Korean J Pain.  2016 Oct;29(4):266-269. 10.3344/kjp.2016.29.4.266.

Reduction in mechanical allodynia in complex regional pain syndrome patients with ultrasound-guided pulsed radiofrequency treatment of the superficial peroneal nerve

Affiliations
  • 1Department of Anesthesiology and Pain Medicine, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. anpjuno@schmc.ac.kr

Abstract

The superficial peroneal nerve is vulnerable to damage from ankle sprain injuries and fractures as well as surgery to this region. And it is also one of the most commonly involved nerves in complex regional pain syndrome type II in the foot and ankle region. We report two cases of ultrasound-guided pulsed radiofrequency treatment of superficial peroneal nerve for reduction of allodynia in CRPS patients.

Keyword

Allodynia; Complex regional pain syndrome; Neuralgia; Peripheral nerve; Pulsed radiofrequency treatment; Ultrasonography

MeSH Terms

Ankle
Ankle Injuries
Causalgia
Foot
Humans
Hyperalgesia*
Neuralgia
Peripheral Nerves
Peroneal Nerve*
Pulsed Radiofrequency Treatment*
Ultrasonography

Figure

  • Fig. 1 Ultrasound imaging of applying radiofrequency probe on superficial peroneal nerve. PB: peroneus brevis muscle, EDL: extensor digitorum longus muscle.


Cited by  1 articles

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Reference

1. Trevino SG, Panchbhavi VK, Castro-Aragon O, Rowell M, Jo J. The "kick-off" position: a new sign for early diagnosis of complex regional pain syndrome in the leg. Foot Ankle Int. 2007; 28:92–95. PMID: 17257546.
Article
2. Zengerink M, van Dijk CN. Complications in ankle arthroscopy. Knee Surg Sports Traumatol Arthrosc. 2012; 20:1420–1431. PMID: 22669362.
Article
3. Byrd D, Mackey S. Pulsed radiofrequency for chronic pain. Curr Pain Headache Rep. 2008; 12:37–41. PMID: 18417022.
Article
4. Finch PM, Knudsen L, Drummond PD. Reduction of allodynia in patients with complex regional pain syndrome: a double-blind placebo-controlled trial of topical ketamine. Pain. 2009; 146:18–25. PMID: 19703730.
Article
5. Ozsoylar O, Akçali D, Cizmeci P, Babacan A, Cahana A, Bolay H. Percutaneous pulsed radiofrequency reduces mechanical allodynia in a neuropathic pain model. Anesth Analg. 2008; 107:1406–1411. PMID: 18806060.
Article
6. Bruehl S. Complex regional pain syndrome. BMJ. 2015; 351:h2730. PMID: 26224572.
Article
7. Gierthmühlen J, Binder A, Baron R. Mechanism-based treatment in complex regional pain syndromes. Nat Rev Neurol. 2014; 10:518–528. PMID: 25134708.
Article
8. Jensen TS, Finnerup NB. Allodynia and hyperalgesia in neuropathic pain: clinical manifestations and mechanisms. Lancet Neurol. 2014; 13:924–935. PMID: 25142459.
Article
9. Coutaux A, Adam F, Willer JC, Le Bars D. Hyperalgesia and allodynia: peripheral mechanisms. Joint Bone Spine. 2005; 72:359–371. PMID: 16214069.
Article
10. Safarpour D, Salardini A, Richardson D, Jabbari B. Botulinum toxin A for treatment of allodynia of complex regional pain syndrome: a pilot study. Pain Med. 2010; 11:1411–1414. PMID: 20609130.
Article
11. Ushida T, Tani T, Kanbara T, Zinchuk VS, Kawasaki M, Yamamoto H. Analgesic effects of ketamine ointment in patients with complex regional pain syndrome type 1. Reg Anesth Pain Med. 2002; 27:524–528. PMID: 12373705.
Article
12. Karmarkar A, Lieberman I. Management of complex regional pain syndrome type II using lidoderm 5% patches. Br J Anaesth. 2007; 98:261–262. PMID: 17251215.
Article
13. Gofeld M, Restrepo-Garces CE, Theodore BR, Faclier G. Pulsed radiofrequency of suprascapular nerve for chronic shoulder pain: a randomized double-blind active placebo-controlled study. Pain Pract. 2013; 13:96–103. PMID: 22554345.
Article
14. Akbas M, Luleci N, Dere K, Luleci E, Ozdemir U, Toman H. Efficacy of pulsed radiofrequency treatment on the saphenous nerve in patients with chronic knee pain. J Back Musculoskelet Rehabil. 2011; 24:77–82. PMID: 21558611.
Article
15. Lim SM, Park HL, Moon HY, Kang KH, Kang H, Baek CH, et al. Ultrasound-guided infraorbital nerve pulsed radiofrequency treatment for intractable postherpetic neuralgia -a case report -. Korean J Pain. 2013; 26:84–88. PMID: 23342215.
Article
16. Restrepo-Garces CE, Marinov A, McHardy P, Faclier G, Avila A. Pulsed radiofrequency under ultrasound guidance for persistent stump-neuroma pain. Pain Pract. 2011; 11:98–102. PMID: 20642489.
Article
17. Fowler IM, Tucker AA, Mendez RJ. Treatment of meralgia paresthetica with ultrasound-guided pulsed radiofrequency ablation of the lateral femoral cutaneous nerve. Pain Pract. 2012; 12:394–398. PMID: 22151457.
Article
18. Todorov L. Pulsed radiofrequency of the sural nerve for the treatment of chronic ankle pain. Pain Physician. 2011; 14:301–304. PMID: 21587334.
19. Randić M, Jiang MC, Cerne R. Long-term potentiation and long-term depression of primary afferent neurotransmission in the rat spinal cord. J Neurosci. 1993; 13:5228–5241. PMID: 8254370.
Article
20. Sandkühler J. Models and mechanisms of hyperalgesia and allodynia. Physiol Rev. 2009; 89:707–758. PMID: 19342617.
Article
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