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Pulsed radiofrequency for the treatment of chronic ilioinguinal neuropathy
Raj Mitra1, Afshin Zeighami, Sean Mackey
1Stanford University Interventional Spine Center, 300 Pasteur Dr., Edwards Building, Rm. R105B, Stanford, CA 94305, USA. rmitra@stanford.edu
Background:
Ilioinguinal neuropathy is a rare but disabling condition. The condition may arise spontaneously or in the setting of pelvic surgery. To date, most therapeutic options have been limited to neuropathic pain medications, anti-inflammatory medications, nerve blocks with local anesthetics, or neurectomy. Long-term results of non-surgical interventions are fair at best. We present a case of chronic ilioinguinal neuropathy treated with pulsed radiofrequency.
Objective:
To examine the efficacy of pulsed radiofrequency (PRF) lesioning on pain in ilioinguinal neuropathy.
Method:
A 58-year old man with chronic ilioinguinal neuropathy was treated with PRF and was followed for 3 months.
Results:
The patient had significant pain relief at 3 months follow up.
Conclusion:
Pulsed radiofrequency lesioning may be a good treatment for chronic ilioinguinal neuropathy in cases refractory to conservative management.
