Korean J Pain.  2006 Dec;19(2):282-284. 10.3344/kjp.2006.19.2.282.

Radiofrequency Lesion Generation of the Articular Branches of the Obturator and Femoral Nerve for Hip Joint Pain: A case report

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, College of Medicine, Hallym University, Seoul, Korea. kmshin1@yahoo.co.kr

Abstract

Percutaneous radiofrequency thermocoagulation has been applied in patients with various forms of chronic pain, such as facet joint pain, cancer pain and trigeminal neuralgia. A major portion of the hip joint is innervated by the articular branches of the femoral and obturator nerves. Radiofrequency thermocoagulation of the articular branches of the obturator and femoral nerves can be a good alternative treatment for patients with hip joint pain, especially in those where surgery is not applicable. A patient suffering hip joint pain due to metastatic cancer underwent multiple radiofrequency lesioning of the femoral and obturator nerves at 80degrees C for 120 seconds, using a Racz-Finch Kit. The patient experienced about a 50% reduction in the pain, without any numbness or other side effects.

Keyword

femoral nerve; hip joint; obturator nerve; radiofrequency

MeSH Terms

Chronic Pain
Electrocoagulation
Femoral Nerve*
Hip Joint*
Hip*
Humans
Hypesthesia
Obturator Nerve
Trigeminal Neuralgia
Zygapophyseal Joint
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