Radiofrequency Ablation of genicular nerve In OA Knee
Radiofrequency Ablation of Genicular Nerve in OA Knee Author: L. Jacob Introduction Radiofrequency ablation is a procedure in which pain signals from the knee joint to brain are interrupted by heat lesson thus eliminating pain. In OA knee genicular nerves are ablated to reduce pain. Nerve Supply of Knee joint The knee joint consists of just three bones: the femur, tibia, and patella. These bones are held together by a complex cartilage, ligaments, and tendons. Cartilage helps to cushion and lubricate the bones. Ligaments connect the bones to each other. Tendons connect the muscles to the bones. Nerve supply to knee…
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POST HERPETIC NEURALGIA
Post herpetic Neuralgia Refers to pain following an infection with Varicella Zoster Virus (VZV). No consensus has been reached on its definition but a reliable description is a pain that persists for varying time duration after a healed Herpes Zoster (HZ) rash. The interval may be from 4 weeks to 6 months. The pain distribution is dermatomal and described as a persistent sharp, burning, aching or shooting sensation in the area of the rash. Frequently there is hyperalgesia and allodynia. Pre disposing factors Age Sex Severity of pain at presentation with Herpes Zoster infection Presence and duration of pain,…
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Prostate carcinoma with vertrebral mets
A man aged 78 years, which was diagnosed as metastatic prostate cancer 2 years ago, and a solitary asymptomatic bone metastasis in the right pubic bone. Presented with a new-onset low back pain for 6/52 HISTORY Pain history Site- Low Back. Onset- Gradual Character- burning Radiation-Buttocks Associations- no fever,no LOW Time course- worse at night,disturbed sleep. Exacerbations/Relieving factors- increase during walking,standing. Severity- NRS 7/10. HISTORY Pain history Site- Low Back. Onset- Gradual Character- burning Radiation-Buttocks Associations- no fever,no LOW Time course- worse at night,disturbed sleep. Exacerbations/Relieving factors- increase during walking,standing. Severity- NRS 7/10.
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PIRIFORMIS SYNDROME
PIRIFORMIS SYNDROME Author: Ronnie Kaddu Introduction Piriformis syndrome is a neuro muscular disorder due to irritation of the sciatic nerve as it passes through or around the piriformis muscle. It is commonly an undiagnosed cause of buttock and leg pain. Epidemiology 5-6% cases of sciatica 4 million per year Middle aged patients (mean age 38 year) F:M 6:1.4 Piriformis muscle Origin: Antero-lateral surface of sacrum (S2-S4) Insertion: Greater trochanter of femur Blood supply: Inferior gluteal, lateral sacral, Superior gluteal artery Nerve supply: nerve to piriformis (L5,S1,S2- posterior trunk of ventral rami) Actions: Abduction & External rotator of thigh Anatomical relationship…
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