Treatment of Bilateral Refractory Saphenous Nerve Entrapment Neuropathy with Pulsed Radiofrequency. | [Anaesthesia, Pain and Intensive Care • 2018]

Author(s):

1. Rajendra Kumar Sahoo: Virinchi Pain Management Centre, Virinchi Hospitals, Virinchi Circle, Hyderabad, Telangana, India

2. Muralidhar Joshi: Virinchi Pain Management Centre, Virinchi Hospitals, Virinchi Circle, Hyderabad, Telangana, India

3. Sachin Dileep Joshi: Virinchi Pain Management Centre, Virinchi Hospitals, Virinchi Circle, Hyderabad, Telangana, India

4. Umamaheshwara Rao W: Virinchi Pain Management Centre, Virinchi Hospitals, Virinchi Circle, Hyderabad, Telangana, India

Abstract:

The application of conventional radiofrequency (CRF) has been successfully used in many chronic pain conditions. Because of its neurodestructive efect, it can cause serious deaferantation sequelae in peripheral sensory neuropathies. Recently, pulsed radiofrequency (PRF) has generated enormous interest among interventional pain physicians for peripheral neuropathies because of its neuromodulatory efect. A 74-year-old male patient, came to our pain clinic with bilateral distal medial thigh pain for more than 10 years which was severe and refractory to medical management and other interventions. He had undergone multiple diagnostic tests and imaging, but the cause was not established. Finally, a diagnostic saphenous nerve block with local anesthetic and steroid provided almost complete relief for couple of days. Subsequently, PRF of bilateral saphenous nerve provided him excellent long-lasting pain relief. This case report highlights the importance of having high index of suspicion for entrapment neuropathy and a simple diagnostic nerve block can either confirm or refute the diagnosis. In other words, an early diagnosis and treatment can be started and unnecessary tests can be avoided.

Page(s): 109-111

DOI: DOI not available

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 22, Issue: 1, Year: 2018

Keywords:

Keywords are not available for this article.

References:

[1] PendergrassTL,MooreJH, 2004.Saphenous neuropathy following medial knee trauma,J Orthop Sports Phys Ther 34 328 -334

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[3] WorthRM,KettelkampDB,DefalqueRJ,DuaneKU, .Saphenous nerve entrapment - A cause of medial knee pain,Am J Sports Med. -

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