Efficacy of Pulsed Radiofrequency Therapy to Dorsal Root Ganglion Adding to TENS and Exercise for Persistent Pain after Total Knee Arthroplasty

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dc.contributor.authorAlbayrak, İlknur
dc.contributor.authorApilioğulları, Seza
dc.contributor.authorDal, Çağatay Nusret
dc.contributor.authorLevendoğlu, Funda
dc.contributor.authorÖzerbil, Önder Murat
dc.date.accessioned2020-03-26T19:35:30Z
dc.date.available2020-03-26T19:35:30Z
dc.date.issued2017
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractThe majority of patients achieve substantial pain relief and improved function after total knee arthroplasty (TKA), but a proportion continues to experience life-disturbing persistent postsurgical pain (PPSP) in the months and years after surgery. This study aimed to assess the efficacy of transcutaneous electrical nerve stimulation (TENS), exercise, and pulsed radiofrequency (PRF) treatment on pain severity, neuropathic pain, knee flexion range of motion (ROM), functional status, and patient satisfaction in patients with PPSP after TKA. This is a retrospective study of prospectively collected data. Patients who were identified retrospectively from hospital charts were divided into two groups: group 1 (n = 17) received TENS and exercise treatment and group 2 (n = 22) received TENS, exercise, and PRF application to the dorsal root ganglion (DRG). The following procedure-related parameters were collected from the special registry form: visual analog scale (VAS), Douleur Neuropathique 4 (DN4) questionnaire, knee flexion ROM, the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and patient satisfaction scale scores. The mean follow-up was 253.8 +/- 109 days. When the two groups were compared, a significant difference of at least 50% improvement in the VAS (activity) and a significant reduction in the DN4 scores following the last control examination were found in group 2. There was a significant reduction in total WOMAC scores in group 1 compared with group 2 for the four study periods. Higher scores for the patient satisfaction scale were found in group 1 compared with group 2 following the last control examination. Adding PRF to TENS and exercise therapy is useful in reducing the degree of pain and the neuropathic component of PPSP in patients with PPSP.en_US
dc.identifier.doi10.1055/s-0036-1583268en_US
dc.identifier.endpage142en_US
dc.identifier.issn1538-8506en_US
dc.identifier.issn1938-2480en_US
dc.identifier.issue2en_US
dc.identifier.pmid27123667en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage134en_US
dc.identifier.urihttps://dx.doi.org/10.1055/s-0036-1583268
dc.identifier.urihttps://hdl.handle.net/20.500.12395/35059
dc.identifier.volume30en_US
dc.identifier.wosWOS:000395385000007en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherGEORG THIEME VERLAG KGen_US
dc.relation.ispartofJOURNAL OF KNEE SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectpersistent postsurgical painen_US
dc.subjecttotal knee arthroplastyen_US
dc.subjecttranscutaneous electrical nerve stimulationen_US
dc.subjectpulsed radiofrequencyen_US
dc.titleEfficacy of Pulsed Radiofrequency Therapy to Dorsal Root Ganglion Adding to TENS and Exercise for Persistent Pain after Total Knee Arthroplastyen_US
dc.typeArticleen_US

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