Percutaneous Radiofrequency Lesioning of Sensory Branches of the Obturator and Femoral Nerves for the Treatment of Hip Joint Pain
- 1 November 2001
- journal article
- Published by BMJ in Regional Anesthesia & Pain Medicine
- Vol. 26 (6), 576-581
- https://doi.org/10.1097/00115550-200111000-00016
Abstract
The sensory innervation of the hip joint includes the sensory articular branches of the obturator and femoral nerves. In this report, we retrospectively evaluated 14 cases in which hip joint pain was treated by percutaneous radiofrequency lesioning of sensory branches of obturator and/or femoral nerves. Fourteen patients who had hip joint pain and underwent percutaneous radiofrequency lesioning of sensory branches of obturator and/or femoral nerves were studied. In all cases, intra-articular hip joint block or articular branch block of obturator nerve with local anesthesia was transiently effective. Radiofrequency lesioning was performed at 75[deg] C to 80[deg] C for 90 seconds using an RFG-3B generator and Sluijter-Mehta cannulae kit (Radionics, Burlington, MA) for the obturator nerve in 9 patients and for both the obturator and femoral nerves in 5 patients. To assess pain intensity, a visual analog scale (VAS) was used. The VAS scores before and after the radiofrequency lesioning were 6.8 [plusmn] 0.9 and 2.7 [plusmn] 1.3, respectively. Twelve patients (86%) reported at least 50% relief of pain for 1 to 11 months. There were no side effects or motor weakness observed. Percutaneous radiofrequency lesioning of sensory branches of the obturator and femoral nerves is an alternative treatment in patients with hip joint pain, especially in those where operation is not applicable. Reg Anesth Pain Med 2001;26:576-581.Keywords
This publication has 11 references indexed in Scilit:
- A prospective, longitudinal study on patients with trigeminal neuralgia who underwent radiofrequency thermocoagulation of the Gasserian ganglionPain, 1999
- Diagnostic value of intra-articular anaesthetic in primary osteoarthritis of the hipThe Journal of Bone and Joint Surgery. British volume, 1998
- The sensory innervation of the hip joint - an anatomical studySurgical and Radiologic Anatomy, 1997
- Percutaneous Radiofrequency Destruction of the Obturator Nerve for Treatment of Pain Caused by CoxarthrosisStereotactic and Functional Neurosurgery, 1997
- Diagnostic obturator nerve block for inguinal and back pain: a recovered opinionPain, 1996
- Comparison of Surgical Treatments for Trigeminal Neuralgia: Reevaluation of Radiofrequency RhizotomyNeurosurgery, 1996
- New Approach to the Pain of the Hip JointPain Research, 1993
- Long-Term Results of Percutaneous Retrogasserian Thermorhizotomy for “Essential” Trigeminal Neuralgia: Considerations in 1000 Consecutive PatientsNeurosurgery, 1990
- Regional hip blockade in osteoarthrosisAnaesthesia, 1982
- Regional hip blockade.Anaesthesia, 1976