Radiofrequency Use in Chronic Pain Management

From Thermal Radiofrequency to Pulse Radiofrequency

By Christine Cadena, published Dec 03, 2007
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In the diagnosis and treatment of many health complications, physicians commonly refer to a medical procedure known as radiofrequency. As a general term used to describe a variety of procedures, radiofrequency for you may be different than radiofrequency medical services in someone you know. Simply described as a procedure in which energy is created, emitting heat, tissue is often necrotized. In some cases, however, radiofrequency may be used as an energy-based treatment for the management of pain.

In the management of pain, radiofrequency is also referred to as thermal radiofrequency neurotomy. An electrode is applied to the area of the body, specifically in the area where the target nerve may be located. Using an insulated need, electrical charge is sent through the body and into the nerve that may be responsible for the pain complications. The focus of thermal radiofrequency neurotomy is found in the ability to create lesion tissue, resulting in loss of myelin fibers. By destroying myelin fibers, the pain transmissions to and from the brain are not consistent and, therefore, may result in a reducing of pain perception.

To be successful, the placement of electrodes and needles are important. Without proper placement, healthy nerves, myelin sheath and tissue may be adversely affected. Therefore, if you are considering this type of radiofrequency treatment for pain management, it is important to seek the services of a licensed pain management specialist who is well versed in the procedure.

In addition to thermal radiofrequency neurotomy, some patients may also use radiofrequency in a procedure known as pulse radiofrequency. In this procedure, in contrast to thermal radiofrequency, the use of heat is not necessary. As a result, lesions are not developed and myelin sheath is not damaged as severely. With pulse radiofrequency, the simple application of pulsating electrical pulses is believed to improve health outcomes. However, when examined closely, pulse radiotherapy is not believed to be quite effective.

Takeaways
  • Radiofrequency is commonly used for pain relief
  • Thermal radiofrequency creates lesions
  • Pulse radiofrequency may not be the most effective form of RF.
Did You Know?
Without proper placement of electrodes, healthy nerves, myelin sheath and tissue may be adversely affected by the use of radiofrequency.
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Good info.

Posted on 12/04/2007 at 4:12:00 PM

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