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North Shore Pain Management

Pulsed Radiofrequency Lesioning for Chronic Hip Pain

Pulsed Radiofrequency Lesioning for Chronic Hip Pain

Chronic hip pain is a common condition which many people experience over time. Most often due to degenerative joint disease or osteoarthritis, this symptom spans the spectrum from mild discomfort to severe incapacitating pain, which can limit many activities of daily living. Initial treatment options include: the use of nonsteroidal anti-inflammatory drugs (NSAIDs), Tylenol, physical therapy and intraarticular steroid injections. Surgical treatment is often used for those who fail to respond to conservative therapy, but the presence of multiple comorbidities in an aging population often eliminates the option of surgery.

Pulsed radiofrequency lesioning (PRFL) is a recently developed treatment modality which has been employed in the treatment of chronic hip pain. PRFL is a non-neurolytic lesioning method which can provide sustained analgesia by producing lasting inhibition of evoked synaptic activity with minimal damage to neural tissue. Targeting the articular/sensory branches of the femoral and obturator nerves has been shown to provide sustained relief for patients with chronic hip pain. In a recent article in Clinical Interventions in Aging, Chye etal presented a study which compared the efficacy of PRFL relative to the conservative management for chronic hip pain. The study showed a significantly greater improvement in both visual analog scale (VAS) and Oxford hip scores (OHS) at 1, 4 and 12 weeks. In addition, the use of less pain medications was noted in the experimental group. In conjunction with other conservative measures, the use of PRFL could help to improve physical functioning, without the inherent risks involved in surgical treatment. In addition, this procedure can be performed safely in an office based setting with either local anesthesia or light sedation.

Chye, etal Clin Interv Aging. 2015; 10: 569-574

At North Shore Pain Management we provide advanced, evidence based, multidisciplinary and cost effective pain management. Our goal is to improve your ability to return to the activities you have been missing as well as provide a meaningful reduction in pain.