Raj Mitra1, Afshin Zeighami, Sean Mackey. 1. Stanford University Interventional Spine Center, 300 Pasteur Dr., Edwards Building, Rm. R105B, Stanford, CA 94305, USA. rmitra@stanford.edu
Abstract
BACKGROUND: Ilioinguinal neuropathy is a rare but disabling condition. The condition may arise spontaneously or in the setting of pelvic surgery. To date, most therapeutic options have been limited to neuropathic pain medications, anti-inflammatory medications, nerve blocks with local anesthetics, or neurectomy. Long-term results of non-surgical interventions are fair at best. We present a case of chronic ilioinguinal neuropathy treated with pulsed radiofrequency. OBJECTIVE: To examine the efficacy of pulsed radiofrequency (PRF) lesioning on pain in ilioinguinal neuropathy. METHOD: A 58-year old man with chronic ilioinguinal neuropathy was treated with PRF and was followed for 3 months. RESULTS: The patient had significant pain relief at 3 months follow up. CONCLUSION: Pulsed radiofrequency lesioning may be a good treatment for chronic ilioinguinal neuropathy in cases refractory to conservative management.
BACKGROUND:Ilioinguinal neuropathy is a rare but disabling condition. The condition may arise spontaneously or in the setting of pelvic surgery. To date, most therapeutic options have been limited to neuropathic pain medications, anti-inflammatory medications, nerve blocks with local anesthetics, or neurectomy. Long-term results of non-surgical interventions are fair at best. We present a case of chronic ilioinguinal neuropathy treated with pulsed radiofrequency. OBJECTIVE: To examine the efficacy of pulsed radiofrequency (PRF) lesioning on pain in ilioinguinal neuropathy. METHOD: A 58-year old man with chronic ilioinguinal neuropathy was treated with PRF and was followed for 3 months. RESULTS: The patient had significant pain relief at 3 months follow up. CONCLUSION: Pulsed radiofrequency lesioning may be a good treatment for chronic ilioinguinal neuropathy in cases refractory to conservative management.
Authors: Jan Van Zundert; Anton J A de Louw; Elbert A J Joosten; Alfons G H Kessels; Wiel Honig; Pieter J W C Dederen; Jan G Veening; Johan S H Vles; Maarten van Kleef Journal: Anesthesiology Date: 2005-01 Impact factor: 7.892
Authors: Sergio Alfieri; Fabio Rotondi; Andrea Di Giorgio; Uberto Fumagalli; Antonio Salzano; Dario Di Miceli; Marco Pericoli Ridolfini; Antonio Sgagari; Giovannibattista Doglietto Journal: Ann Surg Date: 2006-04 Impact factor: 12.969