Email this article Successful use pulsed radiofrequency spinal ganglions in patient with chronic stump pain. Case report
- Authors: Genov P.G.1, Smirnova O.V1, Timerbaev V.H1
-
Affiliations:
- N.V. Sklifosovsky Scientific Research Institute for Emergency Medicine of Health Department of Moscow
- Issue: Vol 10, No 1 (2016)
- Pages: 60-64
- Section: Articles
- URL: https://journals.rcsi.science/1993-6508/article/view/42816
- DOI: https://doi.org/10.18821/1993-6508-2016-10-1-60-64
- ID: 42816
Cite item
Full Text
Abstract
About 50-85% of patients suffer from stump and phantom pain after amputations. These chronic pain conditions are often debilitating and result in disability, sleep and psychosocial disorders, impairment of day-work and the substantial decline in the quality of life. In some patients pharmaceutical therapy may fail to bring satisfactory pain relief or follows severe adverse events. Operations such as rhizotomy, cordotomy and stump revision are often unsuccessful in treating post-amputation chronic pain. The solitary case reports about the using of minimally invasive technique of pulsed radiofrequency (PRF) for treatment of chronic stump and phantom pain have been published only. Our current clinical observation is about successful using of the PRF spinal ganglions in patient with chronic pharmaceutical-resistant post-amputation stump pain.
Full Text
##article.viewOnOriginalSite##About the authors
Pavel G. Genov
N.V. Sklifosovsky Scientific Research Institute for Emergency Medicine of Health Department of Moscow
Email: genov78@yandex.ru
MD, PhD, The Thad of Pain Management Subdivision of Anaesthesiology Department 129010, Moscow
O. V Smirnova
N.V. Sklifosovsky Scientific Research Institute for Emergency Medicine of Health Department of Moscow129010, Moscow
V. H Timerbaev
N.V. Sklifosovsky Scientific Research Institute for Emergency Medicine of Health Department of Moscow129010, Moscow
References
- Hsu E., Cohen S.P. Postamputation pain: epidemiology, mechanisms, and treatment. J Pain Res. 2013; 6: 121-136.
- Mannion S., Chaloner E. Landmines and landmine injuries: an overview. Pain Med. 2006; 7 (Suppl 2): S 199-200.
- Manchikanti L., Singh V. Managing phantom pain. Pain Physician. 2004; 7 (3): 365-375.
- Cohen S.P., Griffith S.R. Dorsal Root Ganglia Radiofrequency Procedures. In: Manchikanti L, Singh V, eds. Interventional Techniques in Chronic Spinal Pain: Maanchikanti, Singh [editors]. Paducah, Ky: American Society of Interventional Pain Physicians; 2007.
- Kajander K.C., Wakisaka S., Bennett G.J. Spontaneous discharge originates in the dorsal root ganglion at the onset of a painful peripheral neuropathy in the rat. Neurosci Lett. 1992; 138 (2): 225-228.
- Waxman S.G. The molecular pathophysiology of pain: abnormal expression of sodium channel genes and its contributions to hyperexcitability of primary sensory neurons. Pain. 1999; Suppl 6: S 133-140.
- Van Zundert J., de Louw A.J., Joosten E.A., Kessels A.G., Honig W., Dederen P.J. et al. Pulsed and continuous radiofrequency current adjacent to the cervical dorsal root ganglion of the rat induces late cellular activity in the dorsal horn. Anesthesiology. 2005; 102 (1): 125-131.
- Higuchi Y., Nashold B.S., Jr., Sluijter M., Cosman E., Pearlstein R.D. Exposure of the dorsal root ganglion in rats to pulsed radiofrequency currents activates dorsal horn lamina I and II neurons. Neurosurgery. 2002; 50 (4): 850-855.
- Gauci C.A., Jankowiak B. Manual of RF techniques: a practical manual of radiofrequency procedures in chronic pain management. Meggen: FlivoPress; 2004.
- Ramanavarapu V., Simopoulos T.T. Pulsed radiofrequency of lumbar dorsal root ganglia for chronic post-amputation stump pain. Pain Physician. 2008; 11 (4): 561-566.
- West M., Wu H. Pulsed radiofrequency ablation for residual and phantom limb pain: a case series. Pain Pract. 2010; 10 (5): 485-491.
- Restrepo-Garces C.E., Marinov A., McHardy P., Faclier G., Avila A. Pulsed radiofrequency under ultrasound guidance for persistent stump-neuroma pain. Pain Pract. 2011; 11(1): 98-102.
