Guynn Clay C
Orthopaedics/Sports Medicine Deartment, Sports Medicine South of Gwinnett, Lawrenceville, GA.
Arch Rehabil Res Clin Transl. 2025 Jan 6;7(1):100426. doi: 10.1016/j.arrct.2025.100426. eCollection 2025 Mar.
Spasticity, whether from stroke or spinal cord injury or other causes, remains challenging to treat effectively. Common spasticity treatments such as stretching, physical therapy, injection therapy, and even surgery may not result in optimal or the desired outcomes or be appropriate for all patients. Cryoneurolysis is another potential treatment option for spasticity that may have benefits over traditional spasticity treatments. In this case series, 10 patients received cryoneurolysis of specific nerves to treat either lower or upper-extremity pain, weakness, and spasticity, or a neuropathic gait in an outpatient clinic. All 10 patients experienced immediate improvements that were sustained for 1-12 months after treatment. Cryoneurolysis is a safe and effective treatment for spasticity and can allow for easy access to involved nerves.
痉挛，无论源于中风、脊髓损伤还是其他原因，仍然难以得到有效治疗。常见的痉挛治疗方法，如拉伸、物理治疗、注射治疗，甚至手术，可能无法带来最佳或预期的效果，也并非适用于所有患者。冷冻神经溶解术是痉挛的另一种潜在治疗选择，可能比传统的痉挛治疗方法更具优势。在这个病例系列中，10名患者在门诊接受了特定神经的冷冻神经溶解术，以治疗下肢或上肢疼痛、无力、痉挛或神经性步态。所有10名患者均立即出现改善，且在治疗后持续了1至12个月。冷冻神经溶解术是一种安全有效的痉挛治疗方法，并且能够方便地触及受累神经。
