Journals on Biomedical Engineering - BJSTR Journal

Abstract

Total #Knee Replacement (TKR) is a treatment of #knee osteoarthritis to alleviate pain symptoms and improve physical functioning when other conservative treatments have failed. However, some patients still complaining of persistent post surgical pain (PPSP) after TKR. Although the cause of PPSP is not known, it seems that some of the patients with PPSP after TKR suffer from neuropathic pain. Recently #genicular nerve radio-frequency ablation has emerged as an alternative intervention for patients at high risk who are unable to undergo surgical intervention. We have shown from our case, a 69-year old lady who had right total knee replacement presented with neuropathic knee pain has good symptom relieves after undergone radio-frequency ablation. Pain in the knee joint can be from a variety of reasons. It can be either from the joint itself, it can be #myofascial or it can be #neuropathy, radicular pain. Total Knee replacement (TKR) is a treatment of osteoarthritis to relieve pain symptoms and improve physical function when conservative treatments have failed. However, not all patients are satisfied after TKR. Pain after TKR is stronger determinant of satisfaction than function [1]. Studies have shown that unfavorable pain outcome was seen in at least 8% and up to 26.5% of patients after TKR [2]. Apart from the post-surgical pain that is a result of a specific cause, some patients suffer from a persistent post-surgical pain (PPSP) with no specific origin. Although cause of PPSP is not known, it seem that some of the patients with PSSP after TKR suffer from the neuropathic pain. Recently genicular nerve radio-frequency ablation (RFA) has recently gained popularity as an intervention for chronic knee pain in patients who failed conservative or high risk to undergo Total Knee Replacement (TKR).

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An Alternative Way to Relieve Neuropathic Pain After Total Knee Replacement by Genicular Nerve Radio-Frequency Ablation by Juzaily Fekry Leong in BJSTR

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