Our experience in the application of radiofrequency neuroablation in patients with coxalgia against the background of degenerative osteoarthrosis of the hip joint


  • I. V. Roy State Institution “Institute of Traumatology and Orthopedics of National Academy of Medical Sciences of Ukraine”, Kyiv, Ukraine
  • Ya. V. Fischenko State Institution “Institute of Traumatology and Orthopedics of National Academy of Medical Sciences of Ukraine”, Kyiv, Ukraine
  • S. P. Chernobay State Institution “Institute of Traumatology and Orthopedics of National Academy of Medical Sciences of Ukraine”, Kyiv, Ukraine




radiofrequency neuroablation, degenerative osteoarthrosis, coxalgia


The article is concerned with the treatment of coxalgia against the background of degenerative-dystrophic diseases of the hip joint. The author carried out an analysis of foreign studies concerning with the application of radiofrequency neural ablation for the hip joint nerves. Based on the results of our own research, the author has proved that radiofrequency neuroablation of articular nervule of obturator and femoral nerves is an effective treatment of coxalgia pain syndrome against the background of degenerative osteoarthrosis


Download data is not yet available.


Gajko GV, Brusko AT, Lymar EV. Osteoartroz – novij pidhid do jogo profilaktiki (Osteoarthritis - a new approach to its prophylaxis). Visnik ortopediyi, travmatologiyi ta protezuvannya. 2005;2:5–11. (In Ukrainian)

Murphy L, Helmick CG. The Impact of Osteoarthritis in the United States. Orthopaedic Nursing [Internet]. Ovid Technologies (Wolters Kluwer Health); 2012;31(2):85–91. Available from: https://doi.org/10.1097/nor.0b013e31824fcd42 DOI: https://doi.org/10.1097/NOR.0b013e31824fcd42

Gupta S, Hawker GA, Laporte A, Croxford R, Coyte PC. The economic burden of disabling hip and knee osteoarthritis (OA) from the perspective of individuals living with this condition. Rheumatology [Internet]. Oxford University Press (OUP); 2005 Aug 9;44(12):1531–7. Available from: https://doi.org/10.1093/rheumatology/kei049 DOI: https://doi.org/10.1093/rheumatology/kei049

JORDAN JM, HELMICK CG, RENNER JB, LUTA G, DRAGOMIR AD, WOODARD J, et al. Prevalence of Hip Symptoms and Radiographic and Symptomatic Hip Osteoarthritis in African Americans and Caucasians: The Johnston County Osteoarthritis Project. The Journal of Rheumatology [Internet]. The Journal of Rheumatology; 2009 Mar 13;36(4):809–15. Available from: https://doi.org/10.3899/jrheum.080677 DOI: https://doi.org/10.3899/jrheum.080677

Lawrence RC, Felson DT, Helmick CG, Arnold LM, Choi H, Deyo RA, et al. Estimates of the prevalence of arthritis and other rheumatic conditions in the United States: Part II. Arthritis & Rheumatism [Internet]. Wiley; 2007;58(1):26–35. Available from: https://doi.org/10.1002/art.23176 DOI: https://doi.org/10.1002/art.23176

Suri P, Morgenroth DC, Hunter DJ. Epidemiology of Osteoarthritis and Associated Comorbidities. PM&R [Internet]. Wiley; 2012 May;4:S10–S19. Available from: https://doi.org/10.1016/j.pmrj.2012.01.007 DOI: https://doi.org/10.1016/j.pmrj.2012.01.007

Gajko GV, Kalashnikov OV, Chalaiduk TP. Diagnostichno-prognostichnij algoritm progresuvannya osteoartrozu kulshovogo sugloba (Diagnostic-prognostic algorithm for the progression of arthroplasty osteoarthritis). Ukrayinskij morfologichnij almanah. 2013;11(1):58–61. (In Ukrainian)

Grayson CW, Decker RC. Total Joint Arthroplasty for Persons With Osteoarthritis. PM&R [Internet]. Wiley; 2012 May;4:S97–S103. Available from: https://doi.org/10.1016/j.pmrj.2012.02.018 DOI: https://doi.org/10.1016/j.pmrj.2012.02.018

Desmeules F, Dionne CE, Belzile ÉL, Bourbonnais R, Frémont P. The impacts of pre-surgery wait for total knee replacement on pain, function and health-related quality of life six months after surgery. Journal of Evaluation in Clinical Practice [Internet]. Wiley; 2010 Oct 12;18(1):111–20. Available from: https://doi.org/10.1111/j.1365-2753.2010.01541.x DOI: https://doi.org/10.1111/j.1365-2753.2010.01541.x

Vincent HK, Heywood K, Connelly J, Hurley RW. Obesity and Weight Loss in the Treatment and Prevention of Osteoarthritis. PM&R [Internet]. Wiley; 2012 May;4:S59–S67. Available from: https://doi.org/10.1016/j.pmrj.2012.01.005 DOI: https://doi.org/10.1016/j.pmrj.2012.01.005

Brakke R, Singh J, Sullivan W. Physical Therapy in Persons With Osteoarthritis. PM&R [Internet]. Wiley; 2012 May;4:S53–S58. Available from: https://doi.org/10.1016/j.pmrj.2012.02.017 DOI: https://doi.org/10.1016/j.pmrj.2012.02.017

Segal NA. Bracing and Orthoses: A Review of Efficacy and Mechanical Effects for Tibiofemoral Osteoarthritis. PM&R [Internet]. Wiley; 2012 May;4:S89–S96. Available from: https://doi.org/10.1016/j.pmrj.2012.01.018 DOI: https://doi.org/10.1016/j.pmrj.2012.01.018

Cheng DS, Visco CJ. Pharmaceutical Therapy for Osteoarthritis. PM&R [Internet]. Wiley; 2012 May;4:S82–S88. Available from: https://doi.org/10.1016/j.pmrj.2012.02.009 DOI: https://doi.org/10.1016/j.pmrj.2012.02.009

Hameed F, Ihm J. Injectable Medications for Osteoarthritis. PM&R [Internet]. Wiley; 2012 May;4:S75–S81. Available from: https://doi.org/10.1016/j.pmrj.2012.02.010 DOI: https://doi.org/10.1016/j.pmrj.2012.02.010

Vora A, Borg-Stein J, Nguyen RT. Regenerative Injection Therapy for Osteoarthritis: Fundamental Concepts and Evidence-Based Review. PM&R [Internet]. Wiley; 2012 May;4:S104–S109. Available from: https://doi.org/10.1016/j.pmrj.2012.02.005 DOI: https://doi.org/10.1016/j.pmrj.2012.02.005

Cohen SP, Williams KA, Kurihara C, et al. Multicenter, randomized, comparative cost-effectiveness study comparing 0, 1, and 2 diagnostic medial branch (facet joint nerve) block treatment paradigms before lumbar facet radiofrequency denervation. Anesthesiology 2010;113(2):395–405. The Spine Journal [Internet]. Elsevier BV; 2011 Mar;11(3):251–251. Available from: https://doi.org/10.1016/j.spinee.2011.01.003 DOI: https://doi.org/10.1016/j.spinee.2011.01.003

Rambaransingh B, Stanford G, Burnham R. The Effect of Repeated Zygapophysial Joint Radiofrequency Neurotomy on Pain, Disability, and Improvement Duration. Pain Medicine [Internet]. Oxford University Press (OUP); 2010 Sep;11(9):1343–7. Available from: https://doi.org/10.1111/j.1526-4637.2010.00923.x DOI: https://doi.org/10.1111/j.1526-4637.2010.00923.x

Racz G, Noe CE. Techniques of neurolysis. Switzerland: Springer; 2016. DOI: https://doi.org/10.1007/978-3-319-27607-6

Kellgren JH, Lawrence JS. Radiological Assessment of Osteo-Arthrosis. Annals of the Rheumatic Diseases [Internet]. BMJ; 1957 Dec 1;16(4):494–502. Available from: https://doi.org/10.1136/ard.16.4.494 DOI: https://doi.org/10.1136/ard.16.4.494

Malik A, Simopolous T, Elkersh M, Aner M, Bajwa ZH. Percutaneous radiofrequency lesioning of sensory branches of the obturator and femoral nerves for the treatment of non-operable hip pain. Pain Physician. 2003 Oct;6(4):499-502.

Camitz H. Die Deformierende Hüftgelenksarthritis und Speziell IHRE Behandlung. Acta Orthopaedica Scandinavica [Internet]. Informa UK Limited; 1933 Jan;4(3):193–213. Available from: https://doi.org/10.3109/17453673308988867 DOI: https://doi.org/10.3109/17453673308988867

Mol W. De resectie van den nervus obturatorius bij arthritis deformans van hel heupgewricht. Ned Tijdschr Geneeskd. 1935;79:850-5.

Tavernier L, Godinot C, Tavernier L. L. Tavernier,... et Ch. Godinot,... Traitement chirurgical de l'arthrite sèche de la hanche. Suivi de Travaux de la clinique orthopédique de la Faculté de Lyon. Masson; 1945.

MULDER JD. Denervation of the hip joint in osteoarthritis. J Bone Joint Surg Br. 1948 Aug;30B(3):446-8. DOI: https://doi.org/10.1302/0301-620X.30B3.446

Obletz BE, Lockie LM, Hyman I. Early effects of partial sensory denervation of the hip for relief of pain in chronic arthritis. The Journal of Bone & Joint Surgery [Internet]. Ovid Technologies (Wolters Kluwer Health); 1949 Oct;31(4):805–14. Available from: https://doi.org/10.2106/00004623-194931040-00012 DOI: https://doi.org/10.2106/00004623-194931040-00012

Gupta G, Radhakrishna M, Etheridge P, Besemann M, Finlayson RJ. Radiofrequency denervation of the hip joint for pain management: case report and literature review. US Army Med Dep J. 2014 Apr 1;2014:41-51.

Bołoczko S, Bieniecki M. [Resection of the obturator nerve for analgesic treatment of degenerative-deforming changes of the hip joint]. Chir Narzadow Ruchu Ortop Pol. 1990;55(4-6):387-90.

Liebolt FL, Beal JM, Speer DS. Obturator neurectomy for painful hip. The American Journal of Surgery [Internet]. Elsevier BV; 1950 Mar;79(3):427–31. Available from: https://doi.org/10.1016/0002-9610(50)90232-7 DOI: https://doi.org/10.1016/0002-9610(50)90232-7

JAMES CDT, LITTLE TF. Regional hip blockade. Anaesthesia [Internet]. Wiley; 1976 Oct;31(8):1060–7. Available from: https://doi.org/10.1111/j.1365-2044.1976.tb11945.x DOI: https://doi.org/10.1111/j.1365-2044.1976.tb11945.x

Heywang-Köbrunner SH, Amaya B, Okoniewski M, Pickuth D, Spielmann R-P. CT-guided obturator nerve block for diagnosis and treatment of painful conditions of the hip. European Radiology [Internet]. Springer Science and Business Media LLC; 2001 May;11(6):1047–53. Available from: https://doi.org/10.1007/s003300000682 DOI: https://doi.org/10.1007/s003300000682

EDMONDS-SEAL J, TURNER A, KHODADADEH S, BADER DL, FULLER DJ. Regional hip blockade in osteoarthrosis. Anaesthesia [Internet]. Wiley; 1982 Feb;37(2):147–51. Available from: https://doi.org/10.1111/j.1365-2044.1982.tb01055.x DOI: https://doi.org/10.1111/j.1365-2044.1982.tb01055.x

Okada K. New Approach to the Pain of the Hip Joint. PAIN RESEARCH [Internet]. Japanese Association for the Study of Pain; 1993;8(2):125–35. Available from: https://doi.org/10.11154/pain.8.125 DOI: https://doi.org/10.11154/pain.8.125

Rivera F, Mariconda C, Annaratone G. Percutaneous Radiofrequency Denervation in Patients With Contraindications for Total Hip Arthroplasty. Orthopedics [Internet]. SLACK, Inc.; 2012 Mar 7; Available from: https://doi.org/10.3928/01477447-20120222-19 DOI: https://doi.org/10.3928/01477447-20120222-19

Locher S, Burmeister H, Böhlen T, Eichenberger U, Stoupis C, Moriggl B, et al. Radiological Anatomy of the Obturator Nerve and Its Articular Branches: Basis to Develop a Method of Radiofrequency Denervation for Hip Joint Pain. Pain Medicine [Internet]. Oxford University Press (OUP); 2008 Apr;9(3):291–8. Available from: https://doi.org/10.1111/j.1526-4637.2007.00353.x DOI: https://doi.org/10.1111/j.1526-4637.2007.00353.x

Kawaguchi M. Percutaneous radiofrequency lesioning of sensory branches of the obturator and femoral nerves for the treatment of hip joint pain. Regional Anesthesia and Pain Medicine [Internet]. BMJ; 2001 Nov;26(6):576–81. Available from: https://doi.org/10.1053/rapm.2001.26679 DOI: https://doi.org/10.1053/rapm.2001.26679

Wu H, Groner J. Pulsed Radiofrequency Treatment of Articular Branches of the Obturator and Femoral Nerves for Management of Hip Joint Pain. Pain Practice [Internet]. Wiley; 2007 Dec;7(4):341–4. Available from: https://doi.org/10.1111/j.1533-2500.2007.00151.x DOI: https://doi.org/10.1111/j.1533-2500.2007.00151.x

Chaiban G, Paradis T, Atallah J. Use of Ultrasound and Fluoroscopy Guidance in Percutaneous Radiofrequency Lesioning of the Sensory Branches of the Femoral and Obturator Nerves. Pain Practice [Internet]. Wiley; 2013 May 9;14(4):343–5. Available from: https://doi.org/10.1111/papr.12069 DOI: https://doi.org/10.1111/papr.12069

Nosaka S, Fukui S. Successful relief of hip joint pain by percutaneous radiofrequency nerve thermocoagulation in a patient with contraindications for hip arthroplasty. Journal of Anesthesia [Internet]. Springer Science and Business Media LLC; 2001 Aug 1;15(3):173–5. Available from: https://doi.org/10.1007/s005400170023 DOI: https://doi.org/10.1007/s005400170023

Shin KM, Nam SK, Yang MJ, Hong SJ, Lim SY, Choi YR. Radiofrequency Lesion Generation of the Articular Branches of the Obturator and Femoral Nerve for Hip Joint Pain -A case report-. The Korean Journal of Pain [Internet]. Korean Pain Society (KAMJE); 2006;19(2):282. Available from: https://doi.org/10.3344/kjp.2006.19.2.282 DOI: https://doi.org/10.3344/kjp.2006.19.2.282

Gupta G, Radhakrishna M, Etheridge P, Besemann M, Finlayson RJ. Radiofrequency denervation of the hip joint for pain management: case report and literature review. US Army Med Dep J. 2014 Apr-Jun:41-51.

Akatov OV, Dreval ON. Percutaneous Radiofrequency Destruction of the Obturator Nerve for Treatment of Pain Caused by Coxarthrosis. Stereotactic and Functional Neurosurgery [Internet]. S. Karger AG; 1997;69(1-4):278–80. Available from: https://doi.org/10.1159/000099888 DOI: https://doi.org/10.1159/000099888

Gardner E. The innervation of the hip joint. The Anatomical Record [Internet]. Wiley; 1948 Jul;101(3):353–71. Available from: https://doi.org/10.1002/ar.1091010309 DOI: https://doi.org/10.1002/ar.1091010309

Cosman Jr. ER, Gonzalez CD. Bipolar Radiofrequency Lesion Geometry: Implications for Palisade Treatment of Sacroiliac Joint Pain. Pain Practice [Internet]. Wiley; 2011 Jan;11(1):3–22. Available from: https://doi.org/10.1111/j.1533-2500.2010.00400.x DOI: https://doi.org/10.1111/j.1533-2500.2010.00400.x

Burnham R. Radiofrequency sensory ablation as a treatment for symptomatic unilateral lumbosacral junction pseudarticulation (Bertolotti's syndrome): a case report. Pain Medicine. 2010 Jun 1;11(6):853-5. Available from: https://doi.org/10.1111/j.1526-4637.2010.00869.x DOI: https://doi.org/10.1111/j.1526-4637.2010.00869.x

Birnbaum K, Prescher A, Heßler S, Heller K-D. The sensory innervation of the hip joint - an anatomical study. Surgical and Radiologic Anatomy [Internet]. Springer Science and Business Media LLC; 1997 Nov;19(6):371–5. Available from: https://doi.org/10.1007/bf01628504 DOI: https://doi.org/10.1007/BF01628504

Lewis WH. Gray’s Anatomy of the Human Body 41th Edition. Elsevier: S. Standring; 2015. 1584 p.

CORBIN KB. Alterations in the hip joint after deafferentation. Archives of Surgery [Internet]. American Medical Association (AMA); 1937 Dec 1;35(6):1145. Available from: https://doi.org/10.1001/archsurg.1937.01190180117009 DOI: https://doi.org/10.1001/archsurg.1937.01190180117009

Corbin KB, Hinsey JC. Influence of the nervous system on bone and joints. The Anatomical Record [Internet]. Wiley; 1939 Nov;75(3):307–17. Available from: https://doi.org/10.1002/ar.1090750305 DOI: https://doi.org/10.1002/ar.1090750305

Schiltenwolf M, Fischer C, Choi WJ et al. Radiofrequency treatment relieves chronic knee osteoarthritis pain: a double-blind randomized controlled trial. Pain 2011; 152: 481–7. Pain [Internet]. Ovid Technologies (Wolters Kluwer Health); 2011 Aug;152(8):1933–4. Available from: https://doi.org/10.1016/j.pain.2011.05.031 DOI: https://doi.org/10.1016/j.pain.2011.05.031

Our experience in the application of radiofrequency neuroablation in patients with coxalgia against the background of degenerative osteoarthrosis of the hip joint



How to Cite

Roy IV, Fischenko YV, Chernobay SP. Our experience in the application of radiofrequency neuroablation in patients with coxalgia against the background of degenerative osteoarthrosis of the hip joint. PMJUA [Internet]. 2018 Aug. 1 [cited 2023 Feb. 8];3(2):53-61. Available from: https://painmedicine.org.ua/index.php/pnmdcn/article/view/101



Original article

Most read articles by the same author(s)