Hasoon Jamal, Chitneni Ahish, Urits Ivan, Viswanath Omar, Kaye Alan D
Department of Anesthesia, Critical Care and Pain Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, USA.
Department of Anesthesiology, A.T. Still University School of Medicine, Mesa, USA.
Cureus. 2021 Apr 29;13(4):e14753. doi: 10.7759/cureus.14753.
Chronic knee pain continues to cause increasing levels of functional deficits, mobility issues, and decreased quality of life in the United States. Initial treatment for knee pain consists of physical therapy, weight loss, medication management, injections, and radiofrequency ablation (RFA). Definitive treatment usually requires surgical management. Peripheral nerve stimulation (PNS) has been effective in the treatment of a variety of chronic pain conditions including the treatment of postoperative pain related to knee surgery. We describe the case of a patient who refused operative management as well as RFA of the genicular nerves and obtained significant pain relief from PNS of the superior lateral genicular nerve and the saphenous nerve for severe knee pain caused by osteoarthritis.
在美国，慢性膝关节疼痛持续导致功能缺陷、行动不便以及生活质量下降的情况日益增多。膝关节疼痛的初始治疗包括物理治疗、减肥、药物管理、注射以及射频消融（RFA）。确定性治疗通常需要手术管理。周围神经刺激（PNS）已被证明对治疗多种慢性疼痛有效，包括与膝关节手术相关的术后疼痛。我们描述了一例患者，该患者拒绝手术治疗以及膝神经的射频消融，通过对膝上外侧神经和隐神经进行周围神经刺激，获得了显著的疼痛缓解，该患者因骨关节炎导致严重膝关节疼痛。
