The use of radiofrequency ablation (RFA) procedures to treat chronic knee pain has surged in the past decade, though many questions remain regarding anatomical targets, selection criteria, and evidence for effectiveness.

For patients with knee osteoarthritis (OA), radiofrequency ablation may reduce pain and improve function compared to other nonsurgical interventions without increasing adverse events. There is insufficient evidence to suggest that radiofrequency ablation reduces pain or improves function among patients with chronic hip pain.

2022年3月14日 · Radiofrequency ablation is often used to manage pain originating from joints (such as your knee) and oftentimes related to pain from your spine, especially your neck and lower back (lumbar area of your spine). Within your spine, nerves branch off from your spinal cord and travel to the facet joints and sacroiliac joints.

Radiofrequency ablation (RFA) uses radio waves to create a heat lesion around the genicular nerves. The genicular nerves are responsible for carrying pain signals from the knee to the brain. Usually performed under local anesthesia, a needle is guided to the genicular nerves using real-time X-ray technology.

Genicular nerve radiofrequency ablation (GNRFA), including conventional, cooled, and pulsed techniques, has been used in the management of symptomatic knee osteoarthritis (OA). This new and innovative treatment option has the capacity to decrease pain and improve function and quality of life in certain patients.

Radiofrequency ablation (RFA) is a way to treat pain without surgery. It uses an electric current to block or “turn off” painful nerves. The doctor uses both ultrasound (sound waves) and to guide the process. How is it used for knee pain? RFA can be directed to the main nerves that send pain signals from the knee to the brain.

Chen AF, Khalouf F, Zora K, DePalma M, Kohan L, Guirguis M, et al. Cooled radiofrequency ablation compared with a single injection of hyaluronic acid for chronic knee pain: a multicenter, randomized clinical trial demonstrating greater efficacy and equivalent safety for cooled radiofrequency ablation. Journal of Bone and Joint Surgery.

Describe the innervation of the knee joint and outline neural targets for radiofrequency ablation (RFA) for relieving pain from osteoarthritis of the knee joint. Illustrate anatomical targets under fluoroscopy and ultrasound guidance. Discuss the various available RFA modalities for denervating the knee joint.

2022年1月15日 · Most of the obtained evidence suggests that RFA can be a safe and effective treatment for both knee pain reduction and knee functional improvement lasting between 3 and 12 months. The advent of CRF ablation and nonablative PRF therapy has further broadened the clinical utility of RF for chronic pain states, expanding beyond facet-joint-mediated ...

2024年10月22日 · Genicular radiofrequency ablation (RFA) is a minimally invasive procedure that alleviates chronic knee pain by disrupting pain signals. It involves using radiofrequency energy to heat and destroy sensory nerves around the knee joint.