rf with USG were scanned. Numerical rating scale (NRS) was used for pain assessment and American Orthopedic Foot-Ankle Association (AOFAS) score was used for functional capacity. The values before the procedure and the 1, 3, 6 months after the procedure were compared. Results The demographic data of the patients included in the study, the mean age was 51.80±10.87 years. A total of 21 patients, 15 females and 6 males, were included in the study. The NRS and AOFAS values of the patients 1, 3, 6 months after the posterior tibial and sural nerve PRF procedure were found to be statistically significantly lower when compared to the pre-procedural NRS and AOFAS values. Conclusion We observed that the USG guided posterior tibial nerve and sural nerve PRF treatment in patients with chronic heel pain were positive effect on both pain and daily activities in a 6-month period.

Keywords:

heel pain, pulsed radiofrequency, posterior tibial nerve, sural nerve,

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