Clinical Outcome of Cooled Radiofrequency Ablation in Chronic Knee Pain Osteoarthritis: An Initial Experience from Nepal

  • Anuj Jung Rayamajhi Civil Service Hospital, Kathmandu, Nepal
  • Pawan Kumar Hamal National Academy of Medical Sciences, National Trauma Center, Kathmandu, Nepal
  • Rupesh Kumar Yadav National Academy of Medical Sciences, National Trauma Center, Kathmandu, Nepal
  • Nabin Pokhrel National Academy of Medical Sciences, National Trauma Center, Kathmandu, Nepal
  • Prashanta Paudel Civil Service Hospital, Kathmandu, Nepal
  • Subash Chandra Paudel Civil Service Hospital, Kathmandu, Nepal
  • Bidur Kumar Dhungel Civil Service Hospital, Kathmandu, Nepal
DOI: https://doi.org/10.33314/jnhrc.v19i1.3450

Abstract

Background: Cooled Radiofrequency ablation is a newer technique for management of chronic knee pain in osteoarthritis. The aim of the study is to evaluate the clinical outcomes in patients with chronic osteoarthritis in terms of pain scores for first six months of cooled radiofrequency ablation using ultrasound guidance.
Methods: A cross-sectional study with retrospective review of database was evaluated to analyze the change in the Numerical Rating Scale from baseline scores at 1 day, 1 month and 6 months after the Cooled Radiofrequency ablation of genicular nerves around knee in patients with chronic knee osteoarthritis.
Results: Median age was 71 years [ 61-73 years (IQR: 25-75)] with more female preponderance. Numerical Rating Scale (Mean ± S.D.) was significantly less at 1 day (1.87 ± 1.22), 1 month (3.03 ± 0.99) and 6 months (3.37 ± 1.098) from baseline values (6.77 ± 1.00). No soreness and numbness were noted.
Conclusions: Cooled Radiofrequency using Ultrasound guidance for management of knee pain in chronic osteoarthritis is promising and reduces Numerical Rating Score significantly from baseline at 1 month and 6 months respectively.
Keywords: Cooled radiofrequency ablation; genicular nerve; numeric rating scale

Published
2021-04-23
How to Cite
Rayamajhi, A. J., Hamal, P. K., Yadav, R. K., Pokhrel, N., Paudel, P., Paudel, S. C., & Dhungel, B. K. (2021). Clinical Outcome of Cooled Radiofrequency Ablation in Chronic Knee Pain Osteoarthritis: An Initial Experience from Nepal. Journal of Nepal Health Research Council, 19(1), 175-178. https://doi.org/10.33314/jnhrc.v19i1.3450
Issue
Vol. 19 No. 1 (2021): Vol. 19 No. 1 Issue 50 Jan-Mar 2021
Section
Original Article

Copyright (c) 2021 Anuj Jung Rayamajhi, Pawan Kumar Hamal, Rupesh Kumar Yadav, Nabin Pokhrel, Prashanta Paudel, Subash Chandra Paudel, Bidur Kumar Dhungel

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