Therapeutic and diagnostic blockade of the knee joint as a component of pain management in gonarthrosis and a predictor of further successful radio-frequent denervation of the joint
Keywords:osteoarthritis (OA) of the knee joint, diagnostic genicular nerve block, radiofrequency ablative denervation (RFA), dereception, ablation, neurotomy
According to WHO data, there has been a change in the morbidity structure in the past decades. The number of people with chronic pain syndrome (CPS) is increasing progressively.
This is due to population aging and increases in the number of musculoskeletal disorders, including osteoarthritis of the knee joint, which causes not solely temporary or permanent loss of ability to work, but a significant decrease in quality of life in patients. According to WHO, gonarthrosis will become the fourth leading cause of disability among women, and eighth among men in the coming decade (1).
Kurys VN, Egorova SA, Misyukov VV. Sredstva i metody lechebnoj fizicheskoj kul’tury v processe reabilitacii bol’nyh pri osteoartrozah krupnyh sustavov. Sport Probleems; 2010; 1(14):46–49.
Kosareva MA, Mikhaylov IN, Tishkov NV. Modern principles and approaches in the treatment of gonarthrosis. Euroasian Scientific and Industrial Chamber, Ltd.; 2018;(№6 2018). Available from: https://doi.org/10.17513/spno.28292
Kellgren JH. Atlas of standard radiographs. The epidemiology of chronic rheumatism. 1963;2.
Bellamy NI, Kirwan J, Boers M, Brooks P, Strand VI, Tugwell P, Altman R, Brandt K, Dougados MA, Lequesne MI. Recommendations for a core set of outcome measures for future phase III clinical trials in knee, hip, and hand osteoarthritis. Consensus development at OMERACT III. J Rheumatol. 1997 Apr 1;24(4):799–802.
Lapshina SA, Mukhina RG. Osteoarthritis: modern problems of therapy. Russian medical journal. 2016;2:95–101.
Bjordal JM, Ljunggren AE, Klovning A, Slørdal L. Non-steroidal anti-inflammatory drugs, including cyclo-oxygenase-2 inhibitors, in osteoarthritic knee pain: meta-analysis of randomised placebo controlled trials. BMJ [Internet]. BMJ; 2004 Nov 23;329(7478):1317. Available from: https://doi. org/10.1136/bmj.38273.626655.63
Gutthann SP, GarcíaRodríguez LA, Raiford DS. Individual Nonsteroidal Antiinflammatory Drugs and Other Risk Factors for Upper Gastrointestinal Bleeding and Perforation. Epidemiology [Internet]. Ovid Technologies (Wolters Kluwer Health); 1997 Jan;8(1):18–24. Available from: https:// doi.org/10.1097/00001648–199701000–00003
Brandt KD, Smith Jr GN, Simon LS. Intraarticular injection of hyaluronan as treatment for knee osteoarthritis: what is the evidence? Arthritis Rheum 2000;43:1192–203
Dieppe PA, Sathapatayavongs B, Jones HE, Bacon PA, Ring EFI. Intra-articular steroids in osteoarthritis. Rheumatology [Internet]. Oxford University Press (OUP); 1980;19(4):212–7. Available from: https://doi. org/10.1093/rheumatology/19.4.212
Felson DT, Anderson JJ. Hyaluronate Sodium Injections for Osteoarthritis. Archives of Internal Medicine [Internet]. American Medical Association (AMA); 2002 Feb 11;162(3):245. Available from: https://doi.org/10.1001/ archinte.162.3.245
Weiner DK, Rudy TE, Morone N, Glick R, Kwoh CK. Efficacy of Periosteal Stimulation Therapy for the Treatment of Osteoarthritis-Associated Chronic Knee Pain: An Initial Controlled Clinical Trial. Journal of the American Geriatrics Society [Internet]. Wiley; 2007 Oct;55(10):1541–7. Available from: https://doi.org/10.1111/j.1532–5415.2007.01314.x
White A, Foster NE, Cummings M, Barlas P. Acupuncture treatment for chronic knee pain: a systematic review. Rheumatology [Internet]. Oxford University Press (OUP); 2007 Jan 25;46(3):384–90. Available from: https://doi. org/10.1093/rheumatology/kel413
American College of Rheumatology Subcommittee on Osteoarthritis Guidelines. Recommendations for the medical management of osteoarthritis of the hip and knee: 2000 update. Arthritis Rheum 2000;43:1905–15
Hirasawa Y, Okajima S, Ohta M, Tokioka T. Nerve distribution to the human knee joint: anatomical and immunohistochemical study. International Orthopaedics [Internet]. Springer Science and Business Media LLC; 2000 Mar 10;24(1):1–4. Available from: https://doi.org/10.1007/ s002640050001
Kennedy JC, Alexander IJ, Hayes KC. Nerve supply of the human knee and its functional importance. The American Journal of Sports Medicine [Internet]. SAGE Publications; 1982 Nov;10(6):329–35. Available from: https://doi. org/10.1177/036354658201000601
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
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This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License