An Alternative Way to Relieve Neuropathic Pain After Total Knee Replacement by Genicular Nerve Radio-Frequency Ablation

Juzaily Fekry Leong*¹, Rizal Abdul Rani¹, Mohd Shahir bin Anuar², Mohamed Ashraff Mohd Ariff¹ and Nor Hamdan Mohd Yahaya¹

Received: September 03, 2018;   Published: October 09, 2018

DOI: 10.26717/BJSTR.2018.09.001845

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Abstract

Total Knee Replacement (TKR) is a treatment of knee osteoarthritis to alleviate pain symptoms and improve physical functioning when other conservative treatments have failed. However, some patients still complaining of persistent post surgical pain (PPSP) after TKR. Although the cause of PPSP is not known, it seems that some of the patients with PPSP after TKR suffer from neuropathic pain. Recently genicular nerve radio-frequency ablation has emerged as an alternative intervention for patients at high risk who are unable to undergo surgical intervention. We have shown from our case, a 69-year old lady who had right total knee replacement presented with neuropathic knee pain has good symptom relieves after undergone radio-frequency ablation.

Keywords :Genicular Nerve; Chronic Pain; Radio-Frequency Ablation; Total Knee Replacement

Abbreviations : TKR: Total Knee Replacement; PPSP: Persistent Post Surgical Pain; RFA: Radio-Frequency Ablation; GN: Genicular Nerve; VAS: Visual Analogue Scale; SL: Superior Lateral; SM: Superior Medial; IM: Inferior Medial

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