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Pulse-Dose Radiofrequency in Athletic Pubalgia: Preliminary Results
Journal of Sport Rehabilitation
|September 17, 2016
Summary
Pulse-dose radiofrequency (PDRF) effectively treats chronic pubalgia in athletes, significantly reducing pain. This safe procedure allows athletes to resume training and physiotherapy, offering a viable solution for persistent groin pain.
Area of Science:
- Sports Medicine
- Pain Management
- Regenerative Medicine
Background:
- Chronic pubalgia affects approximately 10% of athletes, often proving refractory to conservative treatments.
- Understanding the underlying causes through advanced imaging is crucial for effective management.
Purpose of the Study:
- To evaluate the efficacy and role of pulse-dose radiofrequency (PDRF) in managing chronic pubalgia among athletes.
- To investigate the anatomical targets and potential causes of chronic pubalgia using imaging techniques.
Main Methods:
- A prospective, nonrandomized single-group study was conducted on 32 athletes with chronic pubalgia unresponsive to conservative therapies.
- Pulse-dose radiofrequency (PDRF) targeted the genital branches of the genitofemoral, ilioinguinal, iliohypogastric, and obturator nerves.
- Pain intensity was assessed using a 0-10 Visual Analog Scale (VAS) at 1, 3, 6, and 9 months post-procedure.
Main Results:
- A significant reduction in pain was observed, with 24 patients experiencing >50% VAS score decrease after the initial PDRF treatment.
- Six patients required a second PDRF treatment to achieve >50% pain reduction and resume training.
- Overall, 31 patients reported sustained pain relief up to 9 months, with mean VAS scores decreasing from 8.4 to 3.4-3.8, and no complications were reported.
Conclusions:
- Pulse-dose radiofrequency (PDRF) demonstrates significant effectiveness and safety as a therapeutic option for athletes suffering from chronic pubalgia.
- PDRF facilitates the resumption of athletic training and physiotherapy by alleviating persistent pain associated with pubalgia.
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