Review article
https://doi.org/10.20471/acc.2023.62.s4.10
Minimally Invasive Diagnostic Block and Percutaneous Radiofrequency Ablation in the Treatment of Chronic Hip Pain – Review Article
Lada Kalagac Fabris
orcid.org/0000-0001-8645-2128
; Department of Anesthesia and Resuscitation; Pain Treatment Clinic, Pula General Hospital, Pula, Croatia
*
Samanta Zanghirella Maretić
; Department of Anesthesia and Resuscitation; Pain Treatment Clinic, Pula General Hospital, Pula, Croatia
Marin Petrinović
; Department of Anesthesia and Resuscitation; Pain Treatment Clinic, Pula General Hospital, Pula, Croatia
Tina Tepšić
; Department of Surgery, Department of Orthopedics and Traumatology, Pula General Hospital, Pula, Croatia
* Corresponding author.
Abstract
The hyperactive “baby boom” generation is gradually aging, and chronic hip pain has
become an increasingly common problem. Most patients with hip pain experience symptoms ranging from
mild discomfort to severe pain. They can control the pain with conservative measures, but it inevitably
progresses, causing a gradual decline in the quality of life. Conservative therapeutic approaches to hip pain
include paracetamol, nonsteroidal anti-inflammatory drugs, narcotics and a variety of physical therapies.
Total hip arthroplasty surgery is the only option for patients who experience a gradual decrease in mobility
over time and whose pain is unaffected by a conservative approach. For most patients, surgical treatment is
a good way to restore quality of life and reduce pain levels, However, this aggressive surgery is not possible
in some patients. Many comorbidities in old age limit access to total arthroplasty, while the younger population
is at an age where they want to delay surgical treatment. In both of these groups, it is desirable to consider
other treatment options and techniques. Minimally invasive percutaneous partial sensory denervation
of the hip joint has today become an option that can achieve significant success in providing the desired
pain relief without the employment of a surgical knife. Today, there are different modalities for performing
this procedure, ranging from diagnostic-pharmacological, radiofrequency (thermal, pulsating and cooled)
and cryoablative modes. There is currently broad evidence that suggests that the use of fluoroscopically
guided percutaneous radiofrequency ablation of the periarticular branches of the hip joint can provide pain
relief for as long as 12-18 months.
Keywords
chronic hip pain; fluoroscopy; diagnostic block; radiofrequency denervation
Hrčak ID:
316011
URI
Publication date:
1.11.2023.
Visits: 652 *