Efficacy of Genicular Nerve Radiofrequency
Efficacy of Genicular Nerve Radiofrequency
In patients with knee pain, local anesthetics and radiofrequency applications to
 superolateral, superomedial and inferomedial genicular nerves that innervate the knee joint
 are also preferred methods besides analgesic and physical therapy. When necessary, total knee
 replacement is the preferred method for primary knee arthrosis.

 However, continuing knee pain is reported in approximately 20% of patients after total knee
 replacement. In similar cases; In the painful knees, the blockages of the genicular nerves
 are successfully applied.

 In this study; the efficacy of imaging-guided radiofrequency application will be investigated
 in patients presenting with knee pain after total knee replacement.
Although simple analgesic and physical therapy methods are applied, some patients suffer from
 pain. Genicular nerve blocks and radiofrequency methods are performed usually for this
 reason. This procedure is performed with ultrasound and / or fluoroscopy, sterile staining
 and covering of painful knee to the middle of thigh and leg, localization of superomedial,
 superolateral, inferomedial genicular nerves are tested and then conventional radiofrequency
 is applied to all 3 nerve regions.Fifty patients who had total knee prosthesis for
 gonarthrosis in the Orthopedics and Traumatology Clinic at least 3 months postoperatively had
 knee pain (infection, mechanical causes and radicular pain) were included in the study.The
 VAS and WOMAC values recorded at the time of application and the VAS and WOMAC values
 recorded at the 1st week, 1st month and 3rd month after the procedure will be used to
 evaluate the effectiveness of the method.
Inclusion Criteria:

 -  knee pain

 Exclusion Criteria:

 -  with communication problems (VAS and WOMAC scores could not be evaluated)

 -  infectious-mechanical pain-related conditions,

 -  with radicular pain