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Alcohol neurolysis of genicular nerve for chronic knee pain
Rushin Maria Dass1,2, Eunsoo Kim1,3, Hae-Kyu Kim1
1Department of Anaesthesia and Pain Medicine, Pusan National University School of Medicine, Busan, Korea.
Abstract:
Radiofrequency neurolysis (RFN) of the genicular nerves has recently become accepted as an effective technique to alleviate knee pain particularly in patients with knee osteoarthritis (OA) or postoperative pain. However, genicular nerve RFN can produce high procedure and equipment costs, longer procedural times, procedure-related pain, and failure rate of over 25%. We are presenting two cases of alcohol neurolysis of the genicular nerve using fluoroscopy and ultrasonography in patients with knee OA or persistent postsurgical pain of the knee. Alcohol neurolysis of the genicular nerve with dual imaging modality can be a cheap, safe and effective method in patients with chronic knee pain.
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