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Analgesia and Improved Performance in a Patient Treated by Cooled Radiofrequency for Pain and Dysfunction Postbilateral Total Knee Replacement
Author(s) -
Menzies Robert D.,
Hawkins Jeffery K.
Publication year - 2015
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/papr.12292
Subject(s) - medicine , osteoarthritis , total knee replacement , orthopedic surgery , surgery , knee replacement , knee pain , pain management , arthroplasty , physical therapy , anesthesia , alternative medicine , pathology
Abstract Total knee replacement ( TKR ) is a terminal therapy for osteoarthritis ( OA ) of the knee. While TKR results are generally satisfactory, a significant proportion of patients experience persistent pain lasting > 3 months following surgery, even after a technically acceptable operation. Knee pain of any kind post‐ TKR has been reported in up to 53% of patients, while 15% of patients have reported severe pain. Pain post‐ TKR is worse than preoperative pain in 7%, often resulting in surgical revision. The clinical experience of a patient that originally presented to an orthopedic surgeon with OA of both knees demonstrates an alternative relatively noninvasive pain management strategy: cooled radiofrequency ( CRF ) ablation of sensory nerves.