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The Use of Pulsed Radiofrequency for Sciatic Peripheral Neuropathy in Diabetic Patients in Setting of Pain and Paresthesia | ||
| Basrah Journal of Surgery | ||
| Volume 31, Issue 1, 2025, Pages 94-104 PDF (1.15 M) | ||
| Document Type: Research Paper | ||
| DOI: 10.33762/basjsurg.2025.158811.1121 | ||
| Authors | ||
| mais razaq jaafar* 1; Hassanin Kareem hasan1; Mortada Abdulhussien Jubara2 | ||
| 1Arab Council of Interventional Pain Management, Baghdad Medical City Complex, Nursing Home Hospital, Baghdad, Iraq. | ||
| 2Chairman of Iraqi Council of Regional Anesthesia and Interventional Pain Management, Medical City Complex, Nursing Home Hospital, Baghdad, Iraq. | ||
| Abstract | ||
| Background: Pulsed radiofrequency is an interventional pain management technique that has been successful in treating radicular pain brought on by nerve damage, trigeminal neuralgia, and thoracic postherpetic neuralgia. Aim of the study: To examine both the therapeutic benefits and potential risks of pulse radiofrequency in the management of pain and paresthesia in patients with diabetes mellitus. Patients and method: A clinical therapeutic trial study was done in Baghdad, Iraq between April 1 and October 1, 2024. A convenient sample of 80 patients who had diabetic neuropathy were enrolled. The intervention included pulse radiofrequency for two sessions at three months intervals. Results: The proportion of patients with severe paresthesia significantly decreased after the first session (P-value=0.006). Then, it significantly decreased after the second session compared to the first session (P-value=0.029). There was an improvement in the pain as estimated by the VAS score after the first session and after the second session compared to the first session (P-value= were 0.003 and 0.004, respectively). Conclusion: About 50–70% of the patients had pain reduction with improved mobility and reduced medication dependence. It is recommended to repeat pulsed radiofrequency if pain returns (every 3–6 months if needed). | ||
| Keywords | ||
| Keywords: Pulsed radiofrequency; paresthesia; pain; diabetic neuropathy | ||
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