Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Ultrasound Guided Cooled Radiofrequency Ablation of Genicular Nerves of Knee for Relief of Intractable Pain From Medial Compartment Osteoathritis Under Spinal Anesthesia
Ravinder Bethi, Kone Rekha, Deepika and Ramesh Gajula
Page: 380-384 | Received 08 Jun 2024, Published online: 26 Jul 2024
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Abstract
The primary objective of this observational study was to evaluate that there is no motor palsy of leg after the procedure in subjects undergoing cooled radiofrequency ablation of genicular nerves of knee in whom there is intractable pain due to medial compartment osteoarthritis under spinal anesthesia .Avoid excessive pain to patient during needling, avoid discomfort to patient during the procedure of cooled radiofrequency ablation by avoiding motor stimulation and elicitation of paresthesia. To evaluate the long‐term outcomes of cooled radiofrequency ablation (CRFA) of superior medial and inferior medial genicular nerves for treatment of chronic knee pain due to medial compartment osteoarthritis. To evaluate the efficacy and safety of CRFA of genicular nerves of medial compartment of knee under spinal anesthesia. The ultrasound guided radiofrequency ablation of superior medial and inferior medial genicular nerves of knee joint was done in patients with grade 3 and grade 4 osteoarthritis of medial compartment of knee, with intractable pain (Numerical Rating Scale >7). who had failed conservative management and intra articular injections after a positive genicular nerve block with local anesthetics. The demographics, pain intensity measured in NRS, Oxford knee score, WOMAC score was measure at baseline and after the procedure. Ultrasound guided radiofrequency ablation of genicular nerves of medial compartment of knee joint under spinal anesthesia is a good alternative option for patient who are having severe pain and disability from medial compartment osteoarthritis. No motor palsy observed in subjects post procedure, has good relief of pain and has high efficacy and safety to do the procedure under spinal anesthesia.
How to cite this article:
Ravinder Bethi, Kone Rekha, Deepika and Ramesh Gajula. Ultrasound Guided Cooled Radiofrequency Ablation of Genicular Nerves of Knee for Relief of Intractable Pain From Medial Compartment Osteoathritis Under Spinal Anesthesia.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.380.384
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.380.384