Radiofrequency therapy (RF) is the latest method used in pain management.
High-frequency electrical current shuts off fragments of pain-conducting nerves. RF eliminates pain with no permanent damage to the nerve tissue. The procedure is performed under local anaesthesia. The decision to perform RF is not made during the first visit, which usually lasts 1 – 1.5 hour, but on the next appointment.
PRF is not destructive
PRF can be carried out without any damage to nerves containing motor fibres, PRF is beneficial in neuropathic pain
We devote great attention to the interview with the patient in order to elicit detailed information on the nature of the experienced pain (patients are also asked to take all their medical documentation on the first visit). Prior to radiofrequency therapy a diagnostic blockade is required.
As the next step, the patient should record any occurrence of pain, as well as its severity on daily basis until the next visit. Pain intensity is assessed on a conventional scale 0-10, where 0 means “no pain”, and 10 means “unbearable pain”. If the blockade is effective, radiofrequency therapy can be performed.
RF is not performed in diseases in the acute stage or right after recovery. Moreover, after a heart attack or stroke the patient should wait about 3 months. Old age is not an obstacle to the procedure. Medical consultation is required in case of coagulation disorders, infections, decreased immunity, or use of anticoagulants.
We also use pulse radiofrequency therapy (PRF), which is recommended in:
- Neuralgia of CN V
- Cluster headache
- Osteoarthritis of the spine joints and sacroiliac joints
- Degenerative changes in joints, e.g. knee, hip and ankle joints..
- Degenerative disease of intervertebral discs
- Visceral pain
- Anal pain
Pulse radiofrequency therapy (PRF) of the peripheral nerves:
- Peripheral branches of CN V
- Occipital nerves
- Suprascapular nerve
- Intercostal nerves
- Genitofemoral nerve
- Iliohypogastric nerve
- Lateral cutaneous nerve of thigh
- Pudendal nerve
- Patellofemoral nerves
- Stump pain – neuroma
- Phantom pain
- Pain syndrome after mastectomy and thoracotomy (intercostal nerves)
- Pain after inguinal hernia surgery
- Tennis elbow, golfer’s elbow