Radiofrequency Ablation of Genicular Nerves for Advanced Osteoarthrosis of the Knee Joint 1 Year Follow-up.
Radiofrequency Ablation of Genicular Nerves for Advanced Osteoarthrosis of the Knee Joint 1 Year Follow-up.
Pharmacological treatment of pain due to osteoarthritis of the knee often proves to be
 inadequate and/or cause intolerable side effects. Arthroplasty of the knee may offer a
 solution, but waiting lists may be long or certain patients may not be apt for a surgical
 intervention. Therefore an alternative pain treatment that is effective and has little side
 effects allowing to offer pain relief to those difficult to manage patients would be an added
 value in the therapeutic options.

 We studies the short and long-term effects of radio frequency treatment of the genicular
 nerves in patients with severe pain due to osteoarthritis of the knee.
Radio frequency treatment (RF) of the genicular nerves was found to be effective in a
 randomized controlled trial. Because of the blinding patients were allowed to continue
 pre-intervention pharmacological treatment, which may have interfered with the outcome. The
 short follow-up (12 weeks) does not allow drawing conclusion on the duration of the effect.

 We aimed at assessing the pain reducing effect of RF of the genicular nerves and the duration
 of the effect.
Inclusion Criteria:

 -  patients suffering from pain caused by osteoarthrosis of the knee joint

 -  osteoarthrosis of the knee joint (grade 3-4 according to the Kellgren Lawrence
 classification)

 -  pain of moderate to severe intensity (VAS≥5, on a 10-point scale) during >3 months

 -  pain resistant to conservative treatments

 Exclusion Criteria:

 -  acute knee pain associated with radicular neuropathy or intermittent claudication,
 connective tissue diseases affecting the knee, serious neurologic or psychiatric
 disorders, mental deterioration impeding adequate communication or collaboration,
 injection with steroids or hyaluronic acids during the previous 3 months,
 anticoagulant medications, pacemakers, and prior electro-acupuncture treatment