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Shortnote in Radio Frequency for Pain

Shortnote in Radio Frequency for Pain

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Published by dr jameer kamate

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Published by: dr jameer kamate on Apr 24, 2011
Copyright:Attribution Non-commercial

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02/07/2013

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 Axon pain managementcentre, hyderabad
RADIOFREQUENCY IN PAIN MANAGEMENT
Definition: Radiofrequency nerve (RFN) ablation is atreatment that uses radiofrequency energy (highfrequency alternating current) to interrupt of alternociceptive pathways of various sites.Modalities
C
ontinuous radiofrequency
P
ulsedradiofrequency
Continuous
radiofrequency---continuous radiofrequencycurrent is used to produce thermal nerve in a target nerve.
Pulsed
radiofrequency---short bursts of radiofrequencyare delivered to target nerve producing effects on signaltransduction to reduce pain.
Mechanism of action
Radiofrequency current (low energy, high frequency)Oscillation within the moleculesFriction between moleculesHeat productionBlockade of nerve transmission
 
Radiofrequency generator
One arm-large plate attached to body Second arm-needle electrode
Continuous radiofrequency:
Frequency- 100 to 500 Hz, Duration- 60-90 secContinuous currentHeat is produced transversely along the active tip of theneedle Temperature- 65-75 degreesNeedle should be placed parallel to nerveInterrupt conduction of nociceptive signalsLesion=1-1.5 times of the electrode diameterBlocks pain transmissionDuration of effect depends on time required forregeneration of coagulated nerves
 
Nonselective destruction of nerve fibers (motor andsensory)
Pulsed radiofrequency
Current: 50 kHz in 20msAlternating currentLong pauses between impulsesHeat dissipation convection and conduction Temperature< 42degreesCurrent is delivered distal to tip of electrodeElectrode is placed perpendicular to the nerve
Mechanism of action:
poorly understood- May involve altered signal
transduction
of pain pathway.-Increased expression of 
c-Fos
anearly activator gene.-Increased expression of 
activator transcriptor 3
, marker of cellular stress inneurons.

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